{"id":30645,"date":"2026-09-30T10:46:11","date_gmt":"2026-09-30T10:46:11","guid":{"rendered":"https:\/\/drrichardfakin.com\/?p=30645"},"modified":"2026-10-02T13:50:06","modified_gmt":"2026-10-02T13:50:06","slug":"lipo-360-and-tummy-tuck-types-of-scarring-and-recovery","status":"publish","type":"post","link":"https:\/\/drrichardfakin.com\/en\/blog\/lipo-360-y-abdominoplastia-tipos-cicatriz-y-recuperacion\/","title":{"rendered":"Lipo 360 and tummy tuck: types, scarring and recovery"},"content":{"rendered":"<article>\n\n  <p>Lipo 360 with abdominoplasty, also known as lipoabdominoplasty, is a surgical procedure that treats both the abdomen and the waist when, following pregnancy or weight loss, the body\u2019s contours do not regain their firmness. Many people think the problem is just fat, but there is often excess skin or a separation of the abdominal muscles as well. In these cases, combining the two techniques allows each problem to be corrected using the appropriate method.<\/p>\n\n  <p>This article explains the benefits of each technique, the different types of abdominoplasty available, what the scar looks like, how the recovery progresses and what the results might look like one month later, using a real \u2018before and after\u2019 case from the clinic. General information about the procedure can be found on the <a href=\"https:\/\/drrichardfakin.com\/en\/abdominoplasty\/\" style=\"color:#ad9861;\">tummy tuck in Madrid<\/a>.<\/p>\n\n  <div style=\"background:#f5efe3; color:#2f2a21; padding:24px; margin:30px 0; border-left:4px solid #ad9861; border-radius:8px;\">\n    <h2 style=\"margin-top:0; color:#2f2a21;\">What is a lipoabdominoplasty using Lipo 360?<\/h2>\n\n    <p style=\"margin-bottom:0; color:#2f2a21;\">This procedure combines two techniques. A tummy tuck removes excess skin from the abdomen and, where necessary, repairs the muscles. Lipo 360, or 360-degree liposuction, removes localised fat from the abdomen, flanks and lower back. Together, they improve the contour of the front, profile and back.<\/p>\n  <\/div>\n\n  <h2>Differences between a tummy tuck and 360\u00b0 liposuction<\/h2>\n\n  <p>A tummy tuck and liposuction target different types of tissue. That is why one does not replace the other: each corrects a different problem, and combining them makes sense when both are required.<\/p>\n\n  <div style=\"overflow-x:auto; margin:30px 0;\">\n    <table style=\"width:100%; min-width:720px; border-collapse:collapse; color:#2f2a21; background:#ffffff;\">\n      <caption style=\"caption-side:top; text-align:left; padding-bottom:10px; font-weight:600;\">Tummy tuck, 360\u00b0 liposuction and a combination of the two<\/caption>\n      <thead>\n        <tr style=\"background:#ad9861; color:#ffffff;\">\n          <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">Technique<\/th>\n          <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">What it\u2019s about<\/th>\n          <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">What it cannot correct on its own<\/th>\n          <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">Scar<\/th>\n        <\/tr>\n      <\/thead>\n      <tbody>\n        <tr>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Abdominoplasty<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Excess skin, sagging and separation of the abdominal muscles<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Localised fat on the flanks and back<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Horizontal and low, in the lower abdomen<\/td>\n        <\/tr>\n        <tr style=\"background:#f5efe3;\">\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Lipo 360<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Localised fat on the abdomen, flanks and lower back<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Excess skin and muscle separation<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Small incisions through which the cannula is inserted<\/td>\n        <\/tr>\n        <tr>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Lipo 360 with tummy tuck<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">Skin, muscles and fat throughout the torso<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">It is not a weight-loss treatment<\/td>\n          <td style=\"padding:14px; border:1px solid #d8c9ab;\">The one for a tummy tuck, plus the small incisions made during liposuction<\/td>\n        <\/tr>\n      <\/tbody>\n    <\/table>\n  <\/div>\n\n  <p>The separation of the rectus abdominis muscles is known as diastasis recti. It is common following one or more pregnancies and causes the abdomen to remain bulging even after the patient has returned to their pre-pregnancy weight. Liposuction does not correct this condition. To repair it, the muscles are sutured during a tummy tuck, a procedure known as plication.