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Vaser Liposuction Procedure of Abdomen

The abdomen is the most common area of the body to be treated by liposuction among both men and women. Important factors that affect the success of abdominal liposuction include the amount and location of abdominal fat, history of weight gain and weight loss, the age and the sex of the patient.

A previous pregnancy tends to stretch the abdominal muscles, and cause the lower abdomen to bulge to a certain degree. This curvature of the abdominal wall muscles determines the flatness or the shape of the abdominal silhouette after liposuction. Nevertheless, the vast majority of women who have been pregnant are ultimately very happy with results obtained by liposuction alone and do not require an abdominoplasty (tummy tuck).

Location of abdominal fat is an important factor in predicting the success of abdominal liposuction. Abdominal fat occurs in two different levels: superficial and deep. Superficial abdominal fat is located just below the skin and above the abdominal muscles. The deep abdominal fat is located inside the abdominal cavity on the intestines. Some people have more deep (intestinal) fat than subcutaneous fat. Subcutaneous fat can be removed by liposuction. Intestinal fat cannot be removed by liposuction because it would be too dangerous. Fat on the intestines can only be diminished by weight loss through diet and exercise. Thus liposuction cannot remove all of the abdominal fat. Most patients have more subcutaneous fat than intestinal fat. Thus, most patients will see a good cosmetic improvement with abdominal liposuction.

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Results

Ultimately the patient’s opinion of the cosmetic results depends on multiple factors, including:

  1. the patient’s expectations,
  2. the patient’s preoperative cosmetic deficiencies, and
  3. the surgeon’s technical skills and technique.

The results are never completely predictable.

Upper abdomen skin may appear slightly wrinkled after liposuction. In older patients with decreased skin elasticity of the upper abdomen, there is a tendency for the skin to appear somewhat crêpé or slightly wrinkled. Interestingly, the lower abdominal skin does not seem to be susceptible to this type of post-liposuction crêpiness. Fat on the Upper Abdomen is usually less of a concern than the fat on the lower abdomen. However, if the upper abdominal fat is either not suctioned or inadequately suctioned, subsequent weight gain will enlarge the upper abdomen and give the appearance of a bulky midriff.

Prior Abdominal Liposuction

Prior abdominal liposuction often causes a certain degree of scaring or fibrosis within the remaining subcutaneous fat. Doing liposuction a second time will be more difficult because of this excessive fibrosis.

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