Ultrasonic cavitation and Coolsculpting made my skin texture change. Tummy tuck or lipo to fix it? (photo)

Thanks for your question! You absolutely do not need a tummy tuck. In fact, I'm having a hard time seeing what is bothering you. Remember, the enemy of good is perfection. Whatever you decide, best of luck!

Dear juliaguy,

it is hard to tell for sure without an examination. Based on your photos, it looks like you don't have much loose skin to be a tummy tuck candidate. If you are considering surgery, I would suggest you 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

Hello, from the pics we cannot see your abdomen area. If you have excess skin in that area you may need a miny tummy tuck, otherwise liposuction should be sufficient

Thank you for your question. It seems that you're primarily dealing with excess fat rather than loose skin or muscle separation. So, liposuction would be a more suitable option than a tummy tuck. A tummy tuck is recommended for loose skin and muscle separation, which isn't your main issue. I suggest considering Vaser liposuction to achieve a smoother and more sculpted appearance with less trauma to the surrounding tissues. If you're also concerned about skin laxity, Renuvion J-Plasma can tighten the skin from the inside, enhancing overall contour and definition. Consult a surgeon who is experienced in both Vaser liposuction and Renuvion to determine if you are a good candidate for these procedures.

Hello, and thank you for your question regarding whether a tummy tuck or liposuction would be the best approach to improve your abdominal skin texture after ultrasonic cavitation and CoolSculpting. I appreciate your history and the pictures you provided. Based on your images, I strongly advise against a full abdominoplasty (tummy tuck) and instead suggest VASER liposuction to refine and smooth the area.

Since you are young, have no stretch marks, and do not require rectus abdominis muscle repair, most experienced plastic surgeons would agree that a tummy tuck is unnecessary. Your skin elasticity appears to be intact, which means VASER liposuction combined with skin-tightening technologies could be the best option to target stubborn fat and improve the skin’s appearance without the need for a long scar.

For the best results, I recommend considering abdominal etching or selective sculpting of the vertical rectus muscle insertion lines, including the linea alba and semi-lunaris lines, which would create a more toned, athletic look. Before moving forward, schedule a consultation with a board-certified plastic surgeon who specializes in VASER liposuction. Bring reference photos of the abdominal aesthetic you want to achieve—this will help your surgeon understand and tailor the procedure to your goals.

If you have any more questions regarding VASER liposuction, body contouring, or skin-tightening procedures, I encourage you to consult an experienced plastic surgeon. Since VASER Hi-Def liposuction is a specialized procedure, it’s crucial to seek a board-certified plastic surgeon with extensive experience in high-definition body sculpting. Be sure to research their work, review before-and-after photos, and check patient testimonials on platforms like RealSelf. If you can’t find an experienced VASER Hi-Def liposuction surgeon in your area, consider traveling out of state to ensure you get the best possible outcome.

Best of luck on your journey to achieving your ideal aesthetic!

Sincerely,
Dr. Katzen, MD, MBA, FACS, FICS, FASMBS

It’s difficult to see the issue in the photos you’ve provided. Would you be able to specify what area in particular you’re concerned about, as issues with skin texture aren’t immediately visible. Either way, a tummy tuck would most likely not be suitable for you since you don’t appear to have loose skin.

Dear Miss guy,

Thank you so much for your pictures. I know you've had cool sculpting and ultrasonic cavitation in the past. Your abdomen actually looks very good! An abdomen should have a little bit of curvature and highlight some of the muscular shadows. In a woman, the abdominal anatomy should be subtle and NOT overly stark as if you were a bodybuilder. My recommendation would be NO treatment but if you want some of the softness to be reduced, then straightforward modest tumescent liposuction would be reasonable.

Seek the opinion of several board certified plastic surgeons.

Best,

Earl Stephenson Jr, MD, DDS, MBA

ESJ Aesthetics

It sounds like the ultrasonic cavitation and CoolSculpting have altered your skin texture, and you're looking for the best way to achieve a smoother, flatter stomach without the scars from a tummy tuck. Since you prefer to avoid a full tummy tuck, liposuction with skin tightening treatments like Renuvion or BodyTite could be a good option to improve firmness and contour. If the skin texture is a major concern, microneedling with radiofrequency, such as Morpheus8, could help enhance elasticity and smoothness. A mini tummy tuck could also be worth considering if the issue is mainly in the lower abdomen, as it involves a smaller incision. Since you're young and at a stable weight, non-surgical or minimally invasive treatments might be enough to get the results you’re looking for. Consulting with a specialist could help determine the best approach for your specific case.

Thank you for your question.It is also possible for you to have changes with age even if you are 25, liposuction will give you a flat stomach but it will not treat the changes on your skin and also it may bring another skin texture changes with liposuction.You are not a candidate for tummy tuck.I recommend you to search for laser treatments for skin rejuvenation if you are concerned with the skin.Best Luck!

One of the first and most common questions I get asked in consultations is "Do Need lipo or a tummy tuck?". It really comes down to two things... skin and muscle. If there is a significant muscle separation, such as after a pregnancy, lipo will not improve and can actually make it appear worse. The skin is equally important... loose skin plus a significant amount of fat to be removed can lead to looser wrinkly skin that can be very unsightly. Looking at your photos I do not see a significant amount of loose skin or muscle separation so you should be an excellent candidate for lipo.