<\/p>\n\n  <h2>Types of tummy tuck: full, mini, 360\u00b0 and with 360\u00b0 liposuction<\/h2>\n\n  <p>Not all tummy tucks are the same. The technique chosen depends on where the excess skin is located, whether there is diastasis, and how the fat is distributed. These are the main options:<\/p>\n\n  <h3>Full abdominoplasty<\/h3>\n\n  <p>It removes excess skin from the entire abdomen, both above and below the navel, and allows the rectus diastasis to be repaired along its entire length. The navel is repositioned. This is the most common option following pregnancy.<\/p>\n\n  <h3>Mini tummy tuck<\/h3>\n\n  <p>If the excess skin is concentrated solely below the navel, a mini-tummy tuck may be considered, which involves a shorter scar and does not require repositioning of the navel. As it is a less extensive procedure, it is not recommended when there is sagging in the upper abdomen or significant diastasis.<\/p>\n\n  <h3>Lipoabdominoplasty (abdominoplasty with Lipo 360)<\/h3>\n\n  <p>It combines a full or mini tummy tuck with liposuction of the abdomen, flanks and lower back. This is the technique described in this article and is recommended when, in addition to excess skin or diastasis, there is localised fat that defines the waistline.<\/p>\n\n  <h3>360\u00b0 or circumferential abdominoplasty<\/h3>\n\n  <p>The names are similar, but it is not the same as 360\u00b0 liposuction. In lipoabdominoplasty, excess skin is removed only from the front of the abdomen, whilst liposuction targets fat around the entire torso. A 360\u00b0 abdominoplasty, on the other hand, removes skin and tissue all the way round the torso, including the lower back. It is usually recommended when excess skin also affects the back, which can occur following significant weight loss. The scar runs all the way round the torso.<\/p>\n\n  <p>The choice of technique is always decided following an examination in the surgery.<\/p>\n\n  <h2>When is lipoabdominoplasty recommended?<\/h2>\n\n  <p>This combination is considered when there is excess skin or diastasis in the abdomen, as well as localised fat around the waist, flanks or back. A tummy tuck flattens the abdomen and the <a href=\"https:\/\/drrichardfakin.com\/en\/liposuction\/\" style=\"color:#ad9861;\">liposuction<\/a> It defines the waist, so that the result is visible from every angle.<\/p>\n\n  <p>During the consultation, the following aspects are assessed:<\/p>\n\n  <ul>\n    <li>The amount of excess skin and its elasticity.<\/li>\n    <li>The presence of diastasis recti or an umbilical hernia.<\/li>\n    <li>The distribution of fat in the abdomen, flanks and back.<\/li>\n    <li>Weight stability.<\/li>\n    <li>Plans for pregnancy, as a subsequent pregnancy may affect the outcome.<\/li>\n    <li>Tobacco use, which hinders healing.<\/li>\n    <li>General state of health and any previous scars, such as a caesarean section scar.<\/li>\n  <\/ul>\n\n  <p>In some cases, the fat removed during liposuction can be used to add volume to another area, such as in the <a href=\"https:\/\/drrichardfakin.com\/en\/blog\/buttock-augmentation-using-the-patients-own-fat-and-implants\/\" style=\"color:#ad9861;\">Buttock augmentation using the patient\u2019s own fat<\/a>.<\/p>\n\n  <div style=\"background:#f5efe3; color:#2f2a21; padding:24px; margin:35px 0; border-left:4px solid #ad9861; border-radius:8px;\">\n\n    <h2 style=\"margin-top:0; color:#2f2a21;\">Tummy tuck with Lipo 360: before and after \u2013 a real-life case<\/h2>\n\n    <p style=\"color:#2f2a21;\">This video shows the different stages of a clinical case: Dr Richard Fakin during the operation, the consultation assessment, and the patient one month after the lipoabdominoplasty.<\/p>\n\n    <p style=\"color:#2f2a21;\">The images, taken from four angles, show how the waist and flanks change, as well as the abdomen.<\/p>\n\n    <figure style=\"margin:24px 0;\">\n      <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/drrichardfakin.com\/wp-content\/uploads\/2026\/10\/antes-despues-abdominoplastia.jpg\" alt=\"Tummy tuck with Lipo 360: before and after, front view \u2013 abdomen with excess skin and folds before surgery, and a flatter abdomen with a low scar afterwards\" width=\"1024\" height=\"576\" style=\"width:100%; height:auto; border-radius:8px; display:block;\">\n      <figcaption style=\"font-size:0.9em; color:#5b5345; margin-top:10px;\">Front view before and after a tummy tuck with Lipo 360. Before: excess skin and folds on the abdomen; after: a flatter abdomen, with a low horizontal scar and a scar around the navel that is still healing.