Worried about skin being leftover after BBL & Lipo 360 (Photo)

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards,
Dr. Emmanuel Mallol Cotes.-

This skin will be made worse with lipo. BodyTite can help a bit but you are not the best candidate. Realistically, you will need some procedure to remove skin to get a better result. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.

You have asked a very important question and it is necessary to consider before your surgery. Many patients think they will be satisfied with just lipo but there is absolutely no guarantee the skin will retract and be tight. In cases like yours, I recommend doing a tummy tuck in order to remove the extra skin or you could be left with sagging skin that cannot be fixed with skin tightening treatments.

A TT addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen. The TT also creates a more youthful belly button. TT without muscle repair may make the recovery easier, but, if you have laxity in that area, the result will be better with plication. In general, the muscles should be brought to anatomic norms. The smaller the separation, the less tightening required and the less discomfort. Swelling will occur irrespective of muscle repair, and almost every patient requiring a TT will benefit from the muscle repair.
Consult via email or Skype with a board certified PS to verify whether muscle repair is required for your ultimate goal. Be mindful that your tattoo may be affected.

Dear NikeyDoll1313,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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 dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction with a BBL and a tummy tuck, to give you a nice tight tummy and to get rid of the extra skin, and I think you'll get very good results.
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your waist, back and flanks, and of course your buttock, to give you a beautiful heart shape, along with the tummy tuck.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 33 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

From your photo it appears that you will need a tummy tuck to fix the loose excess skin over your abdomen. Liposuction does not lead to skin tightening and in fact makes the skin more loose after the excess fat is removed. Non-invasive skin tightening leads to ~30% skin tightening and that will not correct all the laxity you have. It can improve it but will not fully correct it.

Liposuction alone of the abdomen will remove the excess fat under the skin, but the amount of skin tightening following healing will be less than optimal due to your stretch marks and the laxity of the abdominal skin, especially around your belly button. If you want the most aesthetic outcome for your abdomen, both in terms of belly button shape/contour and skin tightening, you will require some sort of abdominoplasty, whether a "mini" which consists of thorough liposuction and skin removal of the lower abdomen, leaving the belly button alone, or a "full" or "formal" abdominoplasty which consists of liposuction, abdominal wall muscle tightening and making a new belly button. Nonsurgical skin tightening procedures to which you referred in you question, whether it is radiofrequency, ultrasound, or a combination of the two can demonstrate impressive results in SOME patients, but unfortunately no one knows which patients which experience the 75% improvement . These impressive improvements are the before & after photos the company whose product they are promoting like to use, not the other high percentage of folks who experience quite disappointing results with some of these modalities. J Plasma , laser and Ultrasound assisted Liposuction ( UAL, "Vaser") all can add additional skin tightening during the liposuction procedure, but even these add-on liposuction modalities may not smooth your skin to your expectations, and YOUR expectations are paramount in obtaining results which will make you happy. If you want to achieve results which will return your belly to the condition closest to what it might have looked like before giving birth, the most reliable and most powerful tool in the surgeon's armamentarium is skin excession. The scar can be hidden well within the skimpiest bikini bottom (no, probably not in a string bikini, but you have to be realistic). You have to be honest with yourself and your surgeon as to what you truly hope to achieve. Unfortunately, if your want a BBL, I do no think it prudent to combine anterior body procedures with a BBL because of the potential safety issues to the buttock skin, grafted fat survival, and even potential pulmonary embolism with fat grafting of the buttocks. Yes, surgeons can sometimes get away with combining these procedures, but I would never accept the one time where the potential safety risks turned into real life adverse patient outcomes. Also, you can always have the abdominoplasty performed at a second stage after you have healed from the liposuction /BBL procedure if you are not happy with how your abdominal skin appears after liposuction and any other skin tightening procedures you may choose. You are not "burning any bridges" as we like to say by not having an abdominoplasty at the time of your liposuction.

To get a tight flat abdomen you’ll need a full tummy tuck.

Liposuction is not going to address your skin laxity. There are no nonsurgical options they were going to give you a tight skin.

If the primary goal of your BBL is to have a larger bottom then you’re good to go. If the primary reason was to get a flat tight abdomen then you may be having the wrong procedure.

Best,
Mats Hagstrom, MD

Hello,
Thank you for sharing the information, it is a pleasure for me to answer your question.

Yes, you can do the procedures perfectly, if your state of health allows it.
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. everything depends on your BMI, if it is within the normal range, above 35 it can generate risks.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.


I hope this answer will help you,
My best wishes for you...