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James W. Fox, IV, M.D., FACS

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About 23 years ago, I had a tubular pregnancy that required immediate surgery leaving a long scar right at the pubic area and also very little muscle tone. No matter what my weight has been, I always seem to have a dropping belly and was wondering if liposuction of the stomach and hip area will take care of this, or will I need to have a tummy tuck, too?

A:

A ptotic or “drooping” belly will not be helped by lipoplasty (liposuction) and, in fact, may "droop" more following lipoplasty. An abdominoplasty, or "tummy tuck," with tightening of the underlying muscles and removal of the excess skin would be a better choice for you. You already have the long scar at your pubic area secondary to the tubal pregnancy operation, and the incision for the abdominoplasty procedure would be located in the same place, so I say "go for it."

Tummy Tuck

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