Enhancing the Lipoabdominoplasty Results by Preserving Epigastric Perforators (2023)

Home Articles List Article Information

  • |
  • |
  • |
  • How to cite

    RIS EndNote BibTeX APA MLA Harvard Vancouver

  • |
  • Share
Article 5, Volume 42, Issue 2, July 2020, Page 239-244PDF (16.41 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2018.78365
Authors
Ahmed Mashali* ; SAMEH E. EL-SHAWADFY; Amgad Y. Hendy; Nader G. El-Melegy
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University
Abstract
Objectives: Abdominoplasty is one of the most common
aesthetic operations. Using selective undermining, it is possible
to preserve at least 80 percent of the blood supply in the
abdominal wall, preserving the great majority of the lymphatic
vessels, and resulting in few complications compared with
traditional abdominoplasty.
Material and Methods: In this study, lipoabdominoplasty
was performed on 10 patients from January 2015 to December
2015.
Results: The results are good and excellent, especially
regarding patient evaluation, better body contour, shorter
scars, the form of the umbilicus, and a decrease in the abdominal
measures. With a progressive adaptation of this technique,
it is possible to achieve a harmonious body contour using a
safe liposuction method on the abdominal and costal areas,
with fast recovery and good to excellent results
Main Subjects
Aesthetics
Full Text

