Will more lipo help or do I need a tummy tuck?

Question

I got liposuction on my stomach and back in Sept 2018 and I'm about 3 months post op. There was not a dramatic change and I hoped for better results. I was wondering if more liposuction would help me get a flatter stomach or does it look like I need a tummy tuck? Also will more liposuction or coolsculpting help get rid of my back fat? I'm also dieting and exercising for optimal results but dont want to lose my curves.

Darren Smith, MD, FACS · Answer

Hi Lynnia, thank you for your question. I would wait until 6 months after your liposuction to see the final results after all swelling has resolved. If you would still like to see a tighter abdomen at that point, a physical examination with a board certified plastic surgeon would let you know if the issue is remaining fat, extra skin, or a combination of the two. If the only problem is excess fat, additional liposuction would be useful. I recommend using ultrasound in secondary liposuction cases to help break up scar tissue. If, however, there is excess skin, a tummy tuck may be the way to go. In terms of your back, if you are not happy after six months, ultrasound-assisted liposuction should also work well here.

Robert M. Tornambe, MD · Answer

Lynnia. It appears from your photographs that diet and exercise combined perhaps withtraditional liposuction of your back may be your best option. You should wait at least another six months before undergoing liposuction again, however. CoolSculpt has brought too many unsatisfying results to so many of my patients to recommend this procedure. Good luck.

Alex Campbell, MD · Answer

Thanks for your question. Healing after liposuction can take up to 6 months, this is when you get to see the final results. best is to give it some time before you make a decision. Make sure to follow your surgeon's post op instructions to achieve the best results.

Zoran Potparic, MD · Answer

It is very difficult to give you good advice without in person evaluation. Based on these photos I would ques that aggressive liposuction of abdomen and flanks would improve your result significantly. However, whether TT should be part of your surgery one can decide only on the basis of in person evaluation. I would suggest delaying liposuction only surgery for at least one year after your last procedures.Good luck.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a good candidate for liposuction, to improve your abdomen, flanks and back, and I think you'll get very good results. 
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Paul C. Dillon, MD · Answer

Hello,
Thank you for your question and pictures. Your only 3 months Post Op, its is too early to evaluate yourself. Most see final results by 6 months Post Op. It's best to consult with a Board Certified Plastic Surgeon to go over all your options. Best of luck!

Daniel Kaufman, MD, FACS · Answer

Thank you for your question. It is hard to tell based on the pictures alone, I would suggest a consultation with a board certified plastic surgeon. However, you should wait until the swelling has completely gone down to determine whether liposuction or a tummy tuck would get you the results you are looking for. I hope this helps!

Marcus Davis, MBBS, MRM, FRCSEd (Plast) · Answer

Dear Lynnia09,
Thank you for the pictures and questions.
Without seeing and examining you in person it is very hard to comment, but based purely on your pictures, you would get improvement from further liposuction, including for your back fat rolls. The risk is however that you are left with loose skin and this is the one thing that the Plastic surgeon cannot predict accurately - how much the loose skin will tighten. It may therefore mean a later abdominoplasty or at the same time, combined with the liposuction. Only an in-person evaluation will help answer this.
In any case, allow a good period of time between the surgery you had in September this year until your next surgery to allow all swelling to subside and scar tissue to soften.
I wish you luck,
Marcus

Darryl J. Blinski, MD · Answer

My guess is you need full TT with muscle plication + 1 liter additional back lipo. Appears as you have excess skin in lower abdomen? But the posed photos in this question show you in panties so very hard to see the skin fold excess. But in your earlier questions and photos you have a rather large amount of inferior lower abdominal excess skin. Best to leave these clinics and see private practice boarded Miai PSs.

Manuel Belen, MD - Account Suspended · Answer

Hello,Thank you for sharing the information, it is a pleasure for me to answer your question.Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. you have to wait for 6 months for another procedure. 
It is advisable to consult with a certified plastic surgeon, for a goodevaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help youMy best wishes for you...

Will more lipo help or do I need a tummy tuck?

Answers (10)

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