Some type of body contouring and liposuction are often performed together to achieve a more holistic improvement. This “combo” procedure is particularly common after massive weight loss since the patients not just have loose skin but also have highly fibrous fat, which does not respond to further weight loss.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley explains the most common body contouring procedure combined with liposuction.
- Tummy tuck surgery with liposuction
Before creating a hip-to-hip incision to remove the pannus (apron-like skin), Dr. Smiley often performs liposuction of the flanks. The idea is to remove the unwanted superficial fat (it lies beneath the skin; this is different from the intra-abdominal fat that only responds to real weight loss) so he can pull tight more skin.
By pulling more skin downward and centrally, Dr. Smiley says he can deliver a more hourglass torso, which is the quintessence of a feminine figure.
- Arm lift with liposuction
This combo procedure starts with liposuction of the entire circumference (or at least 75 percent) of the upper arm, allowing him to tighten more skin.
After removing the unwanted fat, he then creates an incision that will allow him to excise the loose skin and tighten the deeper structures as well. Meanwhile, the scar pattern will primarily depend on the extent of loose skin; for instance, massive weight loss patients will generally need to accept the appearance of a scar that extends from their armpit down towards their elbow.
The scar from arm lift surgery is typically positioned on the inner aspect of the arm, although some patients may have theirs in a more posterior location.
- Liposuction followed by buttock enhancement
Instead of the discarding the fats collected during liposuction, they are purified and injected back into the buttocks and hips; this staged surgery is colloquially known as Brazilian buttock lift or BBL.
During BBL, the flanks and lower back are typically used as a donor site because they normally carry adequate amounts of unwanted fat. Furthermore, “scooping out” this area allows the buttocks and hips to appear curvier.
- Back lift with simultaneous liposuction
Back lift typically uses incisions that are positioned where the bra strap would lie, leading to optimal scar concealment. The idea is to remove the excess skin responsible for the appearance of bulges that are seen beneath [tight] clothing.
However, a simultaneous liposuction can further “refine” the effects of back lift surgery.