23 doctors weighed in:
After liposuction is done, do they have to sew up the loose skin?
23 doctors weighed in

Dr. Renee Burke
Surgery - Plastics
5 doctors agree
In brief: Liposuction results
Typically liposuction is performed in areas where the surgeon expects the skin will have good elasticity and retract without the need for excising the loose skin.
There are exceptions, where the physician may plan to perform liposuction followed by skin excision in a separate surgery in an area where a patient may have loose skin from weight loss, but still a significant amount of excess fat.

In brief: Liposuction results
Typically liposuction is performed in areas where the surgeon expects the skin will have good elasticity and retract without the need for excising the loose skin.
There are exceptions, where the physician may plan to perform liposuction followed by skin excision in a separate surgery in an area where a patient may have loose skin from weight loss, but still a significant amount of excess fat.
Dr. Renee Burke
Dr. Renee Burke
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Dr. Richard Baxter
Surgery - Plastics
4 doctors agree
In brief: Loose skin - no lipo
Liposuction removes excess localized fat but does not tighten skin.
Lasers (such as "smart lipo") and ultrasound (vaser) can help a little bit but if the skin is noticeably lax then lipo should usually not be done in that area. Loose skin and stretch marks on the abdominal area typically do best with a tummy tuck.

In brief: Loose skin - no lipo
Liposuction removes excess localized fat but does not tighten skin.
Lasers (such as "smart lipo") and ultrasound (vaser) can help a little bit but if the skin is noticeably lax then lipo should usually not be done in that area. Loose skin and stretch marks on the abdominal area typically do best with a tummy tuck.
Dr. Richard Baxter
Dr. Richard Baxter
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Dr. ELizabeth Kinsley
Surgery - Plastics
2 doctors agree
In brief: No
Liposuction removes some of the excess fat from the tissue layer beneath the skin.
If liposuction is performed on an appropriate candidate then there should be negligible loose skin.

In brief: No
Liposuction removes some of the excess fat from the tissue layer beneath the skin.
If liposuction is performed on an appropriate candidate then there should be negligible loose skin.
Dr. ELizabeth Kinsley
Dr. ELizabeth Kinsley
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Dr. M. Christine Lee
Dermatology
2 doctors agree
In brief: Depends
If the skin is very loose then a tummy tuck may be needed in addition to the lipo.
If the skin is loose and hanging before lipo, then it will continue to be so after lipo. If the skin is relatively taut and snaps back quickly after being pinched (good turgor) then the lipo could be sufficient without a tummy tuck.

In brief: Depends
If the skin is very loose then a tummy tuck may be needed in addition to the lipo.
If the skin is loose and hanging before lipo, then it will continue to be so after lipo. If the skin is relatively taut and snaps back quickly after being pinched (good turgor) then the lipo could be sufficient without a tummy tuck.
Dr. M. Christine Lee
Dr. M. Christine Lee
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Dr. Jeffrey Pollard
ENT - Head & Neck Surgery
2 doctors agree
In brief: Liposuction
Liposuction is intended to help reduce the volume of fat under the skin.
The best candidates for liposuction will have a modest amount of excess fat and good skin tone. As skin tone becomes more lax, the likelihood of needing to remove skin increases. Laser lipo can help with subtle amounts of skin tightening, but should not be considered a replacement for surgical skin reduction when needed.

In brief: Liposuction
Liposuction is intended to help reduce the volume of fat under the skin.
The best candidates for liposuction will have a modest amount of excess fat and good skin tone. As skin tone becomes more lax, the likelihood of needing to remove skin increases. Laser lipo can help with subtle amounts of skin tightening, but should not be considered a replacement for surgical skin reduction when needed.
Dr. Jeffrey Pollard
Dr. Jeffrey Pollard
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Dr. Scott Zevon
Surgery - Plastics
2 doctors agree
In brief: Sometimes
Individuals who weigh significantly below their maximum weight as an adult will be much more likely to need skin removal to obtain the maximum impovement.
On contour.

