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Liposuction Vs. Abdominoplasty

 

LIPOSUCTION   VS.   ABDOMINOPLASTY

People and physicians alike have difficulty deciding if liposuction or abdominoplasty is the best procedure when both fat and excess skin coexist.  Generally speaking, liposuction is best when we need to remove a fair amount of fatty tissue from areas where it has accumulated over time.  This would be the upper and lower abdomen, waist area, hips, upper buttocks, etc.   On the other hand, abdominoplasty is used typically when we have an apron in the lower portion of the abdomen and/or loose skin without a lot of fatty tissue in the abdominal area, whether it’s above or below the umbilicus.  Abdominoplasty is most frequently needed after pregnancy where the white tissue that covers muscles (fascia) has stretched out and relaxed.  This allows the abdomen to bulge and so the chief complaint is that of an abdominal “pooch” or loose skin, whether it is an abdominal apron or relaxed wrinkled skin over the abdominal area.

The difficult decision, however, comes when we have someone who has both loose abdominal fascia, wrinkled skin and also an excess accumulation of fatty tissue in the hips, upper buttocks, waist, upper back, and upper and lower abdomen.  In these instances, many times both of the procedures are necessary; HOWEVER, they cannot be carried out during the same surgical setting since extensive liposuction would create injury to the blood vessels that are necessary to keep the abdominal flap (that is, the anterior skin covering the abdomen that is going to be stretched from the umbilicus to the pubic area) in good nourishment.  In such an instance, the best solution is to carry out an abdominoplasty or liposuction first as a staged procedure and later coming back and doing secondarily whatever is necessary.  While this is in many instances the best avenue, it is also costlier and for this reason we tend to avoid it.  Typically, if this is necessary, it would best to carryout the liposuction first since in some instances liposuction will tend to solve both problems.

In our consultations for liposuction and abdominoplasty in Champaign-Urbana or Bloomington-Normal area offices, we do a very complete evaluation of the best procedure on an individual basis, keeping in mind that while to solve most problems both procedures would be necessary, in many instances proper evaluation will yield a good result with only one procedure as long as the right one is used to solve the primary problem, whether it be excess tissue or excess fat.

Dr. G.D. Castillo, Illinois Cosmetic Surgeon

G. D. Castillo, MD, FACS

Cosmetic Plastic Surgery, Skin

Rejuvenation & Laser Institute

Become a Facebook Fan of CPS @  http://www.facebook.com/pages/Cosmetic-Plastic-Surgery/65943304419

https://www.cosmeticplasticsurgery.com

800-252-7123 (within IL)   217-359-7508 Savoy (Champaign-Urbana)

309-662-0436 Bloomington

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