TT After Vaser Lipo? (photo)

I have had 3 Vaser Lipo surgeries that did absolutely nothing for me. I look exactly the same as I did before the surgeries. I am 45, have four children and have had a hysterectomy. I am 5'8 140 and considering getting a full TT. I want the results to be permanent having not had a flat belly in 25 years. What are the possibilities of a perfectly contoured abdomen after a full TT surgery?

Doctor Answers 5

TT After Vaser Lipo

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It is certainly possible to undergo a #tummy tuck although you have already had #liposuction. Over the years, surgeons have improved procedures and found ways to eliminate the need for #drains commonly used in a #tummy #tuck or #abdominoplasty, and a variety of other operations. If you are deemed a candidate, you may also benefit from a #drainless tummy tuck. I have found that most of my patients do very well with the exception of those have large areas of liposuction or lipo-abdominoplasty. Any extra fluid may be reabsorbed back into the body without the use of drains.  I may use drains on a case by case basis for these patients. If you go to a plastic #surgeon who uses drains, or if your situation requires drains, they usually stay in 3-5 days but may be required to remain in longer. The use of tissue #glue is to adhere the abdominal #skin to the #muscle. It is a new option and alternative to sutures in a tummy tuck.

I suggest you begin by seeking a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery to consult with. 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. Seeking the right doctor and gathering all of this information will help you make a well-informed decision. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate. Your board-certified plastic surgeon will recommend the type best suited for you during a one-on-one in-person consultation. Also, another element to a satisfying result of your procedures are realistic #expectations.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Vaser and Tummy Tuck

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When considering abdominal contour surgery, assessment must be made regarding skin excess, soft tissue fullness (fatty tissue) and muscle separation (diastasis).  For Vaser to be effective, there must be limited diastasis, good skin quality with minimal excess, and enough fatty tissue that removal will make a significant differnence.  Very few women are candidates for lipo alone after 4 pregnancies.  Most have excessive skin and muscle separation. 
Additionally you likely have an abdominal incision already from your hysterectomy.  Healing of this scar is a reasonable barometer of how you might heal after a TT.  Post operatively in your photos, you have excess lower skin, irregular skin contour in the upper and lower abdomen, as well as an obvious diastasis.  All of these issues can be effectively corrected with a TT, a procdure you likely should have had in the first place.

Ronald A. Lohner, MD
Philadelphia Plastic Surgeon
4.7 out of 5 stars 21 reviews

Tummy tuck after liposuction

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It is certainly reasonable to have a tummy tuck after liposuction. The tummy tuck will take care of tightening the abdominal muscles and flattening the stomach region in patients with abdominal weakness.  Good luck with your selection of a surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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TT After Vaser Lipo?

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Unfortunately you are an example of choosing a technology, VASER, to "try" to correct excess abdominal skin. In fact you state you had "3" VASER invasions! Yes I believe a full TT with MR can help you obtain a better appearing abdominal wall. 

Tummy Tuck After Vaser Lipo

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Vaser is a very powerful tool in surgical body shaping.  However, it is not going to replace a need for tummy tuck in most patients.  With more advanced techniques of superficial vaser treatment we are able to better sculpt the skin and stimulate additional tightening.  However, I do not think that the degree of skin tightening is very reliable.

That is why I like to perform vaser lipo and tummy tuck at the same time.  Properly performed vaser liposelection can thin out the skin flap before tightening it with tummy tuck surgery.  Also, based on your abdominal shape, especially if you are not planning on having more children, you may consider muscle tightening (plication) as a part of your TT surgery.  And finally, I would suggest extending liposuction to flanks and back to further improve your shape and elongate the appearance of your waist.

The challenging part is what you call a perfectly contoured abdomen.  It is possible to tighten the muscles and improve definition of the underneath structures with Hi Def Lipo type procedures but I do not think that that type of aggressive procedures can be performed simultaneously. 

I think a formal TT with muscle tighening and a conservative muscle defining liposelection would be my choice.  I would not be comfortable doing more then that especially in view of 2 previous Vasers.

Boris Volshteyn, MD, MS
East Brunswick Plastic Surgeon

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.