Can a patient safely get lipo if they have an ovarian cyst? (Photo)

Question

Hi, I had lipo, tt, and bl approximately 10 months ago. Unfortunately I developed a seroma and a hematoma. I had them both drained in august 2014. However, I still presented with the bloating, uncomfortable full feeling and thought it had come back. However, I have recently found out that the seroma/hematoma is resolved, but still have severe disfigured abdomen and also was told I have a 6cm ovarian cyst. would the cyst cause the disfigured look and can i still proceed with the lipo...safely?

Vincent N. Zubowicz, MD · Answer

After treatment for the ovarian cyst is been established, there should be no problems liposuction. I'm guessing the cyst would be removed laparoscopically which should be done before liposuction in my opinion.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and posting appropriate pictures. I am sorry that you're not happy with your previous results. There seems to be room for improvement using liposuction. Your ovarian cyst would not likely effect the shape of your abdomen. You should have a consultation with your gynecologist prior to liposuction.

Kenneth R. Francis, MD, FACS · Answer

Dear Brown Sugar,We would have to see your preoperative photos to adequately comment on your result.  It is highly unlikely that your 6cm ovarian cyst is causing any visible bulging on your abdomen.  It appears that you still have a fairly large amount of excess skin, which would make liposuction risky in terms of skin tightening.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for options.  Good luck!

Steven Wallach, MD · Answer

It is unlikely that an ovarian cyst would be a problem for liposuction, but it is best to ask your gynecologist about the ovarian cyst.

Mats Hagstrom, MD (license on probation) · Answer

A few things come to mind:First of all, it's important that you know for certain that you do not have a persistent seroma.Often, a good examination should be able to determine this. However, an ultrasound would give a definitive answer.If you have medical insurance, they would most likely pay for an ultrasound examination. They will also most likely have some type of radiology study to detect your ovarian cyst, such as a CAT scan or perhaps a previous ultrasound. That study may have been able to show that there is no seroma.I see no reason you could not have liposuction because of an ovarian cyst.A 6 cm ovarian cyst should not lead to any external disfigurement.From what I see, your tummy tuck incision was placed very low. The thickness of body fat changes from the groin to the mid-abdomen. If the incision is placed where the body fat layer is very thin on the very lower abdomen or in the groin area, there will be a mismatch after the segment of skin has been removed during a tummy tuck.Most patients want their scars low.This may not be a good idea for patients with thicker body fat layers.I find the design of a tummy tuck needs to be altered based on each patient's shape.Based on what I see, liposuction may be able to resolve some of the unnatural look of your lower abdomen.Best of luck,Mats Hagstrom, M.D.

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