INTRODUCTION
The abdomen plays a leading role in the aesthetic
image of the upright human body, and is of
prime importance in defining the overall contour
of the individual [1].
Despite the good results obtained with a full
abdominoplasty, significant local complication
such as: seroma, infection, hematoma, skin slough,
scar formation, dog ears, umbilical malposition,
umbilical necrosis and systemic complications
such as: Deep vein thrombosis and pulmonary
embolism [2-5].
Lipoabdominoplasty combines two traditional
techniques, abdominoplasty and liposuction. The
new and conservative concept is based on the
preservation of the abdominal perforating vessels
(subcutaneous pedicle), which are branches of the
deep epigastric vessels [6,7].
The undermining in the upper abdomen is performed
exactly between the medial borders of the
rectus muscles, corresponding to the diastasis area,
preserving around 80% of perforating arteries,
239
veins, lymphatics, and nerves, as shown by Munhoz
and colleagues [8,9].
PATIENTS AND METHODS
10 Patients suffering from excess abdominal
skin and adipose tissue with muscle diastasis (Matarasso
type III and IV) were included in the study.
Exclusion criteria:
• Unrealistic expectations, body dysmorphic disorders,
eating disorders.
• Uncontrolled chronic medical comorbidities
especially respiratory as (COPD).
• Increased intra-abdominal pressure as ascites or
organomegally.
• Abdominal wall hernias.
• Morbid obesity with BMI more than 35.
• Previous liposuction or other abdominal surgeries
rather than cesarean sections.
Operative work up:
1- Marking and photographing:
• Marking was done in standing position with
relaxed skin tension.
• In this position, retraction of the skin demonstrated
the amount of skin to be removed.
• The midline from the xiphoid process to the Mons
pubis will be marked on the patient.
• Marking is done by drawing a 12-cm horizontal
suprapubic line that is 6 to 7cm from the vulvar
commissure, Two oblique lines of 8cm each are
drawn in the direction of the iliac crest, completing
the inferior incision line, or as a standard
abdominoplasty according to amount of skin
redundancy and to avoid post operative dog ears,
We try to incorporate the removal of any old
scars, such as cesarean sections, in our excision.
The upward pull helps to avoid a scar that is too
high by accounting for eventual upward scar
contraction or migration, the abdominal flap and
the liposuction areas are marked, including the
dorsal region, when necessary. For better orientation
at the beginning of tunnel undermining,
the diastasis area is previously marked.
• Finally, photographing of the marking for complete
evaluation of the technique.
Operative technique:
The abdomen up to the mid-chest and down to
the groins was prepared and draped.
Infiltration:
Following disinfection and sterile draping, Stab
incisions were made in the infraumbilical skin for
tumescent solution injection and subsequent liposuction.
The tumescent technique is used by infiltrating
the abdominal region with a 50ml of 1% lidocaine
and 1ml of 1:1000 epinephrine per liter of saline
or lactated ringer, were infused to attain adequate
skin turgor (super-wet technique).
Upper abdomen liposuction:
Liposuction was performed in all areas of the
abdomen and flanks “including the epigastric area”
until adequate contouring is achieved.
The patient is placed in a hyperextended position
on the surgical table so that liposuction can
be performed safely. Liposuction begins on the
supraumbilical region with 4-mm cannulas, removing
the fat of the deep and superficial layers,
extending to the flank as far as the submammary
fold. As in classical liposuction, the fat thickness
is maintained to about 2.5cm to avoid vascular
impairment and contour deformities.
Lower abdomen liposuction:
The superficial fat layer and part of the deep
layer need to be aspirated in the lower abdomen
using a 4-mm cannula. After evaluation of the flap
mobility and descent. If necessary, complementary
open liposuction is performed to remove fat above
and below Scarpa fascia and to create a homogeneous
surface to accommodate the superior flap,
which becomes thinner in its descent.
The volume of tumescent fluid injected and the
volume of the aspirate were recorded for each case.
Abdominoplasty:
Following the individually marked incision
line, a sharp incision was done as far as the Scarpa's
fascia.
240 Vol. 42, No. 2 / Enhancing the Lipoabdominoplasty Results by Preserving Epigastric Perforators
The scalpel was introduced at an angle of 30º
to bring the resection edges together later without
the formation of cavities below and depressions
above.
After identification of the abdominal fascia,
the flap was dissected cranially along the selected
fascia.
The abdominal flap was dissected in two different
planes; pre-superficial fascia (pre-Scarpa's
fascia) in infra-umbilical region except central area
needed for plication of muscle sheeth and preaponeurotic
(pre-muscular) in the supra-umbilical
region.
Umbilical incision and complete mobilization
of the umbilical stalk:
A circular incision was done around the umbilicus.
The dermo-fat flap was then mobilized away
from the umbilicus with ensuring that the umbilical
stalk would be sufficiently thick and that a wide
base would be created during the dissection to
prevent later perfusion disorders of the umbilicus.
Supra-umbilical dissection:
The dermo-fat flap will be then incised longitudinally
in the median line from the edge of the
wound to the umbilicus to facilitate further cranial
dissection as far as the xiphoid process.
Selective undermining:
