Do I need a second round of Lipo? (Photo)

Question

I had a bbl with lipo 360 done Oct 2023. I am now almost 5 months post op and have noticed that the middle of my abdomen has not gone down. It feels like the fat there was not liposuctioned. Do I need a revision or a round 2 of liposuction there ? I am also thinking about possibly combining it with a mini tummy tuck. Any suggestions/recommendations are greatly appreciated !

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos you appear to be a good candidate for Tummy Tuck to tighten the muscles and correct this small sagging skin also, combine with belly, waist, flanks and back liposuction  to improve your body contour and get better curves, especially in your waist area, and adding the J-plasma to stimulate the skin retraction 
Kind regards, Dr. Emmanuel Mallol Cotes.-

Gerald Minniti, MD, FACS · Answer

Your photos are not clear, but it looks like you have skin laxity and excess at and above your umbilicus. A mini tummy tuck won't help. It also appears like you have muscle laxity. The combination points to prior pregnancies, and if I'm correct, I'm certain that only a full tuck will give you what you want.

Francisco Rodriguez Rosario, MD · Answer

La segunda liposucción, al igual que la primera, puede tener varios beneficios potenciales dependiendo de las necesidades y circunstancias individuales de cada paciente. Algunos de los beneficios que se pueden esperar incluyen:Mejora de contornos corporales: La liposucción puede eliminar depósitos persistentes de grasa que no responden al ejercicio o la dieta, lo que puede mejorar significativamente la forma y los contornos del cuerpo.
Resultados más definidos: Una segunda liposucción puede ayudar a refinar los resultados de una primera cirugía, permitiendo un mayor grado de precisión y perfeccionamiento en la definición de los contornos.
Corrección de asimetrías: Si quedaron asimetrías o irregularidades después de la primera liposucción, una segunda cirugía puede corregirlas para lograr una apariencia más equilibrada y armoniosa.

Camille Cash, MD · Answer

When deciding between liposuction or a tummy tuck you must consider the underlying issues.  If the abdominal contour is from subcutaneous fat but there is good skin elasticity then liposuction alone should give a nice result.  If the contour is from skin laxity, excess fat, and/or muscle separation then a tummy tuck is the right way to get the best results.  I've included a video that I hope you find helpful.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, I would recommend recommend a revision liposuction with J plasma therapy, possible mini tummy tuck. Best virtual consult with. Fee $10,000.

Mats Hagstrom, MD (license on probation) · Answer

This response is dictated so I apologize in advance for grammatical errors.
I’m also going to make an assumption that you have children or have had term pregnancies.
If I am wrong on that, then please forgive me and ignore anything written below regarding pregnancies.
To make a quality assessment regarding the outcome of a plastic surgery procedure, we need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the ones they took.
Without knowing what you look like before the procedure, we can’t really assess the improvement of your operation.
 Other variables that would be very important to know in order to make a Liposuction assessment is what your current weight is in comparison to your weight before the procedure.
The second most important variable for us to know when making an assessment is if you have a history of term pregnancies.
 There are four tissue variables that determine what the abdomen looks like.
These are 1) abdominal Saxity due to previous pregnancies or weight loss.
2) excess subcutaneous fat.
3) muscle separation from previous pregnancy.
4) excess visceral or intra-abdominal fat.
It looks to me like you have mild skin, laxity, thin layers of subcutaneous, fat, mild to moderate muscle, separation from previous pregnancies, and most likely a minimal excess visceral fat guided.
If Liposuction didn’t get you the results, you wanted the first time then the problem most likely isn’t subcutaneous fat.
If you’ve had children and I’m guessing that you have, the problem is skin, laxity and muscle separation. Those are two variables that are not treated by Liposuction.
 to treat muscle separation you need a full tummy tuck.
A mini tummy tuck will treat skin laxity of the lower abdomen only but will not address bulging abdominal wall due to muscle separation.
Were you happy with your abdominal contour pre-pregnancy? If so, issues are not related to fat distribution, but pregnancy related changes.
 Pregnancies do not change distribution.
What you need a seal ass assessment that helps differentiate each of the different tissue variables that determine what the abdomen looks like.
Any good plastic surgeon should be able to figure out what’s causing your abdomen to look the way it does and give you a solid treatment plan.
Any operation that doesn’t treat the primary problem isn’t going to give you a good outcome.
 Best,
Mats Hagstrom MD

Do I need a second round of Lipo? (Photo)

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