Does lipo permanently reduce blood supply to the abdomen?

Question

Hi, I am 29, with BMI of 27 and a waist of 34 inches. and looking to get liposuction. We are looking to get pregnant in 4 years or so. I am really unhappy with the shape of my stomach. If I get large area lipo on my stomach, and then have a C-section with more lipo or a tummy tuck down the road, is this safe? Thanks in advance. Does every surgery reduce blood supply to the area, thus increasing necrosis risk? Thanks!

Jason Emer, MD · Answer

the answer is no. if you want better blood supply though  you will need to do RF treatments and trusculpt flex regularly. you can get liposuction and then do other surgeries later.  Best, Dr. Emer.

Thomas Hagopian, MD · Answer

Lipo does disrupt the blood supply to the abdomen temporarily but the body grows new blood supply over time. So technically yes operated abdomens are at a slightly higher risk but we do tummy tucks all the time on people who’ve had lipo and C sections and it’s fine most of the time. I wouldn’t worry about it.

Daniel Barrett, MD · Answer

Dear Considerate348881,
previous liposuction should have no negative effect on possible c section. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Garrett Jones, DO · Answer

Liposuction, when performed by a skilled and experienced plastic surgeon, is generally considered a safe and effective cosmetic procedure. While liposuction removes excess fat cells from specific areas of the body, it is not intended to permanently reduce blood supply to those areas. The impact on blood supply is typically temporary and localized to the immediate postoperative period.Here are some considerations regarding blood supply and liposuction:1. Temporary Changes: Liposuction can cause temporary changes in blood supply to the treated area due to the disruption of blood vessels during the procedure. However, blood circulation usually returns to normal as the healing process progresses.2. Vascular Trauma: Liposuction is a surgical procedure, and like any surgery, it involves some degree of trauma to the tissues. Surgeons take precautions to minimize vascular trauma, but there may be some impact on blood vessels in the treated area.3. Recovery Period: The body's natural healing mechanisms work to restore blood supply and promote tissue recovery after liposuction. Patients are typically advised to follow postoperative instructions carefully, which may include wearing compression garments to support the healing process.4. Individual Variation: Individual responses to liposuction can vary, and factors such as overall health, the extent of the procedure, and the specific techniques used by the surgeon can influence the outcome.It's essential to choose a skilled and board-certified plastic surgeon who has experience in performing liposuction procedures. During the consultation, your plastic surgeon should thoroughly discuss the potential risks, benefits, and expected outcomes of the procedure. They will also evaluate your individual health status and provide recommendations based on your unique circumstances.If you have concerns about blood supply or any potential side effects of liposuction, it's crucial to discuss them with your surgeon before undergoing the procedure. Open communication with your healthcare provider is key to ensuring a safe and satisfactory outcome from any cosmetic surgery.

Johnson C. Lee, MD · Answer

Liposuction is normally done with blunt-tipped cannulas. These cannulas are quite safe and cause minimal trauma to the blood supply to the skin of your abdomen as they push aside the blood vessels as they travel through the fat. Any injured small vessels will regenerate as you heal. Once you heal from your liposuction surgery (3-6 months) the blood supply to your abdomen will not be negatively or permanently affected and you can still have further liposuction or tummy tuck safely in the future. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Mats Hagstrom, MD (license on probation) · Answer

I have no idea how you came up with that concern or were you may have possibly heard about it.

The simple answer to your question is no.

Liposuction is not going to change your blood supply.

Sometimes blood supply is changed when we surgically cut blood vessels, create very large thick deep scars to penetrate the path of blood vessels remove tissue around the body through complex reconstructive procedures.

Still, even changed blood supply through a procedure like a tummy tuck would have no impact on having a C-section since that procedure is not dependent on a local blood supply as being an important factor.

If these to work issues patients should be concerned about the plastic surgeons would be discussing them during in person consultations.

Probably a third of women getting Liposuction will have a future pregnancy considering the liposuction is the most commonly performed cosmetic procedure I can comfortably tell you that this is a non-issue.

There are however if you issues patients should be keenly aware of before considering this procedure.

They are first and foremost their own candidacy for the procedure and secondly the choice of providers.

Do not take it upon yourself to determine if you’re a candidate for liposuction or not.  having done over 7000 liposuction procedures in my life I can tell you that most patients cannot differentiate between who is a good candidate for liposuction and who is not. variables like skin laxity, muscle separation from previous pregnancies, exes visceral fat are the most common variables that make people lesser candidates for this procedure.

To find out your degree of candidacy for the procedure in other words how much improvement is possible for you to have with Liposuction please relay on multiple opinions through in person consultations.

The second variable is choosing the most experienced and talented board-certified plastic surgeon in your community.

Liposuction is perhaps the simplest and most basic of all cosmetic surgical procedures but that said it is the one that lives more disfigurement than any other cosmetic surgical procedure even when done by board-certified plastic surgeons.

To find the most talented and experienced board-certified plastic surgeons I suggest having multiple in person consultations starting with at least five.  during the in person consultation ask each provider to show all of their before and after pictures of abdominal Liposuction results. Ask the provider to show results of outcomes that were less than ideal or results that they were not happy with. An experienced and talented board-certified plastic surgeon should be comfortable doing this.  They should also be comfortable displaying and briefly showing their entire collection of results which for someone who has experience should be hundreds of before and after pictures for this procedure.
There’s no point of seeing three or four examples representing the best results of their career especially if those patients had a different candidacy then you did before the procedure.

Liposuction can leave people permanently and irreversibly disfigured.

This is what should be you’re number one concern not complications from pregnancies in the future.

Learn about yourself, the procedure and the potential surgeon who is going to do the procedure by meeting them in person and spending a thorough amount of time during an in person consultation.

To have a sense of reference I suggest having as many consultations as possible.

Lastly the one single variable I have found the differentiates the plastic surgeons I respect the most from those I don’t is the absence or presence of a significant number of justified negative reviews on all the various physician review websites.

A high number of positive reviews typically indicates strong marketing campaigns. It’s the absence of justified negative reviews from the ability to manage patients who were not happy with the procedure or have complications to the point of leaving people feeling hole and restored at the end of the day that separates the truly great from the rest of us.

I believe if patients were to follow my advice of having lots of consultations, insist on seeing as many before and after pictures during the consultation as the provider will allow and avoiding providers with any significant numberOf negative reviews the chance of having A poor outcome is very small.

Results for this procedure very immensely from grotesque disfigurement leaving people with PTSD to beautiful body transformations.

Best,

Mats Hagstrom MD

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