Selective undermining is performed in the midline
of the upper abdomen, between the medial
edges of the rectus abdominal muscles. Tunnel
undermining may reach the xiphoid, depending on
the need for rectus muscle plication. The tunnel
width may vary with the distance of diastasis,
Discontinuous undermining performed using the
liposuction cannula facilitates the descent of the
flap.
Rectus sheath plication:
Once the dissection is complete and after meticulous
hemostasis, plication of the aponeurosis
longitudinally was carried out with continuous
non-absorbable thread (Polypropylene® 0).
Defining the resection boundaries with upper
body flexed to 30°:
The entire dermo-fat flap was then pulled down
under traction with the upper body flexed 30º to
define the boundaries for later resection.
Umbilical transposition:
The umbilicus was then positioned outwardly
and fits into the correct new position in the external
cutaneous incision without tension.
Egypt, J. Plast. Reconstr. Surg., July 2018 241
Resection of the skin was performed with regular
checks on the tension of the remaining skin.
Skin closure in layers:
The wound was then closed in three planes, the
first being Scarpa's fascia with absorbable thread
(vicryl® 2-0) in separate stitches, the second being
the subdermal plane with absorbable thread
(vicryl®3-0) in continuous stitches, and the third
being the intradermal plane with continuous absorbable
thread (prolene® 4-0).
The wound was then covered by placing a
simple sterile dressing over the scar. Compressive
garment (Elastoplast® or abdominal wall binder)
was then used.
The duration of the whole procedure and of its
various steps was recorded.
Photographing the abdomen post operatively.
RESULTS
Assessment of aesthetic results:
A scoring system in which outcomes were rated
as excellent (0-2 points), good (3-5 points), fair
(6-8 points), or bad (9-11 points) using a cumulative
score of 0 to 11 points for nine variables, five
variables for abdominal contour and four factors
for umbilical contour. Each rated from 0 to 1 point
except two of them rated from 0 to 2 points.
The results of the present study demonstrated
that there were highly significant increase in aesthetic
results (which mean decrease in total score)
by increase Liposuction amount and decrease BMI
and Flap thickness. Also, there were significant
improvement of patients' waist (represented by
increased waist circumference reduction after lipoabdominoplasty)
and this correlate significantly
with aesthetic results (which mean decrease in
total score).
Fig. (1): Infiltration of tumescent fluid. Fig. (2): The abdominal flap dissection preserving scarpa
fascia.
Fig. (3): Tunnel undermining for perforating vessels preservation.
Fig. (4): Early post operative.
242 Vol. 42, No. 2 / Enhancing the Lipoabdominoplasty Results by Preserving Epigastric Perforators
Fig. (6): The patient has significant flank and anterior abdominal adiposity and upper abdominal rectus
diastasis she had a lipoabdominoplasty (a) Preoperative. (b) seven Months postoperative showing
improvement of waist definition, and a well-positioned umbilicus, the abdominal contour is
improved, epigastric bulging was corrected.
Fig. (5): The patient has significant flank and anterior abdominal adiposity, redundant lower abdominal
wall and upper abdominal rectus diastasis she had a lipoabdominoplasty (a) Preoperative. (b)
Three Months postoperative showing improvement of waist definition, a well-positioned umbilicus,
the abdominal contour is improved, epigastric bulging was corrected.
Table (1): Abdominal contour results.
1- The overall abdominal
contour:
Flat
Bulge
2- Flanks:
Well defined
Ill defined
3- A midline depression
from the xiphoid to
the umbilicus:
Well defined
Ill defined
4- Periumbilical contour:
Gentle concavity
Flat
Mild bulge
5- Thickness of subcutaneous
fat above and below
the scar:
Gentle transition
(no step deformity)
Step deformity
Total
Parameter
01
01
01
012
0
1
0-6
Score
50
50
40
60
10
90
10
90
0
90
10
Percentage
%
55
46
19
19
None
9
1
Number
of cases
I- The abdominal contour
Table (2): Umbilicus results.
Site:
Midline
Lateral to midline
At level of superior
iliac crests
Below or above
Shape:
Inverted
Flat
Everted
Size:
1.5-2 centimeters in
diameters
More or less
Total
Parameter
010
1
012
0
1
0-5
Score
100
0
100
0
10
90
0
100
0
Percentage
%
10
0
10
0
190
10
0
Number
of patients
II- Umbilicus
Table (3): Percentage of results.
Excellent
Good
Total
Interpretation of
aesthetic results
46
10
N
40
60
100
Percentage
%
Egypt, J. Plast. Reconstr. Surg., July 2018 243
DISCUSSION AND CONCLUSION
In conclusion, combining abdominoplasty and
abdominal liposuction is a safe procedure that
achieves gratifying results. It promotes a more
youthful abdominal silhouette, better matching
between the abdominal flap and the pubis, and a
shorter scar. We believe that it is a safer way to
treat the abdominal region than classical abdominoplasty
and has a fewer complications.
We emphasize that the foundation for this success
is central and limited undermining of the flap,
which enables preservation of the important flap
blood vessels and reduce the dead space this is
agreed by Antonetti JW, Antonetti A. and Saldanha
[10,11] who stated that liposuction of the anterior
abdominal wall is safe when combined with limited
dissection, in addition to obtaining a more harmonious
and aesthetic abdominal profile by sculpturing
the subcutaneous abdominal fat by liposuction.
As regarding the measurements for marking,
in the contrary of Saldanha et al., [12] we stress
that it should be personalized for each patient to
exclude dog ear deformity and maximize aesthetic
results.

