Liposuction alone or tummy tuck w/lipo? (Photo)

Question

Hello, I’m in my mid 40s and post 3 kids w/1 c-section. I would like to have my implants removed and have fat transfer to my breasts. I’m contemplating between getting lipo 360 w/fat graft to my breasts vs. tummy tuck w/lipo and fat graft. I would like to avoid tummy tuck if possible. However I’m worried about the loose skin if I get liposuction alone. Would liposuction with skin tightening with Bodytite or Renuvion be good alternatives in my case?

Salvador Garcia, MD · Answer

Hello, I am Dr Salvador Garcia, evaluating your photos and your background, the recommendation is to do Tummy Tuck with repair of abdominal muscles, but if you could perform liposculpture with renuvion j plasma or body tite if your expectations with flaccidity are not very high , since these technologies only help 60-70% with flaccidity, another drawback is if you want a flat abdomen, with lipo it is not achieved, since the flaccidity of the muscles makes your abdomen look bulging.Another issue that you should know is the transfer of fat to the breasts, since it is not recommended in large volumes, 1. Because firmness or a specific size cannot be guaranteed, 2. The fat forms cysts and calcifications, which in A mammogram can be confused with cancer. Each case must be evaluated and we only perform it when the patients have Lupus, or a disease that contraindicates implants.

Gary M. Horndeski, MD · Answer

For your breasts, I recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  At the same time, a tummy tuck can be done.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.  After these have been completed, you can consider liposuction and fat transfers to the breasts if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Kenneth R. Francis, MD, FACS · Answer

Dear Awesome,
Your concerns regarding tummy tuck versus liposuction are valid after having had 3 pregnancies.  An interesting note about your photos is that the photo without flash shows some skin irregularities, which possibly represents some loss of elasticity.  This would best be determined with examination by an American Board of Plastic Surgery board certified plastic surgeon.  On the surface it appears that you would fair well with the lipo 360 alone for the abdomen.  Keep in mind that it would NOT address your muscle laxity.  Good luck!

Liposuction alone or tummy tuck w/lipo? (Photo)

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Liposuction alone or tummy tuck w/lipo? (Photo)

Answers (3)

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Everything you need to know about Lipo 360

Our mission is to create a world where every investment in modern beauty is Worth It.