Q: I want to do something with my tummy area. I have had several consultations and have been repeatedly told I need a tummy tuck. However, I don’t want to have a tummy tuck as I am scared of being cut like that, and also fear the recovery. I lost 50 pounds during the past two years and now weigh 140 pounds and am 5 feet 2 inches tall. If I just have liposuction, will I be left with hanging skin and look worse?
A: It is clear based on your description of your body from weight loss and the recommendations of several plastic surgeons that a tummy tuck will produce a better result. But if you cannot accept the excisional nature of the procedure and the resultant scar, then it is not a good operation for you.Better result aside, liposuction is a more acceptable procedure for you. The key to undergoing just liposuction is your acceptance that the result will not be as good as a tummy tuck. That is the price you pay for a procedure that does not ideally match the problem you have. Always remember you can always have a tummy tuck later if you find the deflated abdominal skin unacceptable. Based on your result from liposuction, you will either be glad you choose just liposuction, or will become convinced a tummy tuck really is a good operation.
Q: I have tired and sad-looking eyes. The outer part of my eyes has always been turned down since I was young and I have never liked it. Can excess skin be removed and remaining skin lifted up and under the eye? Can the outer corners of the eyes be lifted for “sad eyes” at the same time?
A: Traditional lower blepharoplasty or eyelid tuck techniquescan remove fat that causes bags and to tighten loose skin under the eyes. The position of the corner of the eye is controlled by a tendon that attaches it to the inside of the bony socket of the eye. This tendinous position can be changed to raise the corner of the eye, known as a canthopexy procedure, making it either level to the inside of the eye or higher if one desires more of an almond-shape to the eye. This can be done at the same time as a lower blepharoplasty (or an upper blepharoplasty) through the same incision.