Liposuction on Lower Abdomen and Flanks Only. Not Treating Upper Abdomen? (photo)

I'm having my lower abs and flanks liposuctioned later this week. I'm worried that omitting treatment for my upper abs may be a mistake in the long term. Thoughts please?

Doctor Answers 13

Liposuction on Lower Abdomen and Flanks Only. Not Treating Upper Abdomen

I am not sure what you define as lower abdomen, but clearly there is excess fat in the area I would call the upper abdomen. I find it so uncommon to treat just the lower abdomen, I consider the abdomen to be one area.

All the best. 

Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Abdominal liposuction

I agree. I think it is a mistake to only liposuction the lower abdomen. What  may happen after surgery is you start accumulating more fat in the upper abdomen if you gain weight.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Treat your whole abdomen

One of the most important aspects of having a natural postoperative appearance is the avoidance of obvious transition zones from one area of liposuction to another.  Most of the time, "feathering" the area that is treated into the surrounding regions is part of the liposuction procedure.  Make certain your surgeon plans on taking care of the lesser but nonetheless important fat of the upper abdomen in a manner that creates a nice transition to your upper torso.

Adam David Lowenstein, MD, FACS
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 56 reviews

Liposuction of the entire abdomen vs just lower abdomen

When I do liposuction of the abdomen, I treat the entire abdomen from under the breast line, all the way down into the pubic area. My mentor (who had over 25 years of experience in liposuction) taught me this. I have seen 2 cases of patients who had liposuction of just the lower abdomen 10 to 15 years earlier, and they came in with a flat lower abdomen and a bulging upper abdomen (from aging and possibly a little weight gain). It looked pretty unnatural. So, even if my patients don't have a lot of fatty tissue in the upper abdomen, I still do the entire abdomen.

However, you should discuss it with your surgeon and decide what is best in your individual case.

Jennifer Reichel, MD
Seattle Dermatologist
4.5 out of 5 stars 42 reviews

Liposuction on Lower Abdomen and Flanks Only. Not Treating Upper Abdomen?

This is really a discussion between the chosen surgeon and yourself. Because only in person evaluations can allow a diagnosis to need. I might guess that upper abdomen lipo is a good idea to include but over the internet even with the posted photos verity hard to respond. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Localized Liposuction

In most cases, such as yours, it is best to liposuction the entire region to achieve the best results.  If you are just treating localized areas, the result will not be as good as what can be achieved with more comprehensive treatment.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Upper abdomen lipo, or not

It depends on how much fat you have there.  Most people do need a little lipo there, in addition to the flanks and lower abdomen, so that the thickness of the subcutaneous fat is nice and even throughout the areas that are treated.  However, if you pinch the upper abdo area, and there's hardly any fat there - then the approach described is reasonable.  Speak with your surgeon about your concerns.

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 80 reviews

Treating Lower Abdomen with Liposuction

    I would say that the most reasonable approach to this to evaluate the subcutaneous layer and try to maintain evenness of this layer.  That will produce the best results with liposuction and will help with maintenance of the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Upper abdomen liposuction?

It does not appear as if you have significant fat in the upper abdominal area.  Without examining you, it is difficult to tell.  If your surgeon is experienced and you trust his judgement, I would go along with his decision that you do not additional liposuction in the upper abdomen.

Shim Ching, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 48 reviews

Full or lower abdominal liposuction

The limitation of a photo is that it cannot indicate whether you have muscle weakness in the abdomen which might require a tummy tuck.  That said, whether to lipo the entire abdomen or just the lower area is a matter of your own tolerance and pocketbook. In general, I prefer to work on the entire abdomen and think that it produces a better result. In your case, there is evidence of some bulge or excess above the umbilicus.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

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.