Q & A: Tummy Tucks and Liposuction

Q: I’m totally confused after two consultations for the Tummy Tuck procedure: one physician suggested liposuction during the procedure and the other said this can cause problems. Also, will I need a vertical scar during the procedure? 

A: Regarding Liposuction with the Tummy Tuck:

  • Many feel that liposuction in the upper abdominal area during a tummy tuck can cause poor healing issues above the pubic area.
  • Many physicians are willing to do some limited liposuction in the upper abdominal area in a healthy non-smoking patient.
  • I prefer limited liposuction above and more aggressive fat removal at the waist with the possibility of a small in office liposuction procedure done down the road if necessary.

Regarding the need of a vertical scar from the umbilicus to the pubic area:

  • In the vast majority of patients I feel a vertical scar is not necessary. 
  • The patient that may benefit is one that has lost a considerable amount of weight and has skin laxity from top to bottom as well as side to side. 

For more information, please visit my websites: www.ruckermd.com and www.enza.com. Feel free to leave comments and questions below.

11 replies

  1. I guess the major difference between tummy tuck and liposuction is the are of concern.

    Liposuction is usually indicated for those problem areas that are hard to reach, such as the lower abdomen, hips, thighs and even your knees. However, this is not advisable if you are overweight, because the removal of excess fats can leave you with pouches of skin. Also removing too much can pose serious risks.

  2. Sometimes, it’s just as simple as taking things one at a time. You should let your body rest first before proceeding to another treatment. Tummy tuck is concentrated on the midsection of the body and involves a certain amount of surgical procedure. While, liposuction can be done not just in the stomach area, but on the chest, back, buttocks and flanks as well.

    Terry Bayer

  3. You’re right, Terry. It would really be best to take treatments one at a time. Also, have an extensive consultation session with your chosen surgeon to know whether which treatment would be better done first. And then, you might even find out that one is enough, which can even enable you to save on expenses.

    Katie Hallison

  4. Tummy tuck procedure can extensively remove stretch marks by removing the excess loose abdominal skin that were stretched out during pregnancy; which is why surgeons recommend this procedure to patients who have had children.

  5. The question “How much does a Tummy tuck cost?” will be answered differently by different surgeons practicing in different locations. To a large extent, geography determines the practice’s clientele, the competitiveness of the local market, and the overhead costs for operating the practice.

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