Is Liposuction Typically Done in an Abdominoplasty?

Assuming that there is some excess fat in the abdomen and flanks, would one assume that an abdominoplasty includes lipo or is this an add-on to the surgery? Would the surgeon proactively discuss this with the patient prior to surgery?

Doctor Answers 14

Abdominoplasty and liposuction

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The need for abdominoplasty varies with body habitus.  Approximately 85% of my patients require liposuction along with a tummy tuck to achieve the best results.  I discuss this with all patients at length prior to any surgery.  To be safe, it is prudent for you to be proactive with regards to your desired procedure to achieve your best result.  Your efforts here and questions will help guide you to the best decisions. Good luck!

San Diego Plastic Surgeon

LIposuction Plus Abdominoplasty

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I find that liposuction helps me achieve a nicer balance to the hips, waist, and abdomen.  I will include lipo to the waist and abdomen (in limited amounts) as a part of my tummy tucks.  I will always  discuss beforehand any other areas I feel may add to the result for my patient, and diagram this out the week before surgery so we both know exactly what is being done.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 276 reviews

Liposuction with tummy tuck

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Liposuction is often performed as a part of tummy tuck to smooth the transition into the hip and flank if needed. Though in the cosmetic surgery market place today, you may be confronted by additional costs. The rule is to ask questions until you fully understand a proposed procedure and risks, and also have a written understanding of all costs involved, including facility charges and anesthesia if any. Never assume, as a disappointment can be just around the corner.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Is Liposuction Typically Done in an Abdominoplasty?

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Liposuction is routinely performed in conjunction with a tummy tuck to help improve body contours (such as flanks and pubic areas). There may be some limitations to how much adipose tissue can be removed safely. To be safe, the surgeon must not exceed the safe limits of fat removal or administration of local anesthetic. Excessive liposuction done at the time of tummy tuck may compromise blood flow and wound healing. Consult with  board certified plastic surgeons to discuss the best and safest options for you. Best wishes.

Lipo and a tummy tuck

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Liposuction can be done in the flank region at the same time as a tummy tuck, but I always discuss this in advance.  It is not part of a standard tummy tuck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Liposuction is usually combined with a tummy tuck for a nice result...

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Liposuction is usually combined with a tummy tuck for a nicer result.  When performing a tummy tuck at the same time, the liposuction of the abdomen cannot be too aggressive, but the combination of tummy tuck and liposuction of the flank area gives the patient a significant and symmetrical result. Your surgeon will decide which areas of liposuction would be necessary in addition to the abdominoplasty and most surgeons do proactively discuss these points with you.

Some Liposuction Usually Included in Abdominoplasty

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I typically perform some liposuction of the flanks at the time of a tummy tuck for which I do not charge additionally.  If there is a separate area being suctioned (hips, thighs, etc.), then there would be an addition charge.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Liposuction Typically Done in an Abdominoplasty

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To answer the EXACT question - NO! But in most cases liposuction is discussed in the pre operative session. Thus if you want some lipo you need to ask. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Liposuction and tummy tuck

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Everything should be discussed prior to surgery.  There should be no surprises.  Many surgeons will use liposuction with tummy tucks to contour the hips, and some may even thin the abdominal wall.  It varies...but communication should not vary.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 9 reviews

Liposuction is commonly performed with a tummy tuck

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Generally this is commonly performed with a tummy tuck but it can vary tremendously in terms of the amount to be removed and the time taken to perform this additional step. Having said that, fees wil vary according to the additional effort expended.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 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.