Would abdominoplasty or abdominal liposuction? A plastic surgeon said Lipo is a waste of my money. No elasticity? (Photo)

Which procedure would offer me the most benefits? How long would each procedure be? Would I be wasting my money as a plastic surgeon suggested, by opting the liposuction? Would I have a layer of flab like he said? Could the hypertrophic scar be addressed at the same time? I have had several surgeries over a period of 42 years. What effect would the spinal decompression at L5/S1, the Colectomy, the Caesarean delivery, and hysterectomy surgery with no complications, affect the outcome? The risks?

Doctor Answers 4

Would abdominoplasty or abdominal liposuction? A plastic surgeon said Lipo is a waste of my money.

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Thank you for your inquiry and the photographs. After viewing your photographs, I totally concur with your plastic surgeon. A liposuction would be a waste of your money, and you would be very unhappy with the results. You need a full tummy tuck with a rectus muscle repair, which would create an internal corset. Anything less than that would be inadequate.

I highly recommend the no drain tummy tuck because of its shorter recovery time, less pain and discomfort, and lower risk of a seroma, which is a collection of fluid.

The scars on your abdomen cannot be repaired at the same time. They would compromise your tummy tuck.

Tummy tuck patients are uniformly elated with the results. Go ahead and have the right procedure done, and best of luck to you.

Tummy tuck

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Hello and thank you for your question. Based on your photograph, you are a better candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 173 reviews

Would abdominoplasty or abdominal liposuction? A plastic surgeon said Lipo is a waste of my money. No elasticity?

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If you are medically fit for surgery and at a safe weight, I think that a tummy tuck would be a more suitable operation based upon the pictures presented.

Kenneth Hughes, MD

Los Angeles, CA

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Lateral Tension Abdominoplasty Tummy Tuck with Liposuction

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Thank you for your question and for posting pictures. You seem to be a good candidate for a combination procedure of tummy tuck and liposuction. This combo will help give you a flat tummy, address your scar, remove loose skin and contour your waistline. You need to have a consultation with a board certified plastic surgeon for precise recommendations. 

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 112 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.