Upper abdominal liposuction or current options? (Photo)

Hello, Liposuction continues to be the "gold standard" to remove localized fat that is resistant to diet and exercise. Non surgical options can be effective but not to the degree of liposuction.

Your tummy tuck looks pretty straightforward to me. It looks like your surgeon was a little heavy handed with giving you a defined midline but otherwise it looks like a straightforward quality outcome. The contour of your torso, especially your upper abdomen, may not be related to subcutaneous fat as much as you think. Important to recognize, if the problem is related to subcutaneous fat, or the contour of your abdominal wall. Liposuction is the gold standard for removing excess subcutaneous fat. I think the best step is to get an assessment of your tummy tuck by a few different plastic surgeons, so you know what’s what. Some individuals end up with a inward sloping abdominal wall from a tummy tuck from aggressive muscle tightening. This is going especially happen on individuals who are barrel chested. If the Sternum sits significantly forward in relationship to your pubic bone then the upper abdomen, can bulge in relationship to the lower abdomen after aggressive muscle tightening from a tummy tuck.
Liposuction may be helpful but subcutaneous fat may not be the primary issue since it’s hard to decipher what the actual problem is based on your post.
I don’t think any subcutaneous fat removal treatment other than Liposuction can be recommended from my experience. That said, delivering, consistent quality liposuction results is more difficult than most people realize. At the number of plastic surgeons who mastered this procedure has to be in a small minority. There are major differences in Liposuction skills among plastic surgeons. I suggest being highly selective when choosing providers, and insisting on seeing enough before and after pictures to confirm the provider has the skills necessary to get the results you want.
Best,
Mats Hagstrom MD