Statistics

Article View: 134

PDF Download: 345

FAQs

What are the results of lipoabdominoplasty? ›

A Lipoabdominoplasty can:

Firm and flatten the midsection after weight loss or pregnancy. Restore the position of torn or sagging abdominal muscles. Tighten and smooth loose abdominal skin. Remove lower-abdominal fatty deposits.

What is the difference between abdominoplasty and Lipoabdominoplasty? ›

While lipo only removes excess fat, a tummy tuck reconstructs the muscles of the abdomen and removes excess skin.

What is a lipo abdominoplasty? ›

A lipoabdominoplasty is a procedure to make your abdomen look fitter and better defined. In this procedure, excess fat is removed from the middle and lower abdomen to show off the definition and tone of the abdominal muscles. The muscles themselves are tightened, creating a stronger abdominal wall.

What supplies blood to the abdominal wall for abdominoplasty? ›

Its blood supply comes from both the perforating vessels and subdermal plexus, which keep it intact, especially in lipoabdominoplasty. The superficial vascularization system is usually not impaired during flap displacement1. Skin vascularization depends on the subdermal plexus of the superficial fat layer.

Can your stomach get big again after a tummy tuck? ›

Because a tummy tuck is a more extensive surgery, patients need around 10 to 14 days to recover. The results are long-lasting, and the removed fat cells won't grow back—but remaining fat cells may expand and the skin may re-stretch if you gain a large amount of weight.

Can your stomach get smaller after a tummy tuck? ›

Size Changes You Can Expect

This tummy tummy tuck cost is highly successful and does result in the removal of roughly 10 pounds of fat as well as inches from your abdominal area. You will be able to visibly see your weight drop as your body becomes slimmer and more streamlined.

How much weight can be removed by abdominoplasty? ›

A tummy tuck can result in a weight loss of approximately four pounds. If you opt for a mini truck, you can expect to lose around three pounds of excess skin and fat. If you opt for an extended tuck, you can expect to lose around five pounds of excess skin and fat.

What is the best tummy tuck procedure? ›

Extended Tummy Tuck

This is considered the best type of tummy tuck for patients who have lost a considerable amount of weight and are looking to refine their body contours. The surgery involves a longer incision as the scope is larger, but recovery times tend to stay the same as a traditional abdominoplasty.

How much weight do you lose with tummy tuck and lipo? ›

This safe, effective tummy tuck procedure can result in a weight loss ranging from two to 10 pounds depending on the scope. With liposuction, you may be able to lose closer to 15 pounds of excess fat and skin.

What are the benefits of lipoabdominoplasty? ›

Bulan may recommend lipoabdominoplasty. For certain patients, this procedure allows both the removal of substantial volumes of fat and the reconstruction of the abdominal wall and “tucking” of the skin. In this sense it allows the surgeon more flexibility in shaping the abdomen and surrounding areas.

How long is recovery from lipo tummy tuck? ›

Most patients return to work after a tummy tuck within 7-10 days and resume strenuous exercise in about 4-6 weeks. By 3 to 6 months post-op, most patients are enjoying their permanent results.

How painful is a tummy tuck with lipo? ›

There will be some discomfort after a tummy tuck, with the worst discomfort experienced within the first week. On a scale of 1 – 10, pain is often estimated at around a 6-7 for the the first few days to a week, reducing to around a 3 – 4 in the second week. This would, of course, depend on the individual.

What shots prevent blood clots after tummy tuck? ›

If you are having tightening of the abdominal muscles you are required to use Lovenox for one week after surgery. This is a blood thinner injection that will prevent blood clots and pulmonary emboli. This can be injected by you or a caregiver at home.

Are muscles cut during abdominoplasty? ›

Muscle repair is often performed during a tummy tuck procedure and is considered by many to be an integral part of the surgery. If the abdominal muscles are stretched out or torn, the newly tightened skin will not lay as nicely over them.

What I wish I knew before getting a tummy tuck? ›

Five things to consider before getting a tummy tuck
  • A tummy tuck requires significant downtime. ...
  • Expect to be at a stable weight before your tummy tuck. ...
  • A tummy tuck will leave a permanent scar. ...
  • Surgical drains will be in place for the first week or two. ...
  • Full healing can take up to a year.
Feb 23, 2018

Do they remove back fat during a tummy tuck? ›

For many men and women, no amount of dieting or exercise will result in a significant fat reduction in the lower back. For these patients, celebrity tummy tuck surgery may be a fantastic solution to remove fat from the lower back.

Can I flatten my stomach more after a tummy tuck? ›

Even though loose skin and subcutaneous fat are removed, abdominoplasty cannot remove excess visceral fat that remains intact behind tightened abdominal muscles. Visceral fat surrounds your organs and can only be reduced by diet and exercise.

