Tummy tuck with 360° Liposuction Addresses FUPA and Bra Roll, Raleigh, NC*

360° liposuction involves placing patients in prone position to liposuction the back, flank and and sometimes the bra roll -often with the performance of an abdominoplasty. Ideal candidates should have body mass index of 30 or less and have suitable skin tone to allow for skin contraction. Overly aggressive liposuction could potentially threaten the blood supply to the abdominal incision so patients must be healthy, nonsmokers and have reasonable expectations. One concern of patients is the so called "FUPA" which stands for fat upper pubic area. This was a term popularized when Beyonce mentioned it. In patients with loose skin of the lower abdomen, the upper pubic area can be elevated and reduced as part of the abdominoplasty. Liposuction alone in patients with previous C-sections and loose pannus is not very effective. This patient underwent full abdominoplasty and 360° liposuction with significant improvement in her pubic area. She also had Vaser assisted liposuction of her bra roll and flanks with the use of Renuvion which is a radiofrequency device which helps to shrink collagen fibers and lead to improvement in skin laxity. Often, liposuction alone to loose areas will just lead to further loosening of the tissue. The patient was very pleased with the improvements made in her FUPA as well as her bra roll and abdominal pannus. Dr. Lyle utilizes Exparel for postoperative pain management.