Do I need a tummy tuck or a liposuction? I'm also looking to do a liposuction on my flanks. (Photo)
Doctor Answers 32
Hard to Say Without an In-Person Examination
Liposuction alone should be adequate for you
Dr. Sheila Nazarian
@drsheilanazarian on Instagram
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Do I need a tummy tuck or a liposuction?
Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Beverly Hills, Ca
Do I need a tummy tuck or a liposuction? I'm also looking to do a liposuction on my flanks.
Tummy Tuck or Liposuction
Dr. Jaime Campos-Leon
Tummy tuck or Lipo?
Body Contouring: Information
Thank you for your story, questions and photos.
"Best" is difficult to determine and depends on a personal exam and discussion
of the benefits and the limitations of the particular technology.
Hopefully you will find the following information helpful.
For clarification body contouring can be divided into two major categories:
I. Non surgical fat reduction
There are various technologies that are non surgical and they include but are not limited to:
1) ultrasound (Ultrashape)
2) freezing (Coolsculpt)
3) Radio Frequency (RF)
Topical (Vellashape III, Thermi Smooth)
Injectable (Thermi Tight)
4) injectable (Kybella) at present for neck only
5) topical laser (Zerona)
I personally use Ultrashape , Vellashape III, Thermi, Kybella for those patients who after discussion would like a non surgical alternative. Depending on the anatomical area and
only after clear and realistic expectations will we proceed.
A) Liposuction is the "Gold Standard" for fat removal. There are various types, including but not limited to:
1)suction asst. Liposuction (SAL)
2) ultrasonic asst. liposuction (UAL)
3) power asst. liposuction (PAL)
4) laser asst. liposuction (LAL)
5) water asst. liposuction (WAL)
They are all effective and are secondary to the experience of the Plastic Surgeon with the particular liposuction technology.
In addition to liposculpting many of us have added non surgical methods "to shrink skin"
after liposculpture using Radio Frequency(RF)devices. Two such devices I personally
use are Vellashape III and Thermi Tight.
there are four types of abdominoplasties. A-C All have horizontal
incisions and D has a significant vertical compotent.
1) mini- muscle tightened below umbilicus to pubic bone
2) standard- muscle tightened from breast bone to pubic bone
3)extended as in standard but incision longer to excise excess skin/fat in outer thigh
4)fleur de lis- same as standard but in addtion excess skin/fat excised in a vertical
Each of the two categories (and the various sub groups) have their benefits and limitations and need a personal examination and discussion with a experienced
Plastic Surgeon who utilizes both categories and has the various technologies.
I recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
I wish you my best and success,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506