What happens if you lose 20 pounds after tummy tuck? ›

Weight Loss After a Tummy Tuck

For example, if someone who has had a tummy tuck loses ten, twenty, or even thirty pounds after their procedure, their skin may shrink nicely enough to maintain their tummy tuck results.

Why is my stomach not flat after abdominoplasty? ›

Sometimes people do not have a totally flat abdomen after tummy tuck even though the excess skin and fat is removed due to the fact that the intra-abdominal contents still remain intact and are still behind the tightened abdominal muscles.

Does your waist size change after a tummy tuck? ›

How does a tummy tuck affect my waistline? A properly performed tummy tuck can reduce your waist size and help you feel confident about your curves again. Some patients may lose many inches off their waist, while others will see more subtle results. It all depends on how much tissue can be removed safely.

How many sizes dropped after tummy tuck? ›

Full tummy tucks help patients lose clothing sizes and inches in their midsection, but weight loss is usually not more than a few pounds. The average woman can expect to lose two to three dress sizes after a tummy tuck, while men can expect to drop several pant sizes.

When can you lift 20 lbs after tummy tuck? ›

CrossFit training and other weightlifting that relies mostly on abdominal muscles should be avoided for at least 6 weeks after a tummy tuck. Patients can resume workouts focused on the arms, but with lighter weights than they're accustomed to because heavier weights can still engage abdominal muscles.

Can you get a tummy tuck at 220 pounds? ›

While there are no standard weight requirements for a tummy tuck, there are some guidelines most cosmetic surgeons follow. If your BMI is not over 35 and you are within about 30% of your ideal weight and in overall good health, you should be a viable candidate for plus-size tummy tuck surgery.

What is the BMI limit for tummy tuck? ›

But why is this so important? In order to get the best results from a tummy tuck procedure, you need to be your ideal weight and BMI. A BMI that is less than 30 is considered to be ideal for a tummy tuck procedure. Of course, you can still have the surgery even if you're overweight and still get good results.

What is the best age for a tummy tuck? ›

Most women who choose this procedure are in their late 30s, early 40s, or beyond. However, when it comes to your age, as long as you are committed to maintaining results, don't plan on getting pregnant again, and are in good health, any age is the right age.

How do you get rid of upper belly bulge after tummy tuck? ›

Liposuction to Contour the Upper Abdomen

As a result, some patients still have upper abdominal fullness following surgery. This area of concern can be addressed with liposuction three to six months after the tummy tuck procedure.

What is the newest tummy tuck method? ›

The Hybrid Tummy Tuck® is a short incision procedure that tightens the entire abdominal fascia. Hybrid differs from a traditional tummy tuck in that the incision is very short. It is approximately the same as for a C-section rather than a hip-to-hip incision.

How many pant sizes do you lose with a tummy tuck and liposuction? ›

You can generally expect to lose between two and three pants sizes following abdominoplasty. However, if you have a great deal of excess skin and you combine this procedure with liposuction, you may be able to lose four or more pants sizes.

What is the ideal BMI for liposuction? ›

But generally, a BMI under 30 is good news. In addition, it is especially well suited for minimally-invasive procedures such as liposuction and skin tightening. With your BMI, you are likely to see good results from both procedures.

Is it OK to lose 30 pounds after a tummy tuck? ›

You may have 10 to 30 pounds of excess fat to lose after your abdominoplasty.

Why do I have a belly after tummy tuck? ›

The surgeon tightened the muscles optimally, but you were too active after surgery and stretched the muscles during repair, which resulted in the protrusion. Lie flat on your back. If the stomach is flat, re-tightening of the muscle surgically will help. If the stomach is protruding, you need to lose weight.

What does botched lipo look like? ›

What Do Botched Results Look Like? Liposuction is designed to provide you with a more attractive body shape, but it will produce the exact opposite if done incorrectly. Patients can end up with ripples in the skin, sagging, dimples, and uneven hollow spaces on the surfaces.

Why do you need compression after tummy tuck? ›

Helps reduce swelling.

Compression garments can help alleviate swelling by applying appropriate pressure to the affected area by redistributing fluids. The pressure exerted by these garments helps compress lumps and bumps that appear following Tummy Tucks.

