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Many of my BBL patients are looking for a true self-esteem boost and to tighten up their look with a waistline-transforming Tummy Tuck. The main goal of a Tummy Tuck is to remove excess, sagging skin, tighten the abdominal muscles, and take out excess abdominal fat by using liposuction. Liposuction used to be performed at the same time to remove excess fat, however, these days the new way to tighten up is by doing a Tummy Tuck before a BBL or Lipo.


Why I Prefer Tummy Tucks Before BBL


Abdominoplasty, which is most commonly known as a “Tummy Tuck,” is a great option for patients who have excess abdominal fat, loose skin, and weak abdominal muscles. Even though women most often seek Tummy Tucks after childbirth, it’s also a popular procedure for both men and women who have lost substantial weight, since loose abdominal skin cannot improve with diet and exercise.

In the last 15 years, liposuction procedures have changed and the newest protocols have advanced concerning the amount of fat that we take out. When it comes to Liposuction, we remove a lot more fat now, leaving very little fat behind in the abdominal skin. This creates more scarring, and when you have more scarring on the underside of the skin, that skin is no longer stretchy.

What used to happen when I would do Tummy Tucks after doing liposuction was that I couldn’t get the skin to move. The scarring after Lipo meant that the skin was no longer pliant. My light bulb moment was after I encountered several surgeries where I simply couldn’t do a Tummy Tuck because of the liposuction that had been done before. So my new way of doing it is by changing the order in which I do Tummy Tuck with Lipo or BBL.


How I Do Tummy Tucks

I like to do the Tummy Tuck first before Lipo to get the maximum amount of stretch and to get rid of all that old skin. When the Tummy Tuck is done first it actually prepares that patient, making them a much better candidate for a successful Liposuction.

The first thing I do is to get rid of that extra skin- therefore that skin is no longer a post Lipo issue. This has the added benefit of getting rid of a lot of the stretch marks and that terrible skin which simply is not going to re-drape after Lipo. Getting rid of the excess skin creates a nice flat abdomen, and then 6 months later I can successfully perform the liposuction. Following this protocol is the best way to do a tummy tuck and BBL or tummy tuck and liposuction

With my newest way to tighten up tummies, I can transform a patient from being somebody who ‘needs a Tummy Tuck’, into someone who is an excellent candidate for Lipo. If maintained properly with a balanced diet and regular exercise, the results from a Tummy Tuck can last a lifetime. If you’ve been thinking about tightening up with a Tummy Tuck let’s discuss your options and make the best decision for your body, shape, and peace of mind.


Dr. William Miami

Author Dr. William Miami

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