DO I need lipo? (photo)

I'm having a full TT and my PS is advising on lipo of my love handles. Is this necessary? Or can I just loose a little weight and get rid of the excess fat myself. I am kinda afraid of the lipo plus the TT. I am just worried it will be very painful.

Doctor Answers 6


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During a full abdominoplasty loose skin and fat is elevated off the abdominal wall and pulled down snugly. Elevating the skin changes its blood supply and diminishes it. While some doctors do liposuction this elevated skin during abdominoplasty liposuction at the same time can further diiminish the blood supply and lead to healing problems or tissue loss in the lower abdomen.
In my own practice I routinely liposuction hips and love handles with tummy tuck surgery. I find that these areas do not diminish the blood supply to the frontal abdomal skin and help to countour the waist. I rarely liposuction the frontal abdominal skin at the same time as the tummy tuck to perserve the blood supply. In most patients when the skin is pulled tight additional liposuction is not necessary. In patients who might benifit from frontal abdomen liposuction I feel it is safer once the tummy tuck has healed. In mini tummy tuck I do liposuction the frontal abdomen at the same time because much less skin is elevated
You will need to be examined to determine if your waist contour would benefit from extended abdominoplasy,Belt lipoectomy (tummy tuck all the way around), frontal flank or circumferential liposuction-- all are reasonable options for an appropriate candidate.

Chevy Chase Plastic Surgeon
4.7 out of 5 stars 107 reviews

DO I need lipo?

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Liposuction with tummy tuck is fairly common.   You can certainly lose weight prior to the surgery if you would like.

Kenneth Hughes, MD

Los Angeles, CA

DO I need lipo?

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It is a bit hard to evaluate with only the one picture posted. But I would suggest after healing from your Tummy Tuck, revisit the issue of liposuction. You may get the result your are looking for with just the Tummy Tuck and (once healed) hitting the gym. 

James E. Murphy, MD, FACS
Reno Plastic Surgeon
5.0 out of 5 stars 32 reviews

Lipo combined with tummy tuck

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Liposuction is combined with most body contour resective proceedures. Your photo shows you definitly would benefit from an abdominoplasty and if you go ahead liposuction of the hip, back area will improve the result.

Abdominoplasty with Liposuction too much?

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To make the result as nice as possible will require a little liposuction in the flank areas. It is very safe and easy to perform at the time of the abdominoplasty surgery. There is little pain related to the additional liposuction.

Consult with you Board Certified Plastic Surgeon

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 25 reviews

DO I need lipo?

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Most of the discomfort associated with tummy tuck tends to be related to the muscle plication, not with liposuction performed as part of the procedure.  Assuming you have chosen your plastic surgeon carefully, I would suggest that you allow him/her to use whatever maneuvers necessary to achieve the best outcome possible.

 Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.