I had a LBL/360 lipo with a bbl done September of 2021. From day one I’ve had excess skin and have had a bulge in my lower abdomen. I’m 43 yrs old 5’8 day of my procedure my weight was 157 bmi between 24-25. I’ve been a smoker all my life, 3 pregnancies one of which was a set of twins at the age of 38. I understand as your weight fluctuates, age, smoking that skin elasticity goes down hill. My weight now is 143 . I’m just don’t understand why I just can’t be flat!
Answer: Poor elasticity vs muscle repair failure Thank you for your inquiry! We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.
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Answer: Poor elasticity vs muscle repair failure Thank you for your inquiry! We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.
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January 23, 2023
Answer: Lower abdominal bulge after abdominoplasty It looks like a combination of both muscle/fascial laxity and recurrent skin excess. If your surgeon delivered a high quality operation, removing as much skin as she/he thought was safe and tightened the muscle as much as possible, then it may be an issue of soft tissue elasticity. A revision abdominoplasty may provide incremental improvement. However, your tissues may stretch a second time. An in person exam is necessary to help determine the best course of action. Nicotine cessation is mandatory before any additional surgery.
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January 23, 2023
Answer: Lower abdominal bulge after abdominoplasty It looks like a combination of both muscle/fascial laxity and recurrent skin excess. If your surgeon delivered a high quality operation, removing as much skin as she/he thought was safe and tightened the muscle as much as possible, then it may be an issue of soft tissue elasticity. A revision abdominoplasty may provide incremental improvement. However, your tissues may stretch a second time. An in person exam is necessary to help determine the best course of action. Nicotine cessation is mandatory before any additional surgery.
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October 11, 2022
Answer: Bulge After 360 Circumferential Body Lift Thank you for your question regarding an abdominal bulge after a 360 circumferential body lift and 360 lipo. Thank you also for your pictures. When you inhale, it appears in your series of pictures; the mass goes away. These can be seen in pictures 3 and 4 at the top. This means that the muscle is weak. For repair, I would suggest muscle plication. Even though this has previously been done, It may have loosened or need to be tightened again. Another alternative is the insertion of mesh. Mesh can form a sling on the lower abdominal wall and be anchored from side to side. We may never understand why this happened to you; however, we must push forward and seek a solution. Therefore, I think it would be the repair of the rectus abdominal muscles from the umbilicus to the pubic region. Thank you for your question regarding cess the skin/bulge is from poor skin elasticity or even muscle repair failure.
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October 11, 2022
Answer: Bulge After 360 Circumferential Body Lift Thank you for your question regarding an abdominal bulge after a 360 circumferential body lift and 360 lipo. Thank you also for your pictures. When you inhale, it appears in your series of pictures; the mass goes away. These can be seen in pictures 3 and 4 at the top. This means that the muscle is weak. For repair, I would suggest muscle plication. Even though this has previously been done, It may have loosened or need to be tightened again. Another alternative is the insertion of mesh. Mesh can form a sling on the lower abdominal wall and be anchored from side to side. We may never understand why this happened to you; however, we must push forward and seek a solution. Therefore, I think it would be the repair of the rectus abdominal muscles from the umbilicus to the pubic region. Thank you for your question regarding cess the skin/bulge is from poor skin elasticity or even muscle repair failure.
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September 27, 2022
Answer: Tummy tuck with mesh The technique I recommend an abdominoplasty with mesh reinforcement, if you are not planning future pregnancies. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. You have to be a non-smoker to be able to have this procedure done.
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September 27, 2022
Answer: Tummy tuck with mesh The technique I recommend an abdominoplasty with mesh reinforcement, if you are not planning future pregnancies. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. You have to be a non-smoker to be able to have this procedure done.
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September 12, 2022
Answer: Flat This could be related to several issues1) inadequate tightening of the abdominal wall in a vertical or horizontal manner2) inadequate thinning of the abdominal fat in the central part of the abdominoplasty3) excess intra-abdominal fatI would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!
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September 12, 2022
Answer: Flat This could be related to several issues1) inadequate tightening of the abdominal wall in a vertical or horizontal manner2) inadequate thinning of the abdominal fat in the central part of the abdominoplasty3) excess intra-abdominal fatI would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!
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