Can excessive lipomas or scar tissue prevent me from being a candidate for a Tummy Tuck?

Question

I had a c sections after a twin pregnancy nearly 7 years ago. I’m at my prepregnancy weight, but my stomach is large and hangs over and has a lot of marbley feeling lumps. My fat in general does not feel smooth like other parts of my body. I am waiting for an ultrasound to determine if these lumps are lipomas. Can excessive lipomas or scar tissue prevent me from being a candidate for a tummy tuck?

Finny George, MD · Answer

Hi, thank you for sharing your question. What you are describing should not prevent you from getting a tummy tuck. Photos would be helpful to determine if you are a good candidate for the procedure.

Wayne I. Yamahata, MD · Answer

Having lipomas or scar tissue doesn't preclude you from having a tummy tuck, but any remaining lipomas may result in your still feeling the lumps.

Leila Kasrai, MD, FRCSC · Answer

You can still get a tummy tuck with scar tissue and lipomas, however you would need to make sure that a tummy tuck is suitable to achieve your goals.

Gary M. Horndeski, MD · Answer

Lipomas and scar tissue will not prevent you from having a tummy tuck.  I would need photographs and your height and weight to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Irena Karanetz, MD · Answer

Hello and thank you for the question.
It's difficult to tell without seeing photos, but based on what you are describing, you appear to be a great candidate for a tummy tuck surgery which would allow to remove the excess skin below the belly button and to tighten the recuts (abs) muscle in order to achieve a flat abdominal contour. This can be done through a low and short incision, all completely below the bikini line. The belly button can be designed to look natural with minimal scarring on the exterior. 
I would recommend to pursue ultrasound work up first to further evaluate your tissues for lipomas.
In addition, I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options and expectations.
I hope this helps.Best, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear cahsellers,
it is hard to tell for sure without an examination. 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

Camille Cash, MD · Answer

You should be able to proceed with a tummy tuck even with the presence of lipomas.  You will want to discuss what you can expect in terms of results with your surgeon as it is possible you will still be able to see and/or feel the lipomas after your procedure.

Douglas Taranow, DO, FACOS · Answer

Based on your surgical history, you are a candidate for an abdominoplasty.  The skin hanging over the lower abdomen and history of C-sections (even in vertical scars vs horizontal) are not restrictions for having an abdominoplasty.  The lipomas may be palpable post tummy tuck or liposuction depending on their size and location.  Lipomas are not a contra-indication for cosmetic surgery.
Dr. Taranow

Arian Mowlavi, MD, FACS (license on probation) · Answer

No. 
Neither scaring nor lipomas precludes you from being a candidate for tummy tuck as long as you meet other criteria.
You would likely benefit from a high definition tummy tuck using high definition VASER liposuction. The tummy tuck procedure would comprehensively remove excess skin and fat in the abdominal region. The abdominal muscle would also be 'tightened' to create the appearance of a flatter stomach.  A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.

Mats Hagstrom, MD (license on probation) · Answer

Some people have what we often called Fairburn is fat or fat that feels like firm marbles. They’re often seen in Women with stretch marks and sometimes in individuals with darker skin complexion.

It is simply one variant of how The texture of subcutaneous fat can be.

Most of the time that fat characteristics tend to be more prominent in the lower abdomen area
I don’t see why that should prevent you from having a tummy tuck if you want one.

I suggest having multiple in person consultations with local board-certified plastic surgeons in your community to get an assessment and better understanding of the procedure.

Best,

Mats Hagstrom MD

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