The resulting flowing curve is beautiful. There is a very deep pocket of fat just above the buttocks that when liposuctioned aggressively causes a very elegant transition from the lower back to the buttock. Liposuction of the back can hurt when it’s done aggressively. So, additional surgical locations lead to longer recovery. Or you can paint the entire room to get the best result. ![]() If you paint one wall, it will look similar at best to the other walls. To get a complete result, one should treat the entire cylinder if indicated. The torso (chest, tummy, and backside) is a cylinder. This is one way to tell that a patient had a tummy tuck. What you may not fully notice is that while her tummy may be flawless, her back may have some fat and flab. But something still looks a little off to you. You may notice a great tummy that is thin, tight, and flat. Go to the pool or beach, and look at a lady in a bathing suit. Again, the more aggressive the muscle tightening, the more pain and spasms, and the longer the recovery.Ī tummy tuck with liposuction is just a tummy tuck with liposuction, except when it isn’t (that was profound, wasn’t it?). Many surgeons bring your tummy muscles together so they are simply touching (anatomically where they should be), some other surgeons do a very aggressive muscle tightening where the sutures are placed very widely, and when the sutures are brought together and tightened, it folds the muscles on themselves and pulls in the waistline dramatically to give an hourglass appearance. You can also get muscle spasms when you do a muscle tightening which are painful. Adding a small amount of muscle tightening creates more pain due stitches placed in the muscle and its covering (the fascia), and the nerves in the area get ticked off and let you know it. Simply removing abdominal skin without doing any muscle tightening is uncomfortable but not really painful for many. And more aggressive liposuction, with the metal suction cannula coursing directly underneath the skin and on top of the muscle covering (the fascia), leads to more discomfort and more recovery time.Īlso with aggressiveness, the amount of muscle tightening (plication) can lead to differences in discomfort and recovery lengths. To get that dramatic, jaw dropping result, one typically needs to be more aggressive. Patients that had “liposuction to my tummy where it felt like a truck hit me, backed over me, and hit me again” have outstanding results that are sometimes difficult to believe, and are ecstatic. In my experience, patients that had “liposuction to my tummy and it wasn’t that bad” have good results and are pleased. But to get all of your fat removed and achieve a dramatic result, one often needs to be aggressive. Liposuction hurts when performed aggressively. In terms of the aggressiveness of the surgery, this is probably the biggest component that determines recovery. Using conscious sedation (comfortable, but not fully asleep) will often lead to a faster recovery than general anesthesia (fully asleep) based on the amount and types of medications used. The type of anesthesia used also plays a role in recovery in terms of how quickly feel “like themselves” after surgery. pelvis all the way up to the ribs) will usually cause more discomfort, and therefore a longer recovery. A longer incision, or a longer distance of muscle tightening (pelvis to the belly button vs. Skin incisions are different lengths and the length of muscle tightening can differ. In terms of magnitude, there are several different tummy tuck techniques. Now, a plastic surgeon can perform aggressive liposuction combined with an abdominoplasty to provide a very dramatic result. Over time, pioneering plastic surgeons began to challenge this thinking, and recognized that, when done properly, liposuction preserves these blood vessels to the skin. The theory was that the remaining abdominal skin was being supplied by blood vessels that could be damaged during liposuction, and damaged blood vessels could lead to poor blood flow in the skin, and therefore the tummy skin could die (not a good outcome). ![]() For a period of time, it was believed by many that combining liposuction with an abdominoplasty (tummy tuck) was dangerous. ![]() Recovery depends on the magnitude of the surgery, the aggressiveness of the surgery, the areas operated on, and things your surgeon can do to minimize discomfort afterwards.įirst, a brief history. ![]() In short, the honest answer is: it depends. I’m happy to say that I can answer that Google query.
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