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Is lipo a better choice than a tummy tuck?

Q:

I am 25 years old and I only have one child. I had a c-section done 5 years ago and my belly has not been the same since. I am 4,11 and 180 pounds. I love my thighs and hips and I even like my arms. I just hate my belly and the fat under my neck. I tried the diet and exercise but only lost 15 pounds and in all the wrong areas. Now I know I want a surgical procedure done but just not sure if I want a tummy tuck or lipo. What do you suggest?

A:

With out an in person examination it is difficult to advise. In general if you can loose the weight and be at your ideal body weight , tou will have a better cosmetic result and lessen your risk factors.

Liposuction will remove the excess fat, but does not remove or improve excess skin. If there is excess skin the only option is a tummy tuck with or without liposuction. In some cases, liposuction with a mini abdominoplasty may achieve the results desired

A:

Many times after pregnancy the belly muscles get relaxed. In this case a tummy tuck would give a better result. If your problem is only excess fat then liposuction alone might be a solution. The only way to know which one would benefit you more is to assessed by a Plastic Surgeon. Please chose an ASAPS member in your area to get answers to your concerns.

Best,

Shady Hayek, M.D.

A:

Hello, you have an overweight of 80 pounds, so you are right now a candidate for any body countouring procedure. I recommend you to visit an Endocrinologist to loose weight, and then, I'm sure that you will need a tummy tuck and not a Liposuction. The skin quality or flacidity and stretch marks will decide the procedure indicated for which one.

A:

A consultation would be very important to correctly identify what would give you the best result.  At 25 years old your skin is likely to still be very elastic and therefore liposuction may work well for you, as this would remove the excess fat.  If there is excess skin then some form of skin tightening, like a mini tummy tuck or a tummy tuck, would need to be done to contour the skin.  Tummy tucks and liposuction can be safely done at the same time to gain the benefit of both, if used in the correctly chosen patients.  Continued efforts on your part to reach your ideal weight will absolutely result in the best outcome for you as it would decrease the fat stores under your skin and also inside your abdomen around your intestines where excess fat can cause a bulging forward of your abdomen.  You next step should be a consultation with a board certified plastic surgeon.

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