Do I need a Tummy tuck or Lipo? (photos)
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Doctor Answers 14
Do I need a Tummy tuck or Lipo?
Sure...The more fat we can harvest, the larger the end result. But I believe this should not be at the expanse of abdominal liposuction that will leave you with excess, flabby skin and will not address your abdominal wall muscle separation. This means you would get larger results, but you might end up with a flaccid tummy rather then a flat tummy.
Total muscle repair si best addressed with a Traditional TT. In my opinion a well done total muscle repair is actually the most important step in achieving a flat tummy, and this also helps taper your waist as well.
The different types of procedures that claim to tighten skin, be them surgical (like smartlipo or later lipo etc.), or non-surgical (like Thermi Tight or Vellashape), will never substitute the TT when a TT is actually needed.
I believe you are a perfect candidate for a TT with Lipo of flanks, full back and BBL. This will definitely give you the results you are looking for.
Best of luck on your decision!
Dr. Miguel Mota
Do I need a Tummy tuck or Lipo?
Thank you for your question. Loss of skin elasticity and skin sagging occurs due to effects of gravity over time. These problems can be seen in any part of body but especially in abdominal area. Tummy tuck (abdominoplasty) is a surgical procedure to make the abdomen thinner and more firm. It consists of removing excess skin and fat tissue and muscle repairing if required. In some patients it can be combined with liposuction. There are several variations of tummy tuck surgery like regular tummy tuck, mini tummy tuck, extended tummy tuck each designed to target certain areas of the abdomen. During the procedure the incision will be made low at about the same level as your pubic hair for the scar to be hidden under bikini level. For improved tightening of the upper abdomen a small incision around belly button might be necessary. Placement of the belly button is very important for a beautiful belly. Tummy tuck operation is also a surgical choice for patients whom want to get rid of love handles. Our experienced plastic surgeons will explain these options and help you find out best treatment plan to reach satisfactory results.
Do I need a Tummy tuck or Lipo?
If you are done with childbearing, a full tummy tuck would give you the best result. I think you would be very disappointed with the result of a mini tummy tuck. Very few patients are good candidates for a mini and you are not one of them. Lipo to your flanks and some fat transfer to your toosh would be the icing on the cake.
It is important that you are at a stable and sustainable weight when you have any body contouring done.
Make sure you see someone who is certified by the American Board of Plastic Surgery. You are lucky to live in Spokane (my home town). There are many really excellent plastic surgeons there!
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Thank you for your story, questions and posted photos. Unfortunately without examining you I can only provide general information based on the information you provided which I hope you will find helpful:
1)we all have both internal fat (located n your internal organs and pushing your belly outward) and external fat (on top of your muscles). Internal fat can not be treated by either liposuction or tummy tuck...only weight loss.
2)You did not mention your current height or weight. We often calculate body mass index (BMI) that helps us give you better advice. I recommend that you attain you goal weight prior to surgery.
3)You appear to have a bulge above the pubic area: this may represent some seperation of your rectus muscles that will only be corrected by abdominoplasty
4)their are three types tummy tucks:
a) traditional (muscle repaired from breast bone to pubic bone)
b) mini (muscle repaired from umbilicus (tummy button) to pubic bone)
c) extended (like traditional tummy tuck but extends around at to hip area
all will remove excess fat and skin of the lower abdomen. The remaining skin is stretched tight resulting in smooth abdominal appearance.
5liposuction will remove only external fat but may leave your skin loose and hanging.
liposuction will not repair separated muscles
6)both liposuction and tummy tuck are often done together, except in the upper abdomen (May reduce blood flow and cause healing/flap problems at the tummy tuck incision.
7)the types of liposuction are:
a)traditional suction asst. Liposuction (SAL)
b) ultrasonic asst. liposuction (UAL)
c) power asst. liposuction (PAL)
d) laser asst. liposuction (LAL)
e) water asst liposuction (WAL)
are all effective and are secondary to the experience of the Plastic Surgeon
8)non surgical methods to help "shrink skin" after liposuction use RF:
a) Vellashape III
b) Thermi tight
a) depending on how large you want your buttock you appear to have enough donor areas.
b) yes both procedures can be done together.
1) based on limited information and not being able to evaluate you in person I would recommend you reach your goal weight and then have a traditional tummy tuck and liposuction to contour the flank areas and back
2) I suggest you make several appointments with different Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
Tummy tuck or liposuction
Peter Fisher M.D
TT vs Lipo
A Tummy Tuck involves removing redundant skin and tightening the underlying muscles. Sometimes liposuction is combined as needed with a Tummy Tuck for the best possible result. The question is whether the shape of your abdomen is affected by an excess of fat, skin, muscle separation or laxity, or some combination thereof. This can only be determined by examination, so go ahead and consult with a board certified plastic surgeon. Some of my patients elect to have liposuction first, and then opt for a Tummy Tuck if the results are not satisfying
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.