I'm considering a tummy tuck to tighten my skin (only 12% body fat). I had lipo sculpture performed 2008: abdomen, flanks, back. But the skin is still sagging on my belly since pregnancies 2002 / 2004. Surgeons are reluctant to perform a tuck due to previous lipo sculpture - the skin has been “separated” from the abdomen and back once already (blood access?) - Is this a valid concern or do they just not understand what Lipo sculpture really is? Any difference if I postpone?
Answer: Tummy tuck safe after liposuction?
I agree with the other surgeons who have stated that liposuction or a previous disruption of the blood vessels long ago actually may improve the blood supply to your skin via a "delay" or neovascularization phenomenon. There has been some concern that past mesotherapy injections or laser-assisted liposuction may actually compromise the blood supply due to vascular fibrosis (scarring) and coagulation of the blood vessel network. That theoretically could impact the blood supply to the abdominal flap, but I still believe that after so much time has elapsed, circulation has improved and I would not hesitate to do a tummy tuck. Plastic surgeons sometimes stage doing liposuction first and then abdominoplasty as a second procedure in certain patients, as it can be safer than doing aggressive large volume liposuction of the abdomen and body at the same time as the tummy tuck.
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Answer: Tummy tuck safe after liposuction?
I agree with the other surgeons who have stated that liposuction or a previous disruption of the blood vessels long ago actually may improve the blood supply to your skin via a "delay" or neovascularization phenomenon. There has been some concern that past mesotherapy injections or laser-assisted liposuction may actually compromise the blood supply due to vascular fibrosis (scarring) and coagulation of the blood vessel network. That theoretically could impact the blood supply to the abdominal flap, but I still believe that after so much time has elapsed, circulation has improved and I would not hesitate to do a tummy tuck. Plastic surgeons sometimes stage doing liposuction first and then abdominoplasty as a second procedure in certain patients, as it can be safer than doing aggressive large volume liposuction of the abdomen and body at the same time as the tummy tuck.
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Answer: Tummy tuck can be done 3 years after liposuction
There should be no risk to your abdominal skin's blood supply at this point since three years have passed since your liposuction procedure. If your skin is loose enough, then you may be a good candidate for a tummy tuck. A board certified plastic surgeon can examine you and easily determine if you are in fact a good candidate.
Best wishes,
Dr.Bruno
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Answer: Tummy tuck can be done 3 years after liposuction
There should be no risk to your abdominal skin's blood supply at this point since three years have passed since your liposuction procedure. If your skin is loose enough, then you may be a good candidate for a tummy tuck. A board certified plastic surgeon can examine you and easily determine if you are in fact a good candidate.
Best wishes,
Dr.Bruno
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September 6, 2011
Answer: Tummy tuck after liposuction I have performed a tummy tuck after liposuction on several occasions. You are at a very small risk of necrosis of some skin because you have had a previous liposuction. However the risk is very small and it should not deter you from having the procedure performed if your surgeon recommends it. I have never had a problem in a case such as yours.
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September 6, 2011
Answer: Tummy tuck after liposuction I have performed a tummy tuck after liposuction on several occasions. You are at a very small risk of necrosis of some skin because you have had a previous liposuction. However the risk is very small and it should not deter you from having the procedure performed if your surgeon recommends it. I have never had a problem in a case such as yours.
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September 3, 2011
Answer: Tummy tuck after liposuction
I do not think you are at increased risk for complications after tummy tuck surgery. The dissection during your procedure may or may not be more challenging because of scar tissue but this issue should not increase your risks of complications.
I wonder about the judgment of your previous surgeon who performed the liposuction procedure on you after 2 pregnancies–it is a very rare patient who is a candidate for liposuction in your situation. Obviously, based on your current plan to undergo abdominoplasty, it was not a wise choice.
Currently, it seems that you are getting bad advice again. Make sure you are consulting well-trained/experienced board-certified plastic surgeons. Best wishes.
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September 3, 2011
Answer: Tummy tuck after liposuction
I do not think you are at increased risk for complications after tummy tuck surgery. The dissection during your procedure may or may not be more challenging because of scar tissue but this issue should not increase your risks of complications.
I wonder about the judgment of your previous surgeon who performed the liposuction procedure on you after 2 pregnancies–it is a very rare patient who is a candidate for liposuction in your situation. Obviously, based on your current plan to undergo abdominoplasty, it was not a wise choice.
Currently, it seems that you are getting bad advice again. Make sure you are consulting well-trained/experienced board-certified plastic surgeons. Best wishes.
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January 21, 2019
Answer: No Problem This should not be a problem. You should have a Ted Lockwood type tummy tuck to preserve as much blood flow as possible.
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January 21, 2019
Answer: No Problem This should not be a problem. You should have a Ted Lockwood type tummy tuck to preserve as much blood flow as possible.
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September 2, 2011
Answer: Caution in doing abdominoplasty after previous liposculpture
In theory there should not be a problem in doing a tummy tuck after having had liposculpture (liposuction) a few years earlier, but there are some potential risks. The main one depends on how much scarring there is after the liposculpture, with more expected if laser was used. This can make it difficult to expand the skin enough without putting too much stress on it. That is why no one can make a definitive recommendation without personally seeing you and assessing the degree of scarring. That is also why it is usually best when there is loose skin to do the abdominoplasty instead of lipo in the first place.
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September 2, 2011
Answer: Caution in doing abdominoplasty after previous liposculpture
In theory there should not be a problem in doing a tummy tuck after having had liposculpture (liposuction) a few years earlier, but there are some potential risks. The main one depends on how much scarring there is after the liposculpture, with more expected if laser was used. This can make it difficult to expand the skin enough without putting too much stress on it. That is why no one can make a definitive recommendation without personally seeing you and assessing the degree of scarring. That is also why it is usually best when there is loose skin to do the abdominoplasty instead of lipo in the first place.
Helpful 1 person found this helpful