<\/figcaption>\n    <\/figure>\n\n    <p style=\"color:#2f2a21;\">Below you can see the full reel of the case.<\/p>\n\n    <div style=\"max-width:540px; margin:24px auto 0;\">\n      <blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DdKDD6uArRk\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\"background:#ffffff; border:0; border-radius:3px; box-shadow:0 0 1px rgba(0,0,0,0.5),0 1px 10px rgba(0,0,0,0.15); margin:1px auto; max-width:540px; min-width:326px; padding:0; width:calc(100% - 2px);\">\n        <a href=\"https:\/\/www.instagram.com\/reel\/DdKDD6uArRk\/\" style=\"color:#ad9861;\" target=\"_blank\" rel=\"noopener\">View the Lipo 360 and tummy tuck before-and-after reel on Instagram<\/a>\n      <\/blockquote>\n    <\/div>\n\n  <\/div>\n\n  <h2>Scarring from a tummy tuck with Lipo 360: what it looks like and how it heals<\/h2>\n\n  <p>The main scar is from the tummy tuck: a horizontal line across the lower abdomen. Its position is planned before the operation so that it is as inconspicuous as possible and can be covered by underwear or a swimsuit. Its length depends on the amount of skin that needs to be removed: it is shorter in a mini-tummy tuck and longer in a full tummy tuck. If there is a caesarean section scar, it can often be incorporated into the new incision.<\/p>\n\n  <p>In a full abdominoplasty, a small scar is also added around the navel, as this is repositioned. The 360\u00b0 liposuction procedure involves a number of small incisions in the treated areas, through which the liposuction cannula is inserted. These are just a few millimetres long and are usually situated in skin folds or areas that are not very visible.<\/p>\n\n  <h3>How the scar changes over the months<\/h3>\n\n  <p>The scar from a tummy tuck changes over the following months. At first, it usually appears pink and slightly raised, and over time it tends to fade and flatten, although it does not disappear. Avoiding direct sunlight on the scar, not smoking and following the aftercare instructions provided by the medical team will help it to heal as well as possible.<\/p>\n\n\n<h2>Recovery from a tummy tuck with Lipo 360: stages and aftercare<\/h2>\n\n<p>Recovery following a tummy tuck with Lipo 360 varies depending on the extent of the procedure, the areas treated and each patient\u2019s individual progress. The medical team determines the specific guidelines and recovery times on a case-by-case basis.<\/p>\n\n<div style=\"overflow-x:auto; margin:30px 0;\">\n  <h3 style=\"margin:0 0 14px; color:#ffffff; background:#ad9861; padding:12px 16px; border-radius:6px;\">\n  Common aspects of surgery and recovery\n<\/h3><table style=\"width:100%; min-width:600px; border-collapse:collapse; color:#2f2a21; background:#ffffff;\">\n  \n    <thead>\n      <tr style=\"background:#ad9861; color:#ffffff;\">\n        <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">Aspect<\/th>\n        <th scope=\"col\" style=\"padding:14px; text-align:left; border:1px solid #d8c9ab;\">What to bear in mind<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Duration of the procedure<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">It depends on the extent of the tummy tuck and the areas involved in the liposuction.<\/td>\n      <\/tr>\n      <tr style=\"background:#f5efe3;\">\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Anaesthesia<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">The type of anaesthesia is determined on a case-by-case basis, depending on the planned surgery and the medical team\u2019s assessment.<\/td>\n      <\/tr>\n      <tr>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Registration<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">It depends on how the patient recovers after the operation and on the medical team\u2019s judgement.<\/td>\n      <\/tr>\n      <tr style=\"background:#f5efe3;\">\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">The first few days<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">It is common to experience swelling, tightness and discomfort, which gradually subside during recovery.<\/td>\n      <\/tr>\n      <tr>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Back to work<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">This varies depending on each patient\u2019s progress and the nature of their work, particularly if it involves physical exertion.