Vaser lipo and BBL without tummy tuck? (Photo)

Question

Do you think it's possible for lipo without tummy tuck? If not can tummy tuck wait? Does lipo work also right above vagina? I am hoping for Vaser lipo on full stomach, flanks, back, and arms. I also want BBL. I also want tummy tuck after if really needed. I have a pretty good shape I just need it enhanced with the getting rid of the rest of this weight I can't get off.

Jed H. Horowitz, MD, FACS · Answer

It is possible to get #vaser liposuction without tummy tuck (#abdominoplasty), but after the procedure expect some excess loose skin which may sag after a relatively large amount of fat was removed. If you want to do the tummy tuck later, it is recommended to wait at least 6 months for incisions and swelling to be fully healed. 
In addition to that, vaser liposuction can also be done with fat transfer procedure. Common uses are for breast augmentation and Brazilian buttock lift depending on the amount of fat harvested.Lastly for your
guidance, liposuction results are generally permanent. But if the patient
gains a large amount of weight in the future, the area of liposuction will also
gain fat but to a lesser degree. With massive weight gain, #rippling may occur. This is NOT a method
of weight loss and muscle toning, or an alternative to diet and exercise.
It does not affect one's metabolism. 
You should find a
board-certified plastic surgeon that has extensive experience with this
procedure. Best of luck!
#RealSelf100

Jason Emer, MD · Answer

If a tummy tuck and other body lifting procedures are needed, they can be performed at the same time as hi definition liposuction.You need weight loss first, then liposuction with tummy tuck. Liposuction alone will not help you get contour or shape. It is recommended to be at or near your ideal weight before getting a sculpting liposuction procedure. Liposuction is good for sculpting and defining and removing problem areas that cannot be removed with weight loss and diet / exercise alone. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition, if you're a candidate. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

George Solomon, MD · Answer

Yes you can have liposuction without tummy tuck, It all depends on your expectations.  If you are planning on having BBL then I would probably do the power assisted liposuction to improve fat survival

Mats Hagstrom, MD (license on probation) · Answer

You can definitely have liposuction of all the areas you described without an of Domino plasty.
It will dramatically and hands your figure especially in clothing.
It will leave you with skin laxity.
If you want tight skin you will definitely need an abdominoplasty.
From your pictures I think you do very well having full body aggressive liposuction of the areas you mentioned then followed with a full abdominal plasty later.
 You should wait a minimum of six months between the procedures.
If I having tight skin is not important the liposuction in it by itself if done well can give you a dramatic improvement in your body figure.
The area above the vagina is referred to as the Mons pubis.
that area can be treated successfully with liposuction.
Patient will have skill laxity of their lower abdomen often also have skin laxity of the Mons pubis.
The best way to differentiate if you're months pubis is mostly skin laxity or fat issue is to pull up on the skin of your lower abdomen.
If this creates a contour that is what you're looking for then you will need some type of skin resection.
It's possible to do a small lift of the Mons pubis similar to a mini abdominal plasty.
This is a very minor procedure in relationship to a full abdominal plasty.
An examination it could easily differentiate or determine what type of results you could get from liposuction alone.
VASER has many advantages for certain patients.
I have extensive experience using VASER, laser liposuction and power assisted liposuction.
VASER is particularly helpful when treating firm tissue like breast glandular tissue on men with gynecomastia.
It's also beneficial when performing a type of liposuction referred to as etching or high definition liposuction.
I don't believe you're a candidate for that type of procedure because of your skin laxity.
Etching or high definition liposuction is sometimes a good option particular for men with tight skin and excessive amounts of abdominal fat.
VASER has a higher complication rate in regards to the formation of seromas and skin damage.
It also requires substantially larger openings that can lead to visible scars long-term.
Based on your pictures my preference would most likely be power assisted liposuction with or without laser liposuction.
My practice is focused exclusively on body contouring using various forms of liposuction and fat transfer procedures.
These represent more than 95% of all the surgeries I do.
Modesto it's quite a drive from San Francisco but if you're willing to do the drive I'm happy to give you a free consultation.
I suggest you consult with at least 2 to 3 board-certified plastic surgeon's before moving forward with your procedure.
The strategy of having an abdominoplasty either together with liposuction or after will vary greatly among each plastic surgeons opinions.
There's no right or wrong way of approaching this.
A thorough consultation will discuss the advantages and disadvantage is of how to approach this.
Best of luck in your endeavors and achieving the body you want.
Best,
Mats Hagstrom M.D.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You will make a great candidate for a VASER, TT, and BBL. The TT is critical to remove the unwanted skin that is already starting to hang over.

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