Saggy skin after Tickle Liposuction? (photos)

To get improvement you need liposuction and skin removal.  You have too much loose skin to get good improvement with liposuction alone.  Please see an expert.  Best, Dr. Emer.

Hi Pauli3,Thank you for your question and photos. I do agree with the comments below in that choosing an experienced and highly trained surgeon is more important than the latest type of liposuction. Have a checklist for your surgeon's training, qualifications, and the experiences of previous patients.You want to know if the surgeon has had previous problems.You would be a good candidate for tumescent liposuction using local anesthesia for the upper/lower abdomen and hips. With tumescent liposuction small incisions are made (1.5 mm) as access sites for the microcannula versus larger incisions in traditional liposuction. These tiny incisions disappear without scars after tumescent liposuction. Once the fat is removed the skin will retract nicely with tumescent liposuction. Best of luck with your search and procedure!

Hello,You probably don't form keloid scars and you don't know how an incision from a tummy tuck or any other surgery will look based on a scar somewhere else on your body.More important then the machine (Tickle Lipo) is the man (surgeon); don't get confused by hype. You need to look for a highly experienced surgeon that has been doing a lot of liposuction for a long time.A properly placed abdominoplasty scar will be virtually inconspicuous with time, but the result will be far superior to liposuction alone and last a lifetime.Please visit ABPS certified/ASAPS member surgeons that specialize in body contouring. Best of luck!

Thank you for your question. I agree with several of the other surgeons; the "Tickle Lipo" or any other marketing term is not substantially different from other forms of liposuction. Liposuction removes fat; it does not tighten skin. You can expect to see some improvement on your flanks and you can have some subcutaneous fat removed from your abdomen, but based on the images you sent, you have loose skin on your abdomen that will only be further exaggerated after subcutaneous fat is removed. If you know this ahead of time and still do not want to go forward with an abdominoplasty, you might be satisfied with liposuction. I just always stress the importance of realistic expectations to patients ahead of time so patient satisfaction after surgery is high. You are a great candidate for a tummy tuck, and even if you experience keloids, there are treatments (laser, steroid injections, silicone sheeting, to name a few) that I've seen help tremendously with keloid scars. Best of luck.

You appear to be a good candidate for tumescent liposuction of the abdomen, waist and hips. The 'tickle' descriptor is a marketing term and has zero impact on the type of cosmetic result you can expect. Seek out a board certified plastic surgeon with hundreds of liposuction cases for the best possible cosmetic result.

From your pictures alone it is difficult to assess the degree of skin laxity you have at this time. A pinch test to assess laxity would be helpful. This could be an added picture of just pinching your lower belly to see how close the pinching fingers get before there is fat resistance. Also a picture of you leaning forward would add to that assessment. Lastly, I don't see any draping of the skin which speak against significant skin laxity.
Assessing the skin laxity will help determine whether lipo alone or lipo + tummy tuck would be your best bet. An intermediate solution would be Tickle lipo along with a minimally invasive skin tightening procedure, such as JPlasma, aka JPlasty ( my first choice) or BodyTite.
The advantage of Tickle lipo is that it causes less damage to the surround skin support structures. Therefore, with healing those intact support structures can better retract the skin and minimize saggy skin post lipo. Other forms of liposuction significantly damage those support structures and can add to problematic skin laxity post-procedure. 
Hopes this helps,
Dr. Z

And abdominal plasty treats loose skin, muscle separation from previous pregnancies and subcutaneous fat to some degree.Liposuction on the other hand will only remove subcutaneous fat.This means that in your case you will have a partial improvement.It will help your abdominal condor to some degree.I don't think your skin will sag after but it was certainly not look better than it does now.If the liposuction is done aggressively and correctly you should have a very nice improvement.aggressive liposuction is appropriate in many situations but it needs to be done in a very even fashion to not lead to contour irregularities.My practice is exclusively devoted to body contouring using liposuction if I transferred.I us tickle liposuction on a regular basis and like the equipment.I find tickle liposuction to be especially useful when liposuction needs to be done in a more aggressive fashion.In the end the equipment makes much less difference then who is doing the procedure.I meet many women or maybe better candidates for an abdominoplasty but simply don't want to go through that procedure.Before I began sub specializing exclusively in liposuction are used to try to steer most patients like yourself to having an abdominoplasty.With experience of simply doing one procedure for the last five years I have come to be more impressed of what the results but can be obtained fro liposuction alone.I have also become more sensitive to understanding that many women do not want the procedure that will give the best result but simply want some improvement.When interviewing plastic surgeons look for before and after pictures of patients who have similar skin and body shapes like your own.Best,Mats Hagstrom M.D.

I have seen patients who have had "tickle" liposuction in my area, and then come to see me.  My impression is that this tends to be limited in what it can accomplish.  It tends to be done by non plastic surgeons under local anesthesia. I agree with Dr. DeMars that this can be a marketing ploy as much as anything.  The machine does not matter as much as the person doing the operation.  I would ask the person doing this if they have privileges in any of your local hospitals to do this surgery.  If not, I would seek another opinion.

The type of machine used for the liposuction is of no consequence, it is still liposuction and when you take supporting fat out from under damaged skin, the chance is high the skin will look more saggy. It takes an exam to know if your skin has a chance of that or if there is enough elasticity that liposuction is a reasonable choice.