I had a tummy tuck with lipo in summer 2022, then had lipo of flanks and back in spring 2023. I originally believed the flanks would be done during the tummy tuck and I wasn't concerned about the bra line at the time. I feel like I look the same, minus the saggy skin. I am not sure if I have dog ears? I see others on here with the same concern and similar result and their revisions look fantastic and what I was hoping to get the first time. Is it me or the tummy tuck that's the issue?
Answer: Tummy tuck dissatisfaction Without a formal exam, there is a chance I stand corrected, but you were never really a good candidate for a tummy tuck because of excess intra-abdominal fat deposition, aka visceral fat. This fat is inside your abdomen and behaves like a stent, preventing abdominal flattening normally seen with abdominal wall tightening. This is something that should have been diagnosed and discussed prior to surgery. With regards to execution of surgery, there was no reason to stage liposuction, which should have been performed at the time of the tummy tuck. Finally, it's clear that deflation in the waist/hip area from liposuction created a functional excess of skin in the region, which necessitated a longer skin excision around the sides. My recommendation is weight loss (that is the ONLY way to reduce intra-abdominal fat) prior to any consideration of a revision tummy tuck.
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Answer: Tummy tuck dissatisfaction Without a formal exam, there is a chance I stand corrected, but you were never really a good candidate for a tummy tuck because of excess intra-abdominal fat deposition, aka visceral fat. This fat is inside your abdomen and behaves like a stent, preventing abdominal flattening normally seen with abdominal wall tightening. This is something that should have been diagnosed and discussed prior to surgery. With regards to execution of surgery, there was no reason to stage liposuction, which should have been performed at the time of the tummy tuck. Finally, it's clear that deflation in the waist/hip area from liposuction created a functional excess of skin in the region, which necessitated a longer skin excision around the sides. My recommendation is weight loss (that is the ONLY way to reduce intra-abdominal fat) prior to any consideration of a revision tummy tuck.
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Answer: Recommendations After Back and Flank Liposuction Hello and thank you for your question regarding what to do after back and flank liposuction. If you were dissatisfied with your results, I would suggest focusing on further weight loss. I recommend aggressive diet and exercise regimens, coupled with weight loss medications such as Ozempic and Zepbound. These medications have been proven to be effective in eliminating visceral fat, which may be contributing to your concerns. I believe that most of your fat accumulation is likely due to visceral fat, rather than significant subcutaneous fat. With additional weight loss, you can expect to achieve excellent results. Once you've shed perhaps 15 to 20 pounds, you may consider additional liposuction or even a back lift procedure. A back lift can be performed horizontally across the back or vertically from the armpit down the side. Losing more weight will significantly improve the appearance of your abdomen. I hope this addresses your concerns regarding post-liposuction recommendations. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon
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Answer: Recommendations After Back and Flank Liposuction Hello and thank you for your question regarding what to do after back and flank liposuction. If you were dissatisfied with your results, I would suggest focusing on further weight loss. I recommend aggressive diet and exercise regimens, coupled with weight loss medications such as Ozempic and Zepbound. These medications have been proven to be effective in eliminating visceral fat, which may be contributing to your concerns. I believe that most of your fat accumulation is likely due to visceral fat, rather than significant subcutaneous fat. With additional weight loss, you can expect to achieve excellent results. Once you've shed perhaps 15 to 20 pounds, you may consider additional liposuction or even a back lift procedure. A back lift can be performed horizontally across the back or vertically from the armpit down the side. Losing more weight will significantly improve the appearance of your abdomen. I hope this addresses your concerns regarding post-liposuction recommendations. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic and Aesthetic Surgeon
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December 21, 2023
Answer: Revision of TT, liposuction, weight loss There is no doubt that in experienced hands you can expect significant improvement. Combination of revision abdominoplasty to correct skin redundancy and liposuction would be my recommendation. A weight loss is always beneficial. Good luck.
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December 21, 2023
Answer: Revision of TT, liposuction, weight loss There is no doubt that in experienced hands you can expect significant improvement. Combination of revision abdominoplasty to correct skin redundancy and liposuction would be my recommendation. A weight loss is always beneficial. Good luck.
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December 21, 2023
Answer: Abdomen You have, at least on the one view, a small dog ear which can easily be trimmed. You have internal fullness which is addressed with weight loss. However, EMSculpt can also be done to help address the muscle and encourage some fat reduction internally.
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December 21, 2023
Answer: Abdomen You have, at least on the one view, a small dog ear which can easily be trimmed. You have internal fullness which is addressed with weight loss. However, EMSculpt can also be done to help address the muscle and encourage some fat reduction internally.
Helpful
December 21, 2023
Answer: I hate my results, what do I do? $21,000 later Thank you for your question and photos. I sympathize with you and agree that your results are not good. I believe the main reason is that you were not a good candidate for a tummy tuck in the first place. Your surgeon should've told you that and explain what you could expect. First, you do have lots of intraabdominal fat also known as visceral fat. The omentum or fat apron that drapes over your intrabdominal organs is thick. You should've been warned that you will not achieve a flat abdomen. Second, the liposuction you had is suboptimal. Third, your incision is very high and you are also left with a large pubic fat pad. Fourth, the umbilicus looks like a "Target" sign. You ask what you can do going forward? I would suggest loosing weight, to get your BMI 25 or below. The next step would be redoing your whole body contouring with a full tummy tuck, lower your incision to the pubic bone level, remove the pubic excess skin and fat pad, VASER liposuction 360 degrees and redo your belly button. All this will not be cheap, costs will be 20-25K+. Do not fall into the trap of little "touch ups" or revisions. These will be disappointing, cost more money (again, badly spent) and will not give you the desired results. As a Total Definer surgeon, I do these surgeries in our certified office surgical suite under deep intravenous sedation. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
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December 21, 2023
Answer: I hate my results, what do I do? $21,000 later Thank you for your question and photos. I sympathize with you and agree that your results are not good. I believe the main reason is that you were not a good candidate for a tummy tuck in the first place. Your surgeon should've told you that and explain what you could expect. First, you do have lots of intraabdominal fat also known as visceral fat. The omentum or fat apron that drapes over your intrabdominal organs is thick. You should've been warned that you will not achieve a flat abdomen. Second, the liposuction you had is suboptimal. Third, your incision is very high and you are also left with a large pubic fat pad. Fourth, the umbilicus looks like a "Target" sign. You ask what you can do going forward? I would suggest loosing weight, to get your BMI 25 or below. The next step would be redoing your whole body contouring with a full tummy tuck, lower your incision to the pubic bone level, remove the pubic excess skin and fat pad, VASER liposuction 360 degrees and redo your belly button. All this will not be cheap, costs will be 20-25K+. Do not fall into the trap of little "touch ups" or revisions. These will be disappointing, cost more money (again, badly spent) and will not give you the desired results. As a Total Definer surgeon, I do these surgeries in our certified office surgical suite under deep intravenous sedation. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
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