<\/td>\n      <\/tr>\n      <tr style=\"background:#f5efe3;\">\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Compression girdle<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">It may be prescribed during the post-operative period. The duration of use and how it should be worn are determined by the medical team.<\/td>\n      <\/tr>\n      <tr>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Physical activity<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Activity is resumed gradually and in accordance with medical advice, avoiding strenuous activity during the early stages of recovery.<\/td>\n      <\/tr>\n      <tr style=\"background:#f5efe3;\">\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">Result<\/td>\n        <td style=\"padding:14px; border:1px solid #d8c9ab;\">The contour gradually changes as the swelling subsides, so the final result cannot be assessed during the first few weeks.<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n  <h3>What changes when you add Lipo 360?<\/h3>\n\n  <p>When a tummy tuck is combined with Lipo 360, the medical team advises on a case-by-case basis how these timeframes are adjusted. The main differences are as follows:<\/p>\n\n  <ul>\n    <li>Swelling and bruising also affect the flanks and back, not just the abdomen.<\/li>\n    <li>The tummy tuck compression garment covers a larger area to apply pressure to all the treated areas.<\/li>\n    <li>You may feel a tightness around your entire waist during the first few weeks.<\/li>\n  <\/ul>\n\n  <h3>The first few days and the girdle<\/h3>\n\n  <p>During the first few days, it is normal to experience tightness and swelling in the abdomen, and to walk leaning slightly forwards so as not to put strain on the sutures. The tummy tuck compression garment helps to control the swelling and allows the skin to adapt to its new shape, so it is advisable to wear it for the recommended period. Following the post-operative instructions and attending follow-up appointments are part of the treatment.<\/p>\n\n  <h2>Risks associated with a tummy tuck combined with liposuction<\/h2>\n\n  <p>Like any surgical procedure, lipoabdominoplasty carries risks, which are explained during the consultation before you make your decision. Among the most common are the build-up of fluid under the skin (seroma), bruising, delayed wound healing, infection, temporary loss of sensation in the lower abdomen, unevenness in the areas treated with liposuction and, less commonly, thrombosis.<\/p>\n\n  <p>Not smoking, maintaining a stable weight before surgery and following post-operative instructions reduces the risk of complications. If you experience any unexpected symptoms, such as a fever, increasing pain or redness around the wound, you should contact the medical team.<\/p>\n\n  <h2>Results of lipoabdominoplasty: one month on and in the long term<\/h2>\n\n  <p>One month after the procedure, the abdomen looks flatter and the waist more defined, as shown in the video clip. However, there is still some swelling, particularly in the areas treated with liposuction, and the scar is still healing.<\/p>\n\n  <p>The result becomes apparent gradually over the following months, as the swelling subsides and the tissues adapt to their new shape. This is why early before-and-after photographs serve to show the general trend, but do not represent the final result.<\/p>\n\n  <p>Maintaining a stable weight helps to preserve the results of a lipoabdominoplasty. Significant weight gain or a subsequent pregnancy can cause the skin and muscles to stretch again, which is why it is usually recommended to have the operation once you are no longer planning to have any more children.<\/p>\n\n  <h2>Lipoabdominoplasty in Madrid and Zurich with Dr Richard Fakin<\/h2>\n\n  <p>Lipo 360 lipoabdominoplasty is designed for those who have both excess skin on the abdomen and localised fat on the waist, flanks or back. Each technique addresses a specific aspect of the problem and, when combined, they improve the overall body contour. The decision is always made following a consultation.<\/p>\n\n  <p>At the clinics in Madrid and Zurich, the <a href=\"https:\/\/drrichardfakin.com\/en\/dr-richard-fakin\/\" style=\"color:#ad9861;\">Dr. Richard Fakin<\/a>, a Swiss-Italian plastic surgeon specialising in reconstructive and cosmetic surgery, with a focus on breast, facial and body surgery, assesses each case individually and explains what can be achieved with each option.<\/p>\n\n  <p>It may also be useful to know the <a href=\"https:\/\/drrichardfakin.com\/en\/testimonials\/\" style=\"color:#ad9861;\">patient testimonials<\/a>, although another person\u2019s experience is no substitute for a medical assessment and does not allow us to predict an individual\u2019s outcome.