Is A Tummy Tuck After Abdominal Lipo Sculpture Dangerous?

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.  

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

Liposuction is a very safe procedure before abdominoplasty as long as you have waited for full healing. In fact this is my preferable method of treating mommy makeovers. There is an old well known procedure called the delay procedure to prepare the abdominal skin flap to be raised like in an abdominoplasty. Liposuctin can work similar to that delay procedure to enhance your circulation; not make it worse. Please go to a board certified surgeon and best of luck.

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.

This should not be a problem.  You should have a Ted Lockwood type tummy tuck to preserve as much blood flow as possible.

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.