Can lipo make the center line more deep/defined & will it damage my old muscle repair? (Photo)

Thanks for your question and the photo you provided. Many of your fears will be eased when you consult with a board certified plastic surgeon. A board certified plastic surgeon will understand the layers of skin, fat, and muscle as to not damage your muscle repair and allow for a smooth appearance. It is all about experience! Good luck!

Hello, liposuction is an ideal procedure for patients with localized fat as in your case, if it is done properly and also ultrasonic technologies are used to release fibrosis for you previous surgery should not hurt the repair of the abdominal muscles that you already have

Absolutely!!! This is why I almost always recommend having liposuction at the time of tummy tuck. What the liposuction does is help maintain feminin lines and definitions so that the results of the tummy tuck are less surgical in appearance and have more natural peaks and valleys. Doing liposuction will not damage the muscle repair that has already been done

Dear Canx5, Thank you for your question regarding whether lipo can make the centerline more deep/defined and will it damage my old muscle repair. Thank you for your pictures and your surgical history. The first question is "Was your muscle repair during your tummy tuck?" Your muscle probably was repaired during your prior tummy tuck. If so, the rectus abdominis muscle is imbricated or plicated from the sternum to the top of the pubic region. This disrupts the anatomy of the rectus abdominis muscles. The rectus abdominis muscles are flat parallel muscles, which connect the bottom of your sternum to your pubic bone. contraction of these muscles allows for movements like a sit-up. The rectus muscles are oriented flat on your abdomen. During a tummy tuck, the rectus muscles are repositioned approximately 90° to their original orientation. Therefore, it is very difficult, if not impossible, to develop a six-pack abdomen after the muscles have been repaired during a tummy tuck.
However, fortunately, there is another option to create six-pack abs after a tummy tuck. This is where abdominal etching comes into play. During VASER abdominal etching, an instrument is used called a VASER. The VASER helps to melt the fat and heat the skin around the abdomen so as to create a muscular abdomen. VASER ab etching yields exceedingly good results. If you wish, a center or vertical line can be created with the VASER. The central line of the abdomen is called the linea alba. The two parallel lines on the lateral border of the rectus are called the semi-lunaris lines. If you want the two lines around the lateral border of the rectus, this can be created with the VASER during ab etching. VASER abdominal etching will not damage your prior rectus muscle repair. If you wish, a single center line can be created for a certain "look". However, if you want the fully shredded, six-pack "look", consider sculpting the 3 verticals and 3 horizontal lines to create the athletic "look". If you do not have a six-pack and instead have a four-pack, a four-pack abdominal wall can be created with VASER liposuction. Since you had a prior tummy tuck, I doubt you will have loose skin. Loose skin after liposuction is more of a factor when you have too much skin before liposuction surgery. It appears that your abdomen is flat. Therefore, the VASER can be used on patients with a prior tummy tuck. The results can be exceptional. It will not damage your prior tummy, and you can have an extremely athletic abdomen. Good luck. I hope I’ve helped answer your question about whether lipo can be used to make a central line more deep and defined and whether it will damage your old muscle repair after your tummy tuck

Thank you for your question. Based on your description and picture, it seems that you might be an excellent candidate for Ab Silhouetch, high-definition liposuction. This procedure precisely sculpts areas to highlight underlying muscle definition.

1. Ab Silhouetch can indeed enhance the depth and definition of your center line. As for the possibility of damaging your old muscle repair, it's generally considered low if the procedure is performed by a highly experienced, board-certified plastic surgeon. Usually, only the fat layers are targeted, not the underlying muscle.

2. If performed correctly, your natural four-pack will show through more prominently. Regarding smoothness, the final result will depend on factors like the surgeon's skill, and post-operative care.

I recommend scheduling a consultation with a board-certified plastic surgeon who is experienced in high-definition liposuction and ab sculpting.

We address this situation all the time. In fact, Liposculpting of a previously tummy tucked area is typically even more satisfying than just Liposculpting without a history of tummy tuck. I wouldn’t be concerned about the underlying muscle repair. That is deep to the layers that are involved with the lipo.

I recommend seeing a board certified plastic surgeon. If you undergo further liposuction with specialized definition techniques, those lines can be made visible. Hope this helps.

Hi,Yes liposuction would be a great solution to get you more definition including the vertical line (which is what us surgeons call the linea alba). With tummy tucks, many surgeons perform limited liposuction is done to the front of the abdomen to ensure adequate blood supply and prevent wound healing issues. Now that you've had the skin reduced, liposuction can be a great option to reduce remaining fat and improve the overall definition. It should not damage the muscle repair. If you're looking for more definition, make sure you choose a surgeon that specializes in the procedure to ensure you get the most natural results possible. I love this procedure and think it can get fantastic results but can also end up with an odd and unnatural result in the wrong hands, so ensure you do your research!

Liposuction should be nice and smooth if well done. But just standard lipo alone will not enhance your 6-pack. Abdominal Etching will. And, creating the midline crease should have no affect on your prior muscle repair. Check out my pics.

Great questions. The short answer is YES! The best procedure after a traditional lipo procedure is abdominal etching via VASER assisted liposculpting of the abdomen and flanks with Renuvion J plasma vs BodyTite skin tightening. This will bring your underlying abdominal muscles to life and show case your inscriptions (four pack muscles) and your vertical lines (linea alba and semilunaris lines). This will NOT affect your muscle plication. In the right hands, it will NOT cause your skin to have a cobblestone appearance either. I caution you to seek an experienced provider that specializes in revision procedures. In my practice, nearly 60% of our cases is revision work from other surgeons. Best, Dr Satey, Beverly Hills, Ca.