I would like to get the best results possible I know this increases the chances of necrosis but what percent of patients do you see that end up with necrosis?
Answer: Upper abdominal lipo should be avoided during a tummy tuck
This is a topic which always seems to be discussed at plastic surgery meetings and conferences. Basically if you liposuction the upper abdomen during a tummy tuck you risk injuring the blood supply to the abdominal skin which can lead to skin death (necrosis). I can not give you an accurate percentage, but we do know this carries a risk which can easily be avoided by not doing liposuction. It is a risk that most plastic surgeons are not willing to take because of the potential disastrous consequences. Some of the fat can be carefully trimmed (with a scissor or scalpel) which is much more precise than liposuction, therefore preserving the blood vessels.
Consult with a board certified plastic surgeon in person for a complete evaluation and explanation.
Best wishes,
Dr.Bruno
Helpful 2 people found this helpful
Answer: Upper abdominal lipo should be avoided during a tummy tuck
This is a topic which always seems to be discussed at plastic surgery meetings and conferences. Basically if you liposuction the upper abdomen during a tummy tuck you risk injuring the blood supply to the abdominal skin which can lead to skin death (necrosis). I can not give you an accurate percentage, but we do know this carries a risk which can easily be avoided by not doing liposuction. It is a risk that most plastic surgeons are not willing to take because of the potential disastrous consequences. Some of the fat can be carefully trimmed (with a scissor or scalpel) which is much more precise than liposuction, therefore preserving the blood vessels.
Consult with a board certified plastic surgeon in person for a complete evaluation and explanation.
Best wishes,
Dr.Bruno
Helpful 2 people found this helpful
August 29, 2011
Answer: Liposuction along with Tummy Tuck
Many surgeons perform some liposuction during the tummy tuck procedure. Safety should ALWAYS be the first priority. We need to limit the amount of liposuction performed during the tummy tuck procedure so that there is no compromise with the recovery process. It is ideal to meet with a couple of board certified plastic surgeon's who have experience with abdominoplasty surgery and get their advice.
Helpful
August 29, 2011
Answer: Liposuction along with Tummy Tuck
Many surgeons perform some liposuction during the tummy tuck procedure. Safety should ALWAYS be the first priority. We need to limit the amount of liposuction performed during the tummy tuck procedure so that there is no compromise with the recovery process. It is ideal to meet with a couple of board certified plastic surgeon's who have experience with abdominoplasty surgery and get their advice.
Helpful
December 10, 2013
Answer: Lipo upper abdomen with tummy tuck Liposuction of the upper abdomen can safely be done during a tummy tuck as long as the tummy tuck does not jeopardize the upper abdominal blood flow too extensively. The upper part of the tummy tuck dissection should be more central and conservatively done and this will allow the upper abdomen to be safely liposuctioned. I perform these 2 procedures at the same time very frequently and I have not seen any skin necrosis problems due to it, of course you have to be in good health and a non smoker.
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December 10, 2013
Answer: Lipo upper abdomen with tummy tuck Liposuction of the upper abdomen can safely be done during a tummy tuck as long as the tummy tuck does not jeopardize the upper abdominal blood flow too extensively. The upper part of the tummy tuck dissection should be more central and conservatively done and this will allow the upper abdomen to be safely liposuctioned. I perform these 2 procedures at the same time very frequently and I have not seen any skin necrosis problems due to it, of course you have to be in good health and a non smoker.
Helpful
August 29, 2011
Answer: Liposuction and Tummy Tuck at the same time?
Typically, I perform a small amount of liposuction at the same time as abdominoplasty surgery. This is usually done on the upper abdominal area and on the patient's flanks/waist. However, one has to be cautious about performing too much lipo in combination with the tummy tuck procedure.
Why is this? A rich blood supply is needed for the abdominoplasty incision to heal, and having too much lipo at the same time can potentially compromise this blood flow. I often stage the procedures when there is excessive upper abdominal fat by first performing an abdominoplasty and then following this up with additional liposuction 4-6 months later to further improve the results. This two stage procedure is not necessary in everyone, but your surgeon should be able to tell you if you are a candidate. Hope this helps.
Helpful
August 29, 2011
Answer: Liposuction and Tummy Tuck at the same time?
Typically, I perform a small amount of liposuction at the same time as abdominoplasty surgery. This is usually done on the upper abdominal area and on the patient's flanks/waist. However, one has to be cautious about performing too much lipo in combination with the tummy tuck procedure.
Why is this? A rich blood supply is needed for the abdominoplasty incision to heal, and having too much lipo at the same time can potentially compromise this blood flow. I often stage the procedures when there is excessive upper abdominal fat by first performing an abdominoplasty and then following this up with additional liposuction 4-6 months later to further improve the results. This two stage procedure is not necessary in everyone, but your surgeon should be able to tell you if you are a candidate. Hope this helps.
Helpful
August 28, 2011
Answer: Combining liposuction with tummy tucks Most experienced surgeons will be able to perform liposuction with a tummy tuck. Certain tummys lend themselves to more liposuction than others. Not all tummy tucks are the same and different tummy tucks lend themselves to more aggressive liposuction than others. Regardless, care must be taken when performing liposuction during tummy tucks so as not to cause a problem with circulation and then delayed healing. You certainly can't fault your surgeon for being conservative in order to avoid problems. Safety should always come first.
Helpful
August 28, 2011
Answer: Combining liposuction with tummy tucks Most experienced surgeons will be able to perform liposuction with a tummy tuck. Certain tummys lend themselves to more liposuction than others. Not all tummy tucks are the same and different tummy tucks lend themselves to more aggressive liposuction than others. Regardless, care must be taken when performing liposuction during tummy tucks so as not to cause a problem with circulation and then delayed healing. You certainly can't fault your surgeon for being conservative in order to avoid problems. Safety should always come first.
Helpful