Thinking about liposuction . i have to c sections i've tried everything to loss that pouch. is my next step liposuction?

The : The treatment for you pouch depends on the cause. If the pouch is caused by disproportionate fat, liposuction can help. If the pouch is caused by a depressed scar, scar revision will be more effective. If the pouch is caused by loose skin or muscle, a tummy tuck will give you the best results. The most reliable way to have your questioned answered is to see a board certified plastic surgeon in your area. Best of luck to you.

I : I agree with the answers of the physicians who have previously responded to this question. Pregnancy causes stretching of the abdominal wall and overlying skin and soft tissue, and the standard c-section incision may act to accentuate these changes. The scar tends to be tightly adherent to the abdominal wall, so any loose tissue above the scar can tend to hang over the scar and create a loose, hanging appearance. If your main problem is simply fat deposition, liposuction may help de-emphasize this appearance. For most women, however, the problem is loose, stretched skin and abdominal wall, and some type of abdominoplasty procedure is the most appropriate solution. Some women may be candidates for the "mini tummy tuck" procedure, which removes the c-section scar and the loose tissue below the belly button, tightens the abdominal wall muscles below the belly button, and redrapes the tissue to create a tighter, more tight and flat appearing lower abdomen. If there is significant looseness of the abdominal tissues and abdominal muscles above the belly button as well, the standard tummy tuck procedure would be the best solution. This procedure tightens the entire abdominal wall and removes a much greater amount of loose, redundant tissue and skin, which creates a tight, flat appearance of the entire abdomen. Your board certified plastic surgeon will be able to answer which would be the best procedure for you. All the best, dr. Skourtis.

Lipo : Lipo may be the answer.It depends on what is the cause of the bulge.I would suspect that it is due to a weakness in your abdominal wall from the c-sections and the pregnancies.If that is the case a tummy tuck with tightening of the abdominal wall would be the way to go.

With : With pregnancy both the abdominal wall tissues and skin stretch resulting in some degree of looseness that remains afterwards. In addition there can be fat redistribution resulting in troublesome fat deposits. The "pouch" that you describe is not unusual. If it does not respond to weight loss and exercise, liposuction alone may be effective, however if the tissues and skin are excessively loose, then some type of abdominoplasty ("tummy tuck") may be indicated. You should consult with a plastic surgeon to determine which option is best for you.

The : 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, and your age. The pfannenstiel incision is the name for the incision across the lower abdomen that is typically made for cesarian sections, or a hysterectomy. A common but undesirable consequence of a pfannenstiel incision is a persistent bulge of subcutaneous fat just above the incision. Liposuction can easily repair this annoying deformity. Prior obesity and subsequent weight loss produce fat that is more fibrous. This makes liposuction more difficult. 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. The success of the surgery is determined by the degree of your happiness with the results. Ultimately your opinion of the cosmetic results depends on multiple factors, including 1) your expectations (which should be be spoken thoroughly about with the surgeon prior to surgery, 2) your preoperative cosmetic complaints, and 3) the surgeon's technical skills and technique. The results are never completely predictable. I would recommend to schedule an appointment with a skilled cosmetic surgeon who performs liposuction in your area to discuss the above items with before proceeding.

Your : Your next step should be consultation with an experienced surgeon. Liposuction would probably be beneficial, but skin excision will be necessary if laxity is present. The appearance and location of the scar should also be evaluated. Finally, if you are planning on future pregnancies you should consider delaying surgical improvement of the lower abdomen until you are finished expanding your family.

Body : Body contouring can be thought of simply in two main categories: excess fat and excess skin. If you skin is relatively healthy and elastic and there is the sense that the "pooch" is mostly a little collection of fat, liposuction can be a very safe and effective means to spot treat this area. The skin "shrink wraps" down to the underlying muscles after the swelling subsides (two to three months) and you have a great result. If the skin is very loose and (excessive stretch marks can be a sign of damaged or overly thin skin) then you may need some skin removal in addition to just the liposuction. This is commonly referred to as a tummy tuck. Tummy tucks (witch hazel) come in all different configurations depending on your specific problem and can range from small skin excisions safely performed in the office setting all the way up to full abdominoplasties which involve muscle tightening in the operating room.