In brief: Sometimes
Individuals who weigh significantly below their maximum weight as an adult will be much more likely to need skin removal to obtain the maximum impovement.
On contour.
Dr. Scott Zevon
Dr. Scott Zevon
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Dr. Jay Zimmerman
Dermatology
2 doctors agree
In brief: Maybe
Patients with good skin texture generally do not need skin cut out and sutured after liposuction.
Patients with poor skin texture may need a combination of liposuction and excess skin removal with cutting and sewing. A good rule of thumb is to see if, when pinching the skin, the area snaps back into its position or simply hangs. Skin that snaps back usually has good skin texture.

In brief: Maybe
Patients with good skin texture generally do not need skin cut out and sutured after liposuction.
Patients with poor skin texture may need a combination of liposuction and excess skin removal with cutting and sewing. A good rule of thumb is to see if, when pinching the skin, the area snaps back into its position or simply hangs. Skin that snaps back usually has good skin texture.
Dr. Jay Zimmerman
Dr. Jay Zimmerman
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Dr. Ronald Shelton
Dermatology
1 doctor agrees
In brief: No loose skin w lipo
The right candidate for liposuction has just one small bulge in an area that won't go away with diet and exercise.
They have good elasticity of the skin and are not obese. The skin retracts after the fat is removed and there is no stitching of loose skin required. The retraction occurs as collagen forms in the subcutaneous layer and this holds tissue together like glue & it tightens over months.

In brief: No loose skin w lipo
The right candidate for liposuction has just one small bulge in an area that won't go away with diet and exercise.
They have good elasticity of the skin and are not obese. The skin retracts after the fat is removed and there is no stitching of loose skin required. The retraction occurs as collagen forms in the subcutaneous layer and this holds tissue together like glue & it tightens over months.
Dr. Ronald Shelton
Dr. Ronald Shelton
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Dr. M. Christine Lee
Dermatology
In brief: Depends
Liposuction is sufficient alone if the skin is relatively tight.
But with excessive skin looseness or sagging it may be necessary to have a tummy tuck (abdominoplasty) after the lipo to remove the excess skin. Smartlipo (laser lipo) can give more skin tightening than traditional lipo alone but still not as much as a tummy tuck if there's a lot of excess skin.

In brief: Depends
Liposuction is sufficient alone if the skin is relatively tight.
But with excessive skin looseness or sagging it may be necessary to have a tummy tuck (abdominoplasty) after the lipo to remove the excess skin. Smartlipo (laser lipo) can give more skin tightening than traditional lipo alone but still not as much as a tummy tuck if there's a lot of excess skin.
Dr. M. Christine Lee
Dr. M. Christine Lee
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Dr. Robert Stroup
Surgery - Plastics
In brief: Usually not
An appropriate candidate for liposuction alone is someone who has localized excess fat (not obesity) and good skin tone in the site of that fat deposit.
The skin should snap back into shape on its own. Individuals with fair or poor skin tone may need skin tightening in addition to liposuction.

In brief: Usually not
An appropriate candidate for liposuction alone is someone who has localized excess fat (not obesity) and good skin tone in the site of that fat deposit.
The skin should snap back into shape on its own. Individuals with fair or poor skin tone may need skin tightening in addition to liposuction.
Dr. Robert Stroup
Dr. Robert Stroup
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Dr. Otto Placik
Surgery - Plastics
In brief: Great Question
It depends on your skin laxity.
Removing the skin is called a dermolipectomy (commonly referred to as a lift or nip'n'tuk). This can be a difficult deternination and distinguishes your candidacy for abdominal liposuction versus a tummy tuck. Good results from liposuction require great skin elasticity. Some newer liposuction techniques (radiofrequency, ultrasound. Laser) claim to tighten skin but?

In brief: Great Question
It depends on your skin laxity.
Removing the skin is called a dermolipectomy (commonly referred to as a lift or nip'n'tuk). This can be a difficult deternination and distinguishes your candidacy for abdominal liposuction versus a tummy tuck. Good results from liposuction require great skin elasticity. Some newer liposuction techniques (radiofrequency, ultrasound. Laser) claim to tighten skin but?
Dr. Otto Placik
Dr. Otto Placik
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Dr. Todd Sisto
Breast Surgery
In brief: No
The whole point is not to have to. Slim lipo improves tightening.

In brief: No
The whole point is not to have to. Slim lipo improves tightening.
Dr. Todd Sisto
Dr. Todd Sisto
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