Am I a good candidate for Lipo?

Question

I had 2 children, I haven’t had the greatest eating habits but looking for get Liposuction while trying to change my lifestyle. I’m really not a fan of the tummy tuck.Please advise.

Gary M. Horndeski, MD · Answer

Liposuction will remove the excess fat. However, the skin may hang. If that is acceptable to you then liposuction would good. If the skin hangs too much then you may need a tummy tuck or circumferential lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

J. Timothy Katzen, MD, FACS · Answer

Hi Srivera2,

Thank you for reaching out with your question about whether liposuction is the right choice for you, and for providing your photos and background information. After examining your pictures and considering your history of having two children and current lifestyle, it seems that the best course of action for you would be a combination of liposuction and a tummy tuck.

Liposuction alone might not provide the desired results as it wouldn't address the excess skin you have. While I understand your hesitation regarding a tummy tuck, combining it with liposuction can significantly enhance the contour of your abdomen, providing a more comprehensive and satisfying outcome.

Furthermore, for even better results, adopting a healthier lifestyle and possibly losing around 20 pounds could be greatly beneficial. Not only would this help in achieving a more aesthetically pleasing result, but it would also contribute positively to your overall health. Remember, both liposuction and tummy tucks are not substitutes for weight loss; they are procedures that help contour your body after you’ve achieved a stable weight.

Regarding visceral fat, which is the fat surrounding your internal organs, diet and exercise are crucial. This type of fat cannot be effectively addressed with surgery and requires lifestyle changes. Additionally, there are weight loss medications like Semaglutide and Monjauro that might aid in your journey. I would recommend discussing these options with your primary care physician. If you face difficulties in getting these medications prescribed, feel free to contact us for further guidance.

In conclusion, while liposuction combined with a tummy tuck seems to be the most suitable option for you, the emphasis on a healthier lifestyle cannot be overstated. This holistic approach, which combines surgery with lifestyle modifications, is often the key to achieving and maintaining the best results.

Good luck on your journey, and if you have any more questions or need further assistance, don't hesitate to reach out.

Sincerely,

Dr. J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Arif Eroglu, MD · Answer

Hello; abdominal skin is loose and abdominal field is fat. The belly button is positioned horizontally. When related fats are taken; the skin will become more loose and the belly button; it will turn into a sad face emoji. Waist and back are fatty and especially, the back skin is too loose. While fats are erased; laxation; will cause folding on the body. For your belly; if Tummy Tuck procedure is not considered; after Vaserlipo, within the same session; for skin tightening; I definitely recommend for Renuvion J Plasma technique. For the same,valid application; I also give an advise for it; for the back side; after Vaserlipo.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on the picture you appear to be good candidate for Full tummy tuck to correct the sagging skin excess however if for any reasons you do not want the tummy tuck you can move forward with intense liposuction to the belly, waist, flanks, upper and lower back, remove those hate handles and add Skin tightening treatment such as J-plasma or PRP to improve skin retraction. 
It is important to know that skin tightening are not a substitute of any kind of liftings. 
I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
 Respectfully, Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear Srivera2,
based on your photos, it looks like you have extra fat and skin so liposuction will remove only extra fat but you will have some loose skin after that. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Joshua T Halka, MD · Answer

Hello,
Often, after women have had multiple children and gained some weight, they have excess loose skin on their abdomen. Liposuction can address the fat under the skin but when you remove the fat it only makes the skin more loose, which most people really don’t like. 
Additionally, when women have had children and weight gain, their ab muscles often pull apart, making their abdominal wall stick out more and no matter how much they exercise it won’t get better, this is another great thing about tummy tucks, as you can address this separation of the muscles at the same time.
So the short answer is, you could have liposuction, but I don’t think you would be happy afterward and a tummy tuck would make a HUGE difference for you.

Scott C. Lindsay, DO · Answer

Thanks for sharing your photos! I can't completely tell from the photos, but I think that your best option will be a tummy tuck. I suppose you could be a candidate for liposuction, but you may end up with loose skin on the tummy. I would suggest an in-person consultation for a true consult. Good luck!

Connie Hiers, MD, FACS · Answer

Yes, you would do very well with liposuction to remove the excess fat in your abdomen, flanks, and back bra areas. Please discuss this with a plastic surgeon.

Pierre Lapaine, MD · Answer

While certainly you will be able to find surgeons willing to do liposuction, in my opinion you won’t be fully happy with the results. Given that you have 2 children, you almost certainly have some element of rectus diastasis (separation of the ab muscles). A tummy tuck allows us to do liposuction to the back and waist to accentuate a narrow waist, repair the muscle separation, as well as remove extra skin to create the smoothest, flattest contour possible. We see so many patients at our practice that get sold liposuction when they really need a tummy tuck and then end up unhappy and seeking a revision. I want to save you the trouble and recommend that you get the best surgery the first time. Not sure what your reasons are for not being a fan of the tummy tuck as these vary from one person or another but a common one we see is that people are afraid of the scar. In my experience, no one regrets the scar once they get the result they’re looking for and feel a whole new level of confidence in their body!

Camille Cash, MD · Answer

From the provided photos you can consider liposuction.  It will help to remove some of the stubborn fat.  The risk is that you may have skin laxity.  You are a better candidate for a tummy tuck which would remove excess fat and skin as well as correct abdominal wall laxity.  Liposuction can be added for further contouring.

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