Can Liposuction Reduce Sagging Skin and Fat Left After C-section?

I had two C-Sections back to back 4 years ago. This left fat and sagging skin on my abdomen and fat on my hips. Is it okay to undergo liposuction for this? If so, which type would be best?

Doctor Answers 6

Can Liposuction Reduce Sagging Skin and Fat Left After C-section?

 Thank you for the question. Online consultants will be much specific to without viewing photographs or in-person evaluation. However, some general thoughts may be helpful to you.
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. The tummy tuck operation serves to re approximate muscles that may have spread with pregnancy and/or weight gain/loss, remove "excess" skin/adipose tissue (often overhanging C-section scars) and further contour the abdominal wall, with tools such as liposuction surgery.
Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides.
You will also hear/read about mini tummy tuck surgery. In my opinion/experience, the mini tummy tuck is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.
Again, for the vast majority of patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. When the time is right, seek consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients achieve the types of outcomes you would be pleased with. You may find the attached link/video, dedicated to tummy tuck surgery concerns, helpful to you as you learn more. Best wishes.

Liposuction and mini tummy tuck should make your stomach look a lot better.

Hi.

This is a very common problem after C sections. Fortunately, liposuction and a little mini tummy tuck (like an extensive scar revision) work very well with short recovery. 

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Tummy Tuck

Big Mom,

You can have liposuction but this will not correct your wrinkling skin. Since your skin and abdominal muscles have been stretched by pregnancies then an abdominoplasty (tummy tuck) will give you the correction you desire.

Good luck.

Liposuction and sagging skin

Liposuction would definitely help improve the subcutaneous fat component but may increase your chances of further laxity and hanging skin.  You may be better off having a consultation for a possible tummy tuck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Lipo for the hips

Liposuction is an excellent answer for your hips. However, the excess skin in your abdomen will require excision. Cilinical exam would determine the extent of all these procedures and if you could benefit from a mini-tummy tuck . Good Luck!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Consider a tummy tuck

Liposuction is really "Fat" "suction" when you break the meaning of the term down. It has little effect upon skin. If skin is a large part of the problem for you, liposuction is not going to help much.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 24 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.