<\/p>\n\n  <div style=\"background:#2f2a21; color:#ffffff; padding:32px 24px; margin:40px 0 30px; border-radius:8px; text-align:center;\">\n    <p style=\"font-size:1.35em; font-weight:600; margin:0 0 10px; color:#ffffff;\">Would you like to find out whether lipoabdominoplasty is the right option for you?<\/p>\n    <p style=\"margin:0 0 22px; color:#e9e1d1;\">Book a consultation with Dr Richard Fakin in Madrid or Zurich. He will assess your abdomen, your waist and whether you have diastasis, and explain which technique is best suited to your case.<\/p>\n    <a href=\"https:\/\/drrichardfakin.com\/en\/contact\/\" style=\"display:inline-block; background:#ad9861; color:#ffffff; padding:14px 28px; border-radius:6px; text-decoration:none; font-weight:600;\">Book an appointment for an assessment<\/a>\n  <\/div>\n\n  <script async=\"\" src=\"https:\/\/www.instagram.com\/embed.js\"><\/script>\n\n<\/article>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions about 360\u00b0 liposuction with a tummy tuck<\/h2>\n\n\n\n<div class=\"wp-block-faq-block-for-gutenberg-faq\" style=\"background:#f6f7f7\"><div class=\"question\" style=\"background:none;color:#000\"><h4 style=\"color:#000\">Does Lipo 360 replace a tummy tuck?<\/h4><\/div><div class=\"answer\" style=\"background:none;color:#000\">No. Liposuction removes localised fat, but it does not remove excess skin or repair the muscles. Where there is excess skin or diastasis recti, Lipo 360 is combined with a tummy tuck rather than replacing it.<\/div><\/div>\n\n\n\n<div class=\"wp-block-faq-block-for-gutenberg-faq\" style=\"background:#f6f7f7\"><div class=\"question\" style=\"background:none;color:#000\"><h4 style=\"color:#000\">How long should you wear the girdle for?<\/h4><\/div><div class=\"answer\" style=\"background:none;color:#000\">According to the clinic\u2019s recommended guidelines, the compression garment should be worn for approximately 5 to 6 weeks. The medical team will confirm the exact duration during your follow-up appointments.<\/div><\/div>\n\n\n\n<div class=\"wp-block-faq-block-for-gutenberg-faq\" style=\"background:#f6f7f7\"><div class=\"question\" style=\"background:none;color:#000\"><h4 style=\"color:#000\">When can you go back to work?<\/h4><\/div><div class=\"answer\" style=\"background:none;color:#000\">For non-physical activities, around one week after a tummy tuck. Jobs that require physical exertion take longer, and in the case of combined surgery, the timeframe is specified on a case-by-case basis.<\/div><\/div>\n\n\n\n<div class=\"wp-block-faq-block-for-gutenberg-faq\" style=\"background:#f6f7f7\"><div class=\"question\" style=\"background:none;color:#000\"><h4 style=\"color:#000\">Where is the scar?<\/h4><\/div><div class=\"answer\" style=\"background:none;color:#000\">In the lower abdomen, designed so that it can be concealed by underwear or swimwear. Lipo 360 involves only small incisions measuring just a few millimetres.<\/div><\/div>\n\n\n\n<div class=\"wp-block-faq-block-for-gutenberg-faq\" style=\"background:#f6f7f7\"><div class=\"question\" style=\"background:none;color:#000\"><h4 style=\"color:#000\">What happens if I get pregnant afterwards?<\/h4><\/div><div class=\"answer\" style=\"background:none;color:#000\">A subsequent pregnancy may stretch the skin and muscles again and alter the result. That is why it is usually recommended to have the operation when no further pregnancies are planned.<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Lipo 360, combined with a tummy tuck, treats both excess skin on the abdomen and fat around the waist, flanks and back. We explain what each technique offers, what the scar looks like, the recovery times and a real-life case one month on.<\/p>","protected":false},"author":5,"featured_media":30646,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[119],"tags":[208,212,205,210,209,206,207,211],"class_list":["post-30645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirugia-plastica","tag-abdominoplastia","tag-antes-y-despues","tag-cicatriz-abdominoplastia","tag-diastasis-de-rectos","tag-lipo-360","tag-lipoabdominoplastia","tag-liposuccion","tag-recuperacion-abdominoplastia"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2 - aioseo.com -->\n\t<meta name=\"description\" content=\"Lipo 360 con abdominoplastia: qu\u00e9 aporta cada t\u00e9cnica, cicatriz, recuperaci\u00f3n y un caso real a un mes del Dr. Richard Fakin.\" \/>\n\t<meta name=\"robots\" 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