Two Stage Back and Flank Lipoplasty Followed by Tummy Tuck

Ten weeks post-op.

The patient is a 50 year-old woman, 5’7″, 170 lbs who wanted a youthful looking torso and abdomen. The back, bra rolls, flanks and waist were treated in the first operation, using vaser ultrasonic and SAFE (separation and fat equalization) liposuction. This helped break the attachments and folds of the overhanging back and bra rolls, so the skin would contract smoothly.

The second-stage extended tummy tuck was done two weeks later with further liposuction to thin out the abdomen. Quilting sutures were used to close the space and reattach the flap to the abdominal wall, so no drains were needed and none were used. Exparel long acting anesthetic was injected under the muscle fascia, incision and flaps to minimize the need for pain medication after surgery. The patient had no drains or pain pump catheters after surgery and was able to move about freely.

Approximately 12 lbs of fat and abdominal flap were removed in the two procedures.

Care was taken to shape and reduce the mons pubis, and suspend it so that it looked youthful. The result is an overall pleasing aesthetic result. The patient has an entirely new body image and new wardrobe to look forward to.