Is Skin Glue More Effective Them Stitches for a Full TT with Lipo?

There are many sutures under the skin holding the wound together, and the final closure layer is often either glue or a line of sutures under the skin.  I've used both and believe that they are similar as long as the deep strong stitches are placed correctly.  Glue has little inherent strength and should not be used to hold a surgical wound together by itself.

No I do not think that glue  is “more effective” than sutures used for tummy tuck surgery. There are however many factors contribute to the final appearance of a scar after tummy tuck. For  example,  some patients are prone to develop keloid or hypertrophic scars despite the surgeon's  best efforts.  Some patients will develop superficial separations of the incision line, depending on the quality of the skin present (for example, stretched marked skin may not “hold” sutures as well as skin with normal thickness dermis).

On  the other hand, the surgeon may be able to control  the quality of the scar  with attention to certain  technical details. For example,  it is important to take as much tension off the final layer of closure as possible-  if tension is taken off the superficial layer (by using deep sutures)  the incision may heal with a finer line scar. Avoiding excessive excision of skin may also help avoid tension upon closure of the suture line.

The use of silicone-based products (creams or  sheeting)  may also be helpful in achieving the best scars  possible.

I hope this helps.

The only role for skin glue  is to seal the final incision, not to close the incision. The strength of the wound and scar will come from the sutures (stitches), not the glue. Consult with a board certified plastic surgeon for more detailed information on this particular issue.