Getting TT, BL and implant replacement and want to skip Lipo. Is this a normal request? (Photo)

Question

I'm having a tummy tuck, lift and breast implant replacement in 3 weeks. I'm really worried about the recovery. I'm a mother of 4 and own a business, so speedy is a must. That aside, I want a great natural look. I'm noticing women who have lipo, in addition to what I'm getting done, have harder/longer down time. I really want to omit the liposuction. I just don't want the extra trauma or pain. What do you think in my case? I have a small flank patch but think I can work out to get rid of it.

Brian K. Reedy, MD · Answer

In my opinion, the liposuction isn't the limiting factor determining when you get back to work.  It's actually the tummy tuck.  When your surgeon does your tummy tuck, he will be putting the muscle wall back together to where it was before babies.  The liposuction will simply give you more of a waist.  Since you will be wearing the same compression garment and it won't change your recovery time, I would recommend keeping it as part of your surgical plan.  You will be glad you did once you see your new shape.  Good luck!

Jed H. Horowitz, MD, FACS · Answer

The best method and #technique for your #procedures will be discussed in greater length during your one-on-one consultation with a board-certified plastic surgeon. The Mommy Makeover is a combination of procedures to restore a woman’s body to look as is it did prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.

Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Naveen Setty, MD · Answer

Thanks for your question and pictures.  For the group of procedures you are having done, the tummy tuck will determine the length of recovery and will lead to the majority of the down time.  Liposuction is often combined to help contour the entire waist/trunk.  Speak with your surgeon about your concerns.

Amy Simon, MD, FACS · Answer

Thank you for your question regarding
combination procedures during a Mommy Makeover such as tummy tuck, breast lift,
and liposuction.  Generally speaking, liposuction is often combined with a
tummy tuck for the best possible cosmetic result regarding the overall
appearance of the midsection from a 360 degree view-- that being the front, sides, and back.  Whether or not you decide to include the liposuction
would depend on your priorities for the appearance and ultimate result in that
area.  Discuss with your board certified plastic surgeon in detail.  I hope this is helpful. 
Best of luck!

Lavinia K. Chong, MD · Answer

Thanks for question and pics.  TT & Implant exchange-lift should not delay your recovery, excessively, assuming that the procedures are mostly skin resection (you don't have any capsular contracture and the abdominal muscles are minimally splayed).  Most PS will suction the hip rolls, but you appear to have minimal adiposity and thus appear to be a terrific candidate.  Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question.

Generally speaking, liposuction is a tool that is often used during the time of tummy tuck surgery. Different plastic surgeons utilize this tool differently; some are more “aggressive” than others. In my practice, I frequently utilize this tool to treat adipose tissue of the flanks and pubic areas during the tummy tuck procedures.

In your case specifically, whether or not you should undergo liposuction surgery will depend mainly on your goals;  if you are concerned about adipose tissue of the flank or back areas, best to have the liposuctioning performed.

I would suggest you spend additional time discussing your goals, plans, and expectations directly with your plastic surgeon, in front of a full length mirror.  Working together you will come up with the best plan to achieve the desired outcome.

Best wishes.

John P. Di Saia, MD · Answer

You might want to talk with your surgeon about this before your surgery. A "speedy recovery" after a Tummy Tuck is probably unlikely... at least not without putting your result in jeopardy. Best Regards,John Di Saia  MD

Camille Cash, MD · Answer

The tummy tuck is the portion of the procedures that has the longest recovery.  Liposuction is not necessary, but may help compliment the other procedures.  It should not lengthen your recovery.  I suggest speaking with your surgeon about your concerns.

Derby Sang Caputo, MD · Answer

The procedure that mostly determines your down time is the TT and not the lipo. The lipo complements and improves your final results and i would not leave it out. Talk it over with your doctor .Best of luck

Zachary Farris, MD, FACS · Answer

Thank you for your question.  The tummy tuck in your combination of procedures will dictate your recovery time;  in this case, give yourself at least 2 weeks for recovery.  Liposuction is not always required and would be done if contouring of your hips/flanks is advised.  Probably not needed in your case.  Good luck.

Getting TT, BL and implant replacement and want to skip Lipo. Is this a normal request? (Photo)

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