Do I need Liposuction or a Tummy Tuck?

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Many people have questions about liposuction and tummy tucks. They tend to be confused about the differences between these procedures and have questions about which is the best option for them. So let’s talk about these two, very different, procedures. We will review what each procedure really treats, and how to figure out which one is best for you.

What is Liposuction?

Liposuction is the removal of fat from anywhere on your body. During liposuction, a special tool called a cannula is inserted under the skin through tiny incisions and then connected to a suction pump. The suction helps to remove fat cells from under the skin in the area you are concerned about. This procedure is specific for removal of fat. It does not do anything to directly improve skin, although some skin tightening can occur naturally over several months after liposuction. The scars are small and, when done properly, are usually very well hidden. Small areas of liposuction can be performed using only local anesthesia, while larger areas will require general anesthesia. The amount of fat that can be removed in a single procedure will vary by state. We consider liposuction to be a body-shaping procedure, not a weight loss procedure.

What is a Tummy Tuck or Abdominoplasty?

A tummy tuck, or abdominoplasty, is procedure that addresses multiple aspects of the abdomen. It removes the excess skin of the abdomen and tightens the underlying abdominal muscles that have become separated from weight changes or pregnancies.  Relocation of the belly button is also a part of a tummy tuck. The belly button is brought through a new opening in the abdominal skin. Often, liposuction is performed as part of a tummy tuck to help improve the results by helping to shape the sides. Because skin is removed during a tummy tuck, there is a resulting scar. This scar can be hip-to-hip, depending on the amount of skin removed, and is placed beneath the underwear or bikini line. A tummy tuck can take 2-3 hours and requires general anesthesia administered in a properly accredited operating facility.

How to Decide if a Tummy Tuck or Liposuction is Right for You?

Deciding which procedure is right for you will depend on your specific complaints. If you are someone with tight skin but complains of excess fat, then liposuction is probably the right procedure for you. Liposuction can be performed on those specific areas that you want smaller. It is a terrific procedure for people who are in good shape and near their ideal body weight, but who have “problem areas” where there is fat that is resistant to diet and exercise. For men, these “problem areas” are commonly the chest, abdomen and flanks. For women, it is commonly the abdomen and thighs. Liposuction can be done on any other area of the body.

However, if you have hanging skin of your belly with stretch marks, then you will require removal of the skin. Also, if you have separation of your abdominal muscles, called a diasthasis, then you will require muscle tightening. Abdominal muscle separation usually occurs after pregnancy or changes in weight. Removal of the skin and tightening of the muscles can only be accomplished with a tummy tuck. Liposuction will NOT help these problems.

In general, younger patients with good skin quality, will do well with liposuction. If your skin is loose, or has a lot of stretch marks, then liposuction may actually make the appearance worse, since removing the fat will make the skin even looser.  This means that people who have had frequent or significant weight fluctuations, will usually require skin removal. If you have lost a lot of weight, then it is likely that your skin is hanging and the only way to make it better is to cut it off with a tummy tuck.  If you are a mommy and have had multiple pregnancies, it is likely that your skin has been stretched and is now loose. Also, pregnancy causes abdominal muscle separation. For these reasons, a tummy tuck is usually the solution for the typical “mommy belly”. Additionally, if you are older, your skin has likely lost some of its elastic properties and collagen. In these situations, the skin will not tighten after liposuction, and the appearance can be made worse unless the skin is removed.

If you have extra fat, then liposuction may be for you. If you have extra skin or separated abdominal muscles, you will likely need a tummy tuck.

Let Your Board Certified Plastic Surgeon Decide for You!

So, liposuction is a very different procedure than a tummy tuck. Your Board Certified Plastic Surgeon will be able to examine you and help you understand which is the better option for you. The recovery for a tummy tuck is harder and longer than liposuction, but it may be the best option for you. I would strongly recommend that if you need a tummy tuck, do not choose liposuction since it will only make your problem worse and you will need a tummy tuck even more.

Contact Schulman Plastic Surgery to Book Your Plastic Surgery Procedure.

Contact Schulman Plastic Surgery today and schedule your procedure.

10 Ways to Heal Properly after Your Procedure

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Any cosmetic surgery is a serious procedure, and even minimally invasive treatments require patients to follow a few guidelines for optimal recovery. These guidelines can help control post-surgical pain, but they also are designed to ensure that the surgery has the best possible chance of improving the appearance of the area affected by the procedure. That’s why proper healing is crucial both to your overall health and happiness and to the long-term effectiveness of your cosmetic procedure.

Here are 10 things Dr Schulman recommends to my patients to help ensure that their bodies can heal properly after cosmetic procedures.

1. Follow Doctor’s Orders

For some patients, it may seem too obvious a tip, but closely following the post-operative or post-treatment instructions your Board Certified Surgeon provides is absolutely crucial. Your doctor is the expert on your specific procedure and is the only one who can provide their unique perspective, having actually operated on your body. No website will ever know as much about your body as your doctor does. The after-care instructions you get from your doctor are meant specifically for you based on your body and the procedures you’ve undergone. It can be tough to resist, but if you have questions or concerns about those instructions, you should consult your doctor rather than relying on the internet for advice.

