Surgical skin tightening after liposuction

When does a surgical skin tightening have to be performed?

Due to the laser treatment directly following liposuction, surgical skin tightening can be avoided in most cases, even with poor skin quality. However, it does happen with very pronounced findings that a significant amount of excess skin remains after liposuction and surgical skin tightening becomes necessary. In addition to the aesthetic impairment, especially on the inner thighs, the wrinkling of the excess skin can also lead to skin irritation and inflammatory skin changes. Whether excess skin requiring surgery occurs depends on various factors such as the skin condition, the extent of liposuction, the patient’s age and genetic influences. As a rule, after liposuction, the healing process is 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 tightening performed?

At the earliest six months after liposuction, the tightening surgery should be performed if there is existing excess skin. In order to protect the lymphatic channels, surgical skin tightening is combined with tissue thinning. 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 tightening result on the one hand, but to avoid too much tension on the scar on the other. The incision is made in an area that is as inconspicuous as possible, and the procedure is performed with as little scarring as possible based on the findings.

The first step of the operation is an almost complete suction of the fatty tissue under the skin in the marked excision area on the inner side of the upper arms, thighs or abdomen. Then the remaining excess skin is removed. This procedure largely preserves lymphatic channels 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 surgery, the compression garment is applied, which should be worn for six weeks, day and night, to support wound healing and tightening results. Physical stress and sports should also be avoided for six weeks.

Lipedema: FAQs

For patients, lipedema raises many questions. How does the operation proceed? Can conservative therapy replace liposuction? When will I be fit again after the operation? Who covers the costs? We answer these and many other questions in our FAQs.