Ask a Surgeon - Liposuction - I am 35 and very fit, but I cannot get rid of the fatty deposit on my lower...

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I am 35 and very fit, but I cannot get rid of the fatty deposit on my lower abdomen...

Q:

I am 35 and very fit, but I cannot get rid of the fatty deposit on my lower abdomen. I have fairly elastic skin. I would like to know if I should consider having liposuction before or after pregnancy. Would the postoperative "sag" of skin in that area, after the excess fat has been removed, be beneficial during the pregnancy? Or, should I just wait until after the pregnancy and then consider either the liposuction or a tummy tuck?

A:

If you are fit and your skin is not saggy now, it will not be saggy following lipoplasty (liposuction), and this would not be a benefit for later pregnancy. As far as the question of when you should consider having surgery, much of my answer depends on when you are planning a pregnancy. If it is within a year, I would wait with all surgery until afterwards. If you plan to become pregnant within 2 years, I might recommend lipoplasty (liposuction), but not a tummy tuck (abdominoplasty). If you are not certain about having a child, or pregnancy would definitely not occur within the next 2 years, you could consider an abdominoplasty if, in fact, you are a good candidate for one. But decisions about what kind of procedure would be appropriate should be made on the basis of a personal evaluation by a qualified surgeon who is a member of the American Society for Aesthetic Plastic Surgery.