Loose Skin after Abdominal Etching. What procedure/s should I undergo to solve it?

Question

I have just gotten abdominal etching a month ago, but a massive issue presents itself to me. Loose skin (or fat rolls) dangles out of my abdomen whenever I crouch or sit down. Which to me, ruins the whole point and might as well not have done it at all. What procedure/s should I approach in order to remove this excess fat/skin WITHOUT ruining too much of the etching definition. I have already done a Tummy Tuck 3 years prior to the Etching. Any professional opinion would be greatly appreciated.

Jason Emer, MD · Answer

this needs internal heating with Renuvion + minituck. I suggest you speak to a revision specialist.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Emmanuel De La Cruz, MD · Answer

Loose skin after abdominal etching may be addressed through various surgical and non-surgical options, depending on the extent of skin laxity and individual anatomy. The appropriate solution will be tailored to your specific needs and goals. Here are some options to consider:

Non-Surgical Skin Tightening:

Radiofrequency (RF) Treatments: Non-surgical skin tightening treatments, such as those using radiofrequency devices, can stimulate collagen production and improve skin elasticity. These treatments may be suitable for mild to moderate skin laxity.
Surgical Options:

Abdominoplasty (Tummy Tuck): A tummy tuck is a surgical procedure that addresses excess skin, fat, and muscle laxity in the abdominal area. It is particularly effective for individuals with significant skin laxity. During a tummy tuck, the surgeon removes excess skin, tightens the abdominal muscles, and repositions the belly button for a smoother and more contoured appearance.
Mini Tummy Tuck: For individuals with less extensive skin laxity, a mini tummy tuck may be an option. This procedure focuses on the lower abdominal area and is associated with a smaller incision compared to a full tummy tuck.
Combination Procedures:

Tummy Tuck with Liposuction: Combining a tummy tuck with liposuction can address both excess skin and underlying fat deposits, providing comprehensive contouring.
Additional Liposuction: In some cases, additional liposuction may be performed in specific areas to further refine the results.
Consultation with a Plastic Surgeon:

Individualized Assessment: It is crucial to consult with a board-certified plastic surgeon for an individualized assessment of your situation. The surgeon will evaluate the degree of skin laxity, muscle tone, and overall anatomy to recommend the most suitable procedure(s) for your goals.
Post-Operative Care:

Compression Garments: Following surgery, wearing compression garments as recommended by the surgeon can aid in the healing process and help optimize the results.
Maintaining a Healthy Lifestyle:

Diet and Exercise: Maintaining a healthy lifestyle with regular exercise and a balanced diet can contribute to overall well-being and support the longevity of surgical results.
During a consultation, your surgeon will discuss your specific concerns, assess your anatomy, and provide recommendations tailored to your goals. They will explain the potential benefits, risks, and recovery associated with each option, helping you make an informed decision about the most appropriate course of action for addressing loose skin after abdominal etching.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding loose skin after abdominal etching and what procedure you need to solve the loose skin. Since you have loose skin, the only way to tighten loose skin is to excise the skin. In this case, it would be a revision tummy tuck. I would use your prior tummy tuck scar to pull the tummy flat. You do not have that much loose skin, and not too much dissection would need to be done. Therefore, an incision would be made in your prior tummy tuck, and tissue dissection would be made up to perhaps your belly button, not much more. Loose skin would then be pulled tightly. It should not ruin much of your VASER Hi-Def abdominal etching. Overall it looks excellent. You should be very proud of your results. I hope I've answered your question regarding removing loose skin after abdominal etching. Good Luck.
Sincerely,
Dr. Katzen

Finny George, MD · Answer

Hi, thank you for your question. 
You may be a candidate for skin tightening and skin resection with mini tummy tuck. Not all plastic surgeons have the devices needed to tighten the skin with energy-based modalities. 
Consult with a board certified plastic surgeon who can examine you and go over your options. 
I hope this helps. Best of luck!

Sean Satey, MD, FACS · Answer

The least invasive approach would be to undergo Morpheus8 sessions. In my practice, I have dealt with this issue a lot from other surgeons not addressing the skin at the time of surgery. Revision work is a big part of my practice. With that being said, minimum of three sessions spaced six weeks apart with an ideal of six sessions.  Best, Dr Satey, Beverly Hills, Ca.

Loose Skin after Abdominal Etching. What procedure/s should I undergo to solve it?

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Answer: Loose skin

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Answer: SKin tightening post abdominal etching

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Loose Skin after Abdominal Etching. What procedure/s should I undergo to solve it?

Answers (8)

Answer: Loose skin

Answer: Loose skin

Answer: SKin tightening post abdominal etching

Answer: SKin tightening post abdominal etching

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Everything you need to know about Abdominal Etching

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