Will lower abdomen pooch retract after lipo 360 BBL? (photo)

Question

Lost 50 lbs 3 times and never had loose skin. I’m 47 on the heavier side (BMI 28) and wondering if that stubborn lower baby pooch will retract after Lipo 360/BBL? I included older pics of when I lost the weight myself w/ diet and exercise. Am I crazy for doing this procedure? Does my figure look as though I can tone it up on my own and not risk the potential of looking worse after surgery? I’m a flight attendant, will I be able to go back to flying 5th week post op?

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation an experienced board certified plastic surgeon could give you more precise answer. Liposuction 360/BBL possibly mini TT, would be my suggestion based on these photos. Good luck.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!I will base my answer on the limited information and pictures provided , for a more detailed and personalized plan please consult with your plastic surgeon in person.Unfortunately there is no sure way of knowing how your skin will act after liposuction , but given your age and the likely amount of liposuction that will happen and the way your skin looks right now I would think you will likely end up with loose skin and will likely require a tummy tuck/ abdominoplasty potentially even an extended one.
If everything goes as planned and If your work involves heavy lifting or over reaching for things then I would usually recommend that you hold off for that for a round 6 weeks , but each surgeon has their own criteria for when you should go back to work and this might be different if you end up going for liposuction alone.I hope this helps, best of luck !

Mats Hagstrom, MD (license on probation) · Answer

Your question is quite complex, even though you’re only asking a simple question.
To start with I suggest you go back to your weight loss and exercise routine to see what you can get from that.
The results from the BBL procedure is based on two variables.
The first is your candidacy for the procedure and the second is provider selection.
 Delivering consistent quality, liposuction, and fat transfer results is more difficult than most people realize.
Regarding candidacy BBL this needs to be broken down into each component.
A BBL is in reality to procedures done in conjunction.
One is liposuction and the other is fat transfer.
The patient needs to be assessed for both liposuction and fat transfer.
 in regards to just the front of the Abdomen there are four tissue variables that determine what someone’s abdomen looks like.
These are abdominal skin laxity typically due to previous pregnancies and weight loss.
Based on your pictures, it does look like you have significant abdominal skin laxity.
 The Second variable is excess subcutaneous fat.
The third variable is muscle separation from previous pregnancies.
The fourth variable is excess visceral or intra-abdominal fat.
Based on your picture, it appears that you may have all four of these. 
Abdominal skin laxity can only be properly treated with a full tummy tuck.
Excess subcutaneous fat can be reduced with liposuction or weight loss.
Separation a.k.a. diastasis rectii is best treated with a full tummy tuck.
Excess visceral or intra-abdominal fat can only be reduced with weight loss.
Based on your current situation, I don’t think Liposuction alone is going to get you the results you’re hoping for.
Best,
Mats Hagstrom MD

Will lower abdomen pooch retract after lipo 360 BBL? (photo)

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Will lower abdomen pooch retract after lipo 360 BBL? (photo)

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