Raising the flap from the pelvis to the ribs leaving the bottom half of the belly button in place and then what we’re doing is we’re imprecating the muscles with sutures to tighten the stomach. Now, what are we trying to do or what do we do with the tummy tuck? What we’re doing with a tummy tuck is we make an incision low down the pelvis. If the muscles are strong, liposuction becomes an option. If the muscles are weak, you have no choice but to do the tummy tuck or an abdominoplasty to tighten the muscles. And that’s essentially the main and the definitive difference between the two. This person has an option for liposuction because the muscles are strong. So this person has to have a tummy tuck because the muscles are weak. Her abdomen is fat because of skin and fat. But in reality, her abdominal wall muscles are strong which are back here. As opposed to a liposuction patient whose stomach is rounder than really the tummy tuck patient. This patient doesn’t have a lot of fat but the stomach is round. First patient, this is before and this is after. If the stomach is round because of loose muscles, tummy tuck becomes a requirement. Now, if the stomach is round because of fat then liposuction becomes an option. And what we’re doing in liposuction, the biggest part of liposuction is making the shape and making the curves. And their stomach is round because the muscles are weak. The person who has to have a tummy tuck is a person whose muscles are weak, usually due to pregnancy. Now, the tummy tuck’s function is to make the stomach flat. The second patient is an example of liposuction. The first patient here on the left with the before and after is an example of a tummy tuck. Today, we’re going to talk about tummy tuck versus liposuction.
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