How long should you sleep in a recliner after a tummy tuck? ›

Dr. Sajjadian recommends you sleep in a reclined position for three to four weeks after surgery, depending on the level of correction performed. Traditional tummy tucks with incisions running the length of your pelvis may require up to four weeks of sleeping in a recliner to enhance healing during recovery.

When will my stomach look normal after tummy tuck? ›

Abdominoplasty, or tummy tuck, surgically rejuvenates the lower body by removing excess fat and skin while repairing stretched or torn stomach muscles. Tummy tuck recovery is approximately three months long. While post-op swelling may last several weeks, a tummy tuck generally takes six weeks to heal and look normal.

How bad is the pain after a tummy tuck? ›

In general, pain is mild to moderate after a tummy tuck. Rarely, pain or sensory abnormalities can persist for months or even years after the procedure. If your pain is severe or persistent, you should tell your healthcare provider.

Can I push to poop after tummy tuck? ›

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day.

Is it easier to lose weight after a tummy tuck and lipo? ›

Whilst the removal of this can result in some loss of body mass, a tummy tuck is not a weight loss solution. In fact, removing excess skin can make it easier for patients to shed pounds and contour their bodies post-surgery.

What are the worst days after a tummy tuck? ›

The worst days after your tummy tuck will be the first one to three days. You may experience some discomfort, bloating, pressure, and swelling, but these symptoms are normal and will resolve themselves.

What shot do they give you for pain after tummy tuck? ›

Exparel (liposomal marcaine) is a long-acting anesthetic that is injected at the time of surgery to help with postoperative pain control. We use it at InsideLookMD in Downers Grove, IL in our JCAHO-accredited facility for patients having a tummy tuck or any type of breast surgery.

What percentage of people get blood clots after tummy tuck? ›

While the chance of developing DVT is extremely low (about 1%) for the average tummy tuck candidate, the risk may increase for patients who are: Over the age of 40. Regularly using tobacco products. Using an oral contraceptive.

Should you take blood thinners after tummy tuck? ›

Cooper prescribes Lovenox (a blood thinner) for all of his tummy tuck patients. Patients take this after their operation to prevent blood clots in the legs. Walking around, which you will be doing as soon as you get home from your operation, also prevents blood clots in the legs.

Why am I gaining weight after tummy tuck? ›

During body contouring procedures like a tummy tuck, fat cells are eliminated from the body and cannot return. Because of this, patients may gain weight in other places like the buttocks, legs, arms, and breasts.

Can I sleep on my side 5 weeks after tummy tuck? ›

The reason why you can't sleep on your side after a tummy tuck is that it creates too much tension in the surgical area and can be painful. Sleeping on your side after 3 or 5 weeks after the tummy tuck is even better. In addition to sleeping in the right position, it is also important to ensure a comfortable recovery.

Why do I cough after tummy tuck? ›

Prolonged or repeated coughing or sneezing fits can be particularly problematic for patients who have just undergone a tummy tuck (abdominoplasty) cosmetic surgical procedure, as their abdominal muscles are in the process of healing.

How long do you walk hunched over after tummy tuck? ›

How long do you walk hunched over after a tummy tuck? You will need to walk hunched over or bent at the waist for about a week. This helps prevent additional pressure on your incision lines.

What hurts more tummy tuck or C-section? ›

Whether you're contemplating a Mommy Makeover package or just want to undergo a tummy tuck, you'll be relieved to know that any pain from this cosmetic procedure is far less than that experienced after a C-section. *Individual Results May Vary.

Why cant you wear jeans after a tummy tuck? ›

Tummy tuck is a surgery that involves having your stomach opened and stitched up, which wounds your lower abdomen and causes pain when stressed. Wearing tight jeans after a tummy tuck will inflict pain and cause inflammation of the operated area.

How much weight is lost with abdominoplasty? ›

A tummy tuck can result in a weight loss of approximately four pounds. If you opt for a mini truck, you can expect to lose around three pounds of excess skin and fat. If you opt for an extended tuck, you can expect to lose around five pounds of excess skin and fat.