2. Take Relaxation Seriously

For any surgery, your activity level is likely to be severely restricted for days or even weeks. While you’ll need to limit your activity level, it’s also important to remember that relaxation extends to your mind as well. That means you should avoid unnecessary mental and emotional strain as well as taking it easy on your body. Many of my patients find it helpful to meditate each day or just to spend time in a quiet room, away from the daily hustle and bustle of their families.

3. Be Patient

The full effects of many cosmetic procedures can take as long as a year to be realized. I’ve worked with patients who find themselves disappointed when they look at their body following surgery and don’t see the jaw-dropping effects they’d hoped for. While that disappointment is understandable, it’s important to give your body plenty of time to adjust. Your body right after surgery will be swollen, and depending on the procedure, the new shape created has yet to fully take effect. For instance, if your surgery involved fat grafting, which uses liposuction to take unwanted fat from one area of the body and transplants it to another that’s lacking volume, it will take some time for the fat cells to begin thriving in their new home. It can take up to a full year after surgery to see your final results - and in some people even longer.

4. Stay Indoors When You Can

The sun has notoriously bad effects on our skin, from causing cancer to dotting the face and neck with dark spots. But direct sunlight can be even worse for those healing from surgery. UV rays can make scars appear darker and redder and this can last for months. Additionally, excessive heat can worsen inflammation, which can increase your pain level. Your skin may be numb, and you will be more likely to suffer a sunburn. If you do need to be outside for extended periods, I recommend applying sunscreen with an SPF of at least 30 directly to the scars. Remember that the UV rays are strong enough to penetrate clothing, so even if you are covered up, make sure to protect your healing scars.

5. Stop Smoking (and Don’t Vape)

Of course, nobody should smoke, but millions of Americans are smokers, and smoking is known to be an incredibly difficult habit to kick. In addition to raising your risk of cancer and heart disease, smoking can actually make your recovery from surgery much worse and more difficult. That’s because nicotine constricts blood vessels, which slows the healing process considerably and increasing your risk for wound healing issues and infection. If you think vaping is safer, think again; one Juul pod contains 20 cigarettes’ worth of nicotine. You should quit smoking for more reasons than just surgical recovery, but consider this: The investment you’re making in cosmetic surgery could well be wasted if you continue smoking after your procedure.

6. Drink Plenty of Water

Keeping well-hydrated is a crucial aspect of ensuring successful recovery from cosmetic procedures. Drinking 6-8 glasses of water per day (juice, coffee, soda, and tea don’t count) can help flush your system of potential toxins, reduce your risk of infection, and speed the healing of your surgical incisions by boosting nutrient delivery. Additionally, drinking lots of water can help prevent constipation, which is a frequent but unfortunate side effect of the pain medication you may be on. It is common after surgery to have a reduced appetite, which is even more reason to push the fluids. Electrolyte-containing drinks, such as gatorade or powerade, are helpful in keeping you well-hydrated.

7. Increase Your Protein Intake

As your body continues to recover, it will require increased amounts of nutrients to ensure proper healing. Protein is an especially helpful nutrient because it spurs production of new cells, such as collagen and blood cells, and because it can help strengthen your immune system. Your ideal intake level will depend on your body weight and level of activity approved by your Board Certified Surgeon, but men usually will need slightly less protein than women.

8. Move Your Body, but Don’t Strain Yourself

I’ve already told you to take it easy, so this could seem like contradictory advice. The fact is that some physical activity is good. Proper healing from cosmetic procedures doesn’t mean lying in one spot for weeks on end. In fact, lack of activity can increase your risk of blood clots as well as cause stiff and sore muscles. I recommend my patients move their bodies, whether by light walking or gentle stretching, at least once an hour when they’re awake. Remember to always follow post-operative instructions on strenuous activity, such as going to the gym or lifting more than 10 pounds. Try to listen the signals your body is sending; if something feels like too much of a strain, it probably is.

9. Ask for Help from Others

Most major cosmetic procedures will seriously impact your ability to meet the normal obligations of your life. This includes not being able to go to work for at least a couple of weeks after surgery, and it could even mean reducing your ability to care for your children or pets adequately for a brief period. Particularly for patients who are undergoing multiple procedures, such as a mommy makeover, or having invasive surgeries, it’s crucial to arrange help in the everyday tasks that are part of your life. Asking for help can be a challenge for most people. We all want to feel independent. Forcing yourself to return to your normal activities too soon can not only jeopardize the effectiveness of your cosmetic procedures, but it can negatively impact your overall health.

10. Keep All of Your Post-op Appointments

The more successful a patient’s recovery is, the more likely some patients are to forego follow-up appointments. After all, many people think, “I feel good, so I’m sure everything is OK”. While this is an understandable inclination, skipping your follow-up appointments means that your doctor cannot monitor your progress or check for possible signs of infection. Your doctor will only schedule follow-ups with you that are necessary, and most doctors will only release patients back to normal activities if they’ve been able to examine them in person.

Contact Us Today

Considering cosmetic surgery? Schedule a consultation with Dr. Schulman today.

Additional Resources

American Cancer Society, Ultraviolet Radiation. (2015.) Retrieved from https://www.cancer.org/cancer/cancer-causes/radiation-exposure/uv-radiation/uv-radiation-does-uv-cause-other-health-problems.html

Truth Initiative, How much nicotine is in juul? (2019.) Retrieved from https://truthinitiative.org/news/how-much-nicotine-juul

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