I have afib. Can I get lipo on my lower belly?

Question

Lipo on lower belly. Can I get lipo on lower belly? I have afib. I have had ablation and I'm not on any meds, been free of meds for 3 years now and my heart is ok. What suggestions are recommended?

Jason Emer, MD · Answer

we would do a cardiology clearance. you can do small areas like the lower stomach awake but if larger areas I would suggest asleep and be sure to do with internal heating like renuvion.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Kenneth Hughes, MD · Answer

Further research is needed to learn more about the link between afib around the time of surgery and increased stroke risk, and the best ways to prevent stroke in afib patients. Your board certified PS will require clearance from your cardiologist or the specialist who has overseen your medical condition for the last few years.

Daniel Barrett, MD · Answer

Dear Reserved965872,
it is hard to tell for sure without an examination. You will need to get a clearance from your cardiologist prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

If your cardiologist clears you for elective surgery, then you should be able to have liposuction. I would advise doing this at a facility with an anesthesiologist present for your anesthesia.

Manuel Diaz, MD · Answer

Hello, thanks for the question, if you are not under anticoagulant treatment you can undergo the procedure as long as it is with a board certified surgeon and that you are sure by the physical exam that you are suitable for the procedure

luck

luck

David S. Rosenberg, MD · Answer

yes if you are not on any blood thinners then there is no contraindication to you having liposuction of your abdomen.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Most plastic surgeons will probably ask you to get clearance from my cardiologist.

I suggest you check with that person first then have a few in person consultations with local board-certified plastic surgeons about the Liposuction.

Best,

Mats Hagstrom MD

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