Get Rid of Man's Belly on Large Frame- Liposuction or Tummy Tuck? Doctor Answers, Tips
Liposuction: Q&A
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Get Rid of Man's Belly on Large Frame- Liposuction or Tummy Tuck?

I am 5'10 5'11 and I weigh around 215 lbs. I know I should be around 180-190. I have a large frame. What procedure could I take, Liposuction or Tummy Tuck? I already went to a certified plastic surgeon for gynecomastia surgery. The date is pending and I would like to kill 2 birds with 1 shot, since I am very afraid of needles and that sort of stuff. Thanks!

18 Doctor Answers | Asked by DAL3124 in Orlando
+2

Tummy tuck vs liposuction

The single greatest factor in making the decision is how loose the skin is. In patients who have at some point in their lifetime been much heavier, the skins stretches and does not recover. In the vast majority of cases such as yours a full abdominoplasty is not necessary. Instead, a combination of liposuction plus a panniculectomy (removal of skin without relocating the umbilicus or tightening the fascia) gives the best result in men. . The most difficult decision to be made is what to... more
+1

Tummy tuck vs liposuction

 It is hard to tell from your photo and it looks like your skin doesn't have the greatest elasticity but I would still recommend a conservative liposuction for you plus more diet and exercise.
+1

Liposuction or Tummy Tuck for male with large frame a tough call

This is a tough call. Options are Full Tummy tuck with lipo, or just some type of lipo (I would do Smart Lipo + Body Jet Lipo). Without a full history and physical examination it is to difficult to give an exact answer. Best of luck.

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+1

Lipo vs Tummy tuck in male

You could have either. The best result would be a tummy tuck but the downside is the recovery time and the large scar. Liposuctioning has less reliable results regarding skin contraction but has the advantage of much less downtime and you can always resort to the tummy tuck if needed. You are the only one who can decide as you really do have both options.
+1

VASER lipo VS. Tummy Tuck in Men

Dear DAL3124, Nothing replaces a physical examination. Based on your photograph and my experience with men of your size, I do NOT believe you should have an abdominoplasty at this time. The goal now is to reduce excess fat along the back/ hips / Love Handle areas and along the anterior abdominal wall. Increased liposuction along the midline and sides (ie External obliques and rectus abdominis junctions) will accentuate and give you more of a "ripped" muscular look. I would then... more
+1

Based on the picture, I would recommend Liposuction

From the picture it appears that you have moderate skin laxity and subcutaneous fat. Liposuction will decrease the subcutaneous fat without any significant scar. It does not remove any skin but the trade off is the scar. Commonly in men, there is significant contribution from intra-abdominal fat (fat around the intestine which cannot be removed with either procedure, only with weight loss). Therefore, liposuction can remove the superficial fat, your continued weight loss would... more
+1

You would benefit most from Tummy Tuck

Based on the picture that you supplied, it looks like you would benefit most from Tummy Tuck with flank liposuction. If you had liposuction alone, you would probably end up with hanging skin. The tummy tuck will remove the extra skin, tighten your muscles and give you a nice contour. Good luck with your surgery.
+1

Tummy tuck may disappoint

I think a tummy tuck in someone with your frame may disappoint you. One, it has a very long scar. Two you will not significantly change your shape. You do not have the loose rectus muscle like women do and you do not have the "pouch" below the belly button like women do. I think you will look similar to what you are now, and instead of 215 you will weigh 210. Think about losing 20 pounds with a trainer using the money you would save from a tummy tuck. Best of luck.... more
+1

Tummy tuck and gynecomastia at the same time.

You can do both a Tummy tuck and gynecomastia at the same time. You are a little heavy and will end up with the best result if you loose a few pounds before. But you will benefit from both procedures.
+1

Liposuction vs Abdominoplasty

From