Will laser liposuction be enough to address my stomach area and pubic fat pad? (photo)

Question

I am a 26-year-old male. My issue is the stomach area and my pubic fat pad Will laser liposuction be enough to address the issue I wouldn’t mind having a pubic lift just trying to avoid a full tummy tuck

Thomas Wright, MD · Answer

Gentle, Thank you for your question and sharing your photos. It is a great question that comes up almost daily. From your photos, I can see a roll at the bottom of your abdomen. You can get a good to excellent result with liposuction on your abdomen.  However, there is a chance you will still have a small roll of skin after the recovery from the surgery.  Adding a skin tightening technology like Renuvion can further lessen the chance that you will have a small roll. Tummy Tuck or Abdominoplasty surgery will likely completely remove the roll, however, it will require a large surgical incision that will leave a scar in the same area. A significant drawback of the Tummy Tuck is that is will not address the pubic fat pad. Liposuction can address and correct the pubic fat pad. In summary, Liposuction is probably your best option. Wishing you the best of health, Dr Wright

Ayham Al-Ayoubi, MD, MS, DLO RCS · Answer

Thank you for the question and attached photo. The bulging stomach and fat in the pubic area that has bothered you for years can be reduced using Samrtlipo Triplex without the need for a tummy tuck, nevertheless, you might need to have the Samrtlipo at two stages with 4-6 months cap between the Smartlipo surgery. Also, having a course of RF treatment such as Velashape 4-6 weeks after the Samtlipo will give further skin tightening without the need for Tummy tuck.

Jason Emer, MD · Answer

you will need a tummy tuck, liposuction plus internal heating will not be enough.

Laser liposuction is good for problem areas of fat, but lacks body shaping. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear Gentle396889,
it is hard to tell for sure without an examination. You might benefit from liposuction but there might be some loose skin. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Barry Ginsburg, MD · Answer

you  should see considerable improvement from liposuction surgery. The results wont be as tight as a pubic lyft but they should be sufficient to make you happy

Pranav Shukla, MD · Answer

I perform laser liposuction on a very regular basis. Therefore, I have seen lots of patients facing similar issues to you. Although I can not accurately assess or give an opinion without physically examining you, based on my experience, you can get rid of belly pouch, and pubic fat with laser liposuction, also called smartlipo. 
The skin itself is an elastic organ, so it usually shrinks well after the liposuction, but it adds more benefits when you add laser energy alongside liposuction. Laser energy will stimulate collagen production and increase the skin's elasticity. 
You can never guarantee how everyone's skin will shrink and can be fixed later on with skin correction. In my clinical experience, 70% of the patients who have poor skin elasticity do not go for skin correction because they are pleased with the results. You should try laser liposuction first, which is way less invasive with less downtime. Good luck.

Leonard Grossman, MD · Answer

Liposuction will most definitely help you without any need for a tummy tuck. Make sure you go for your procedure to a plastic surgeon. I hope this helps and good luck from New York City Plastic Surgery.

Mats Hagstrom, MD (license on probation) · Answer

I’m guessing you’ve had some weight loss in the past?

Men typically do not have much subcutaneous fat in the pubic region.

If these are the only areas that bother you and they most likely represent skin laxity not subcutaneous fat.

The easiest way to differentiate is to pull up on the skin to make it tight.

With your skin tight does the area bulge?

If not then you have a skin problem.

I suggest getting a few in person consultations to get a good assessment of what the primary underlying problem is.

Simply based on what you describe I think you have skin laxity most likely from weight fluctuations in the past.

It’s possible you have enough fat for Liposuction to make a difference.  It’s important to differentiate between skin laxity and liposuction.

Treating the primary problem tends to give the best results.

Best,

Mats Hagstrom MD

Kristine Brecht, MD (license suspended) · Answer

Dear NY,
Liposuction with either laser or ultrasound will give some skin tightening. Loose Pubic skin can be pretty heavy, and usually additional skin tightening needs to be done at the same time. Renuvion with Vaser is the best if you don’t want a tummy tuck, 2 day down time. Pubic lift with be like a mini tummy tuck, and the incision would need 6 wks of healing, not lifting more than 5 lbs, but able to resume work in a week. 
Best. DrBrecht 
Seattle, Wa

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photo, I note infraumbilical, flank, and pubic fullness. 
These entities should respond favorably to laser liposuction. 
In general, the experience of the surgeon is more important than the type of instrument utilized.
I recommend you visit a plastic surgeon with considerable liposuction experience and allow him / her to use the instrument with which he / she feels most comfortable.
Best wishes...

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