How Can a Physician Tell the Difference Between Fat and Loose Skin for a Tummy Tuck?
Doctor Answers 12
Physical Exam Is CRITICAL!
This assessment is accomplished almost entirely by physical examination.The amount of loose skin and excess fat can be determined easily by manual palpation of the abdomen.The presence of muscle weakened and a diastasis can be determined by flexing the abdominal muscles.Stretch marks are easily noted by inspection of the abdomen.
Based on the specific anatomic findings the treatment plan is modified appropriately.If you’re considering abdominoplasty surgery it’s appropriate to consult a board certified plastic surgeon with experience in this area.This surgeon should be able to formulate a treatment plan that addresses your anatomic factors and achieves your aesthetic goals.
Skin and fat
Body Contouring Evaluation
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Evaluation of the abdomen for body contouring
- Subcutaneous fat
- Anterior abdominal wall laxity
- Intra-abdominal fat or visceral fat
There's always a combination of fat and loose skin in any patient thinking about a tummy tuck. The better question is,"is my skin so loose enough that it needs to be tightened, or is it elastic enough to bounce back after liposuction alone?" An experienced plastic surgeon should be able to examine you and tell you which procedure would be best for you.
Extra skin or extra fat?
To determine if the patient has extra skin or extra fat is done by simply pinching loose skin. Skin itself is relatively thin (1-5mm) so anything over that is fat volume.
During a tummy tuck the skin and fat are removed together in the area between the belly button and the pubic area. If you have extra skin then you can grab it and pinch it with your hands. Only in very thin patient is this skin only, everybody else has excess fat as well
Skin v fat
It is not difficult to tell the difference between skin and fat. I think the more important point is that there is a layer of superficial fat which should not be removed with liposuction or you will develop contour abnormalities. On the other hand, the skin and this superficial layer of fat are removed together in a tummy tuck. Hope this helps.
It is not difficult to tell the difference between the two. Even a photo can distinguish between the two. Skin laxity is a good sign that a tummy tuck is necessary.
How to determine if a tummy tuck or liposuction is the appropriate choice to treat your abdomen
A well trained board certified plastic surgeon would examine you and then should easily be able to determine whether the issue regarding your abdomen is related to too much fat, lax and excess skin or a combination of both. Relevant recommendations can then be made. With excess fat alone (but not massive), liposuction could be considered whereas with solely excess loose skin a tummy tuck would be the appropriate choice.
Tummy tuck v. Liposuction
Many patients come to my office wondering if they have too much fat or too much skin and are often confused by which procedure is right for them. In general a quick examination is all it takes for an experirence PS to know if you have too much fat or skin or both. Take the time to sit down with a PS in your area and discuss your questions.