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I had a tummy tuck and liposuction in 2002, more liposuction in 2010 - why is my stomach still not flat?

Q:

I had a tummy tuck and liposuction in 2002.  In 2010, I had more liposuction and my stomach is still not flat.  Why?

A:

 Thank you for your question. Photographs would be of great assistance. Some patients have a severe anterior flexion of the spine making a completely flat abdomen very tough to achieve. Consider a consult with a member of the ASAPS in your area to address your concerns and answer your questions. They are experts in Body Contouring procedures and corrective cosmetic surgery. 

 Best,

 

Gary Culbertson, MD, FACS

A:

Your problem is not uncommon. The most frequent reason that one continues to have a prominent tummy after an abdominoplasty and liposuction is fat around the gut. This is particularly true at your age when your metabolism slows down. This accumulation pushes the skin and superficial fat out from within. Also, the same thing that causes the fat to accumulate around the gut causes the fat to reaccumulate superficially in the remaining fat cells of the abdominal wall. No surgical procedure will correct this. The only thing that will do so is a change in your eating habits. Notice I did not say diet. Diets do not work. You must gradually reduce your taste for sugar and carbs and processed or cooked vegitables.See "You on a Diet" by Drs. Rosen and Oz.

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