How many sizes do you lose with a tummy tuck and liposuction? ›

You can generally expect to lose between two and three pants sizes following abdominoplasty. However, if you have a great deal of excess skin and you combine this procedure with liposuction, you may be able to lose four or more pants sizes.

How long does it take to see the results from liposuction in a tummy tuck? ›

Skin contraction

The amount of time it takes for the swelling to subside and skin to retract varies by patient. Some patients are able to see their final results three to six months after surgery; others observe the results continuing to improve for a year.

How many sizes do you get after a tummy tuck? ›

Full tummy tucks help patients lose clothing sizes and inches in their midsection, but weight loss is usually not more than a few pounds. The average woman can expect to lose two to three dress sizes after a tummy tuck, while men can expect to drop several pant sizes.

Why is my stomach flabby after tummy tuck? ›

Additionally, the skin, muscles, and fat of the abdomen were all repaired or altered during the procedure. These structures need time to heal and settle into their new positions. This causes inflammation, swelling, and other temporary side effects that can contribute to the look of the stomach.

Can you still be fat after a tummy tuck? ›

Where do patients gain weight after a tummy tuck? During body contouring procedures like a tummy tuck, fat cells are eliminated from the body and cannot return. Because of this, patients may gain weight in other places like the buttocks, legs, arms, and breasts.

How many inches off your waist do you get from liposuction? ›

How Many Inches Can I Lose After This Procedure? You can expect to lose a couple of inches from your waist after this procedure. A good rule of thumb is you can expect to lose around an inch for every five pounds of fat lost.

Why is my stomach not flat after tummy tuck and lipo? ›

Sometimes people do not have a totally flat abdomen after tummy tuck even though the excess skin and fat is removed due to the fact that the intra-abdominal contents still remain intact and are still behind the tightened abdominal muscles.

How many lymphatic massages after lipo? ›

How many Lymphatic Massages will I need after Liposuction? The answer depends on the extent of your liposuction, and the location. Most physicians will recommend a series of 2-3 sessions. Most people will start with 10-12 sessions and then re-evaluate.

What is the ideal weight for a tummy tuck? ›

They have different shapes and sizes with different reasons for wanting the procedure. You must be close to your desired weight for six to twelve months before undergoing a tummy tuck. Most surgeons will recommend patients should be between 10-15 pounds from their goal weight.

How much do you have to weigh for a plus size tummy tuck? ›

What is a tummy tuck plus size? This is a plus size plastic surgery procedure that is combined with liposuction and designed to flatten, tighten, and reshape the tummy as well as the waist for high BMI individuals who are overweight from 150lbs to 200lbs.

Videos

1. DIEP Flap Breast Reconstruction | PRMA Plastic Surgery
(PRMA Plastic Surgery | Center For Advanced Breast Reconstruction)
2. Abdominal Perforator Exchange Flap: #PRSJournalClub Podcast April 2019
(PRSJournal)
3. Breast Reconstruction Presentation | Park Meadows Cosmetic Surgery
(Park Meadows Cosmetic Surgery)
4. Surgical Delay for Extending DIEP Flap Breast Reconstruction | Joshua L. Levine, MD, FACS
(The Breast Reconstruction Channel)
5. Component Seperation Technique.JST-SS, Jaipur Surgical Tutorials - Super Speciality
(Gastro University)
6. Facebook Live Q&A with Dr. Gassman on Body Contouring after DIEP Flap | PRMA Plastic Surgery
(PRMA Plastic Surgery | Center For Advanced Breast Reconstruction)

References

Top Articles
Latest Posts
Article information

Author: Lilliana Bartoletti

Last Updated: 07/09/2023

Views: 5836

Rating: 4.2 / 5 (73 voted)

Reviews: 88% of readers found this page helpful

Author information

Name: Lilliana Bartoletti

Birthday: 1999-11-18

Address: 58866 Tricia Spurs, North Melvinberg, HI 91346-3774

Phone: +50616620367928

Job: Real-Estate Liaison

Hobby: Graffiti, Astronomy, Handball, Magic, Origami, Fashion, Foreign language learning

Introduction: My name is Lilliana Bartoletti, I am a adventurous, pleasant, shiny, beautiful, handsome, zealous, tasty person who loves writing and wants to share my knowledge and understanding with you.