Surgical skin lifting after liposuction

When is a surgical skin tightening necessary?

Laser treatment directly after liposuction can in most cases avoid surgical skin tightening even if the skin quality is poor. However, in the case of very pronounced findings, a considerable amount of excess skin remains after liposuction and surgical skin tightening becomes necessary. The wrinkling of the excess skin can, in addition to the aesthetic impairment, especially on the inside of the thighs, also lead to skin irritation and inflammatory skin changes. Whether or not excess skin requiring surgery occurs depends on various factors such as the condition of the skin, the extent of liposuction, the patient’s age and genetic influences. After liposuction, the healing process is usually waited for several months and if the skin does not shrink sufficiently, the indication for surgical skin tightening is given.

How is the surgical skin lifting performed?

At the earliest six months after liposuction, if there is excess skin, the tightening operation should be performed. To protect the lymphatic system, the surgical skin tightening is combined with a thinning of the tissue. Before the operation under general anesthesia, the extent of the excess skin is determined and the area of skin to be removed is marked on the inner sides of the upper arms, thighs or abdomen. Care must be taken to remove sufficient skin for an effective lifting success on the one hand, but to avoid excessive tension of the scar on the other. The incision is made in an area that is as inconspicuous as possible and the procedure is performed in as scar-saving a manner as possible.

The first step of the surgery is an almost complete liposuction of the fatty tissue under the skin in the marked excision area on the inner side of the upper arms, thighs or abdomen. The remaining excess skin is then removed. This procedure largely preserves lymph vessels and even smaller blood vessels. The wound is closed with self-dissolving sutures, which do not need to be removed, and covered with a special plaster. At the end of the operation, the compression garment is put on, which is to be worn day and night for six weeks to support wound healing and tightening results. Physical strain and sports should also be avoided for six weeks.

Lipedema: FAQs

For patients with lipedema, many questions arise. How does the surgery proceed? Can a conservative therapy replace liposuction? When will I be fit again after the operation? Who pays the costs? These and many more questions are answered in our FAQs.