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Before and after abdominoplasty with liposuction in a 55 year old mother of four. Her goal was to get her formerly flat tummy back and to undo some of the unwanted changes that pregnancy had created to her belly!

An abdominoplasty removed excess lower abdominal skin and fat, repaired her rectus abdominis muscles back together in the midline, and redraped her tummy skin tightly downward. Her belly button went from a horizontal slit to a cute little “innie”! Her abdominal contour is already flat, despite residual swelling; this will only get even nicer with time as swelling continues to go away.

In my practice, liposuction is added to nearly every cosmetic procedure to optimize the final aesthetic outcome. Fat was permanently removed from upper and lower abdomen, flanks (love handles), mons pubis and upper inner thighs as part of the abdominoplasty procedure. I view the area from the base of the breasts to the upper inner thighs as an “aesthetic unit”. This entire region should be addressed as part of a tummy tuck for the very best cosmetic results!

The question I answer every single day about liposuction is “if I gain weight, will it come back somewhere else?” With liposuction, the fat that is removed will never, ever “come back”, as we are only born with a certain number of fat cells and once they are removed, they’re gone forever!

Follow up photos are shown at 3 months after surgery. She has firm and somewhat darker swelling, known as edema, in all liposuction areas. This will continue to soften over the next several months. Her incisions are pink, as expected for early on in her healing. She has started scar therapy and is thrilled with her early results! Over the next 6 to 9 months, her skin will continue to contract as swelling resolves further and her scars will fade to barely imperceptible lines.

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton