What would be the best treatment to get rid of the dark line under my stomach fat? (Photo)

Question

Should I get Co2 laser? Liposuction? 3rd photo is inspiration. I have really firm tight skin so believe I'd be suitable for liposuction, I'd like to be even curvier with a natural looking BBL. But most important to me is the shadow. I've seen women with bigger stomachs than me without this line. Please advise :) thank you

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for liposuction. This will get rid of that problem area and help you achieve your goal in the third photo.

Arif Eroglu, MD · Answer

Hello; the height, shaped by fat; where is in the lower abdomen; it creates the shadow; that you mentioned as well. If your skin quality is good; if there is no looseness in the related skin; "Vaserlipo" is performed. Accumulated regional fat is removed to the maximum extent and the height; that creates the shadow is eliminated. With this type of treatment, you can have a flat stomach and a slim waist. The extracted fat, can also be used on your hips; more curvy appearance can be realized.

Gary M. Horndeski, MD · Answer

Like others have stated, liposuction would be the place to start. This should help decrease the fat that is creating the fold. Afterwards, if your skin did hang then you may benefit from a mini tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Azita Madjidi, MD, MS, FACS · Answer

You are a great candidate for liposuction because you  don't have any stretch marks and seem to have normal weight. The shadow is made in the lower because of fat above and below in the pubis and dense skin and tissue under that line. 
BBL cannot be "natural" and gives you a fatty behind and not an athletic look which is more natural.

Connie Hiers, MD, FACS · Answer

I would suggest starting with liposuction to remove the excess fat above your line. Once that is gone, the skin will be flatter and the shadowing effect should be gone.

Camille Cash, MD · Answer

From your photos and description it seems you are a good candidate for liposuction.  You can consider adding J Plasma for additional skin tightening.  If you still have lax skin after the procedure you'd need to consider a tummy tuck to address it.  See a board certified plastic surgeon near you to learn more.

Mats Hagstrom, MD (license on probation) · Answer

Each person has a unique fat distribution.
And some people the subcutaneous fat layer becomes thin as a transitions from the lower abdomen to the pubic area.
In other individuals this is more continuous.
Realistically, Liposuction is the only way to permanently change your fat distribution and that procedure if done well could give you results consistent with the third picture.
That said I will point out that delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons have mastered this procedure is small.
 Almost all plastic surgeons do Liposuction from time to time in their career and most of them think they’re far better at the procedure than they actually are.
Many plastic surgeons don’t think Liposuction is difficult at all but in reality they’re not talented at the procedure.
Poorly done Liposuction can leave people disfigured and it’s very difficult to correct poorly done preview work.
Young individuals with tight skin with excess subcutaneous fat in undesirable areas are more or less ideal candidates for the procedure.
I personally do view the torso as a single anatomic unit and personally preferred to treat the entire torso when doing liposuction in order for people to get a thin, even fat, distribution without unnatural transition zones between treated and untreated areas.
 Finding a plastic surgeon who has sufficient skill experience to deliver, consistent quality results is more difficult than most people realize.
As I mentioned previously, the number of providers who truly mastered this procedure is fairly small.
To find the right provider I suggest patient schedule multiple in person consultations with plastic surgeons in their community who seem to do a lot of Liposuction.
 Consult with providers who work for Liposuction specialty centers and those in private practice.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of people who had very similar body characteristics to your own.
 an experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the very best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they’ve actually done.
 if you’re interested in having fat transfer, then make sure you vet providers thoroughly for both liposuction and fat transfer skill.
Take carefully notes during each consultation, especially regarding the quantity and quality of before and after pictures.
When reviewing Lipo section results with providers ask the provider to point out exactly what areas were treated with liposuction and what areas were not treated.
Then look very carefully at transition zones between treated and untreated areas.
I highly recommend avoiding virtual consultations whenever possible, and instead choose in person, consultations.
If you go to a clinic where you’re consulting with the sales person and not the provider it’s probably a good sign that you should leave.
If consulting at a specialty clinic, make sure the pictures they show you represent the work done by the surgeons who’s going to do your procedure.
 There’s no correct number of consultations needed to find the right provider.
The more consultations you have the more likely were to find the better provider.
The biggest mistake. Patient make is assuming that a board certified plastic surgeon should know how to do liposuction well.
The second biggest mistake is scheduling only one consultation not insisting on seeing Enough before and after pictures and then scheduling surgery without comparing providers.
You’ll be living with the results every day for the rest of your life, and choosing the right provider is by far the most important variable so please choose carefully.
Best,
Mats Hagstrom, MD

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