You might need both if you're not able to achieve your desired appearance through diet and exercise. Of course, it is important for you to work closely with your endocrinologist to make certain that your hormonal issues are well controlled and that your weight has stabilized before any surgical treatments.
In order to determine the best treatment for you, provided you are a surgical candidate, you'll need to be assessed by a plastic surgeon who is experienced with body contouring. That way, he or she can tell you if you have excessive subcutaneous fat, substantial loose skin, and/or a separation of your abdominal muscles. This is important because the best treatment differs depending upon the particular problem you're having.
If you only have excessive subcutaneous fat, then liposuction is the best answer. If there is significant loose skin (with or without a separation of the abdominal muscles), then the only effective method of treatment is surgical excision using some form of tummy tuck (abdominoplasty). When you have both excess fat and skin, then a combination of a tummy tuck and liposuction may be recommended.
Rest assurred, the decision as to the best course of treatment will be a relatively straightforward decision for an experienced plastic surgeon, so go ahead and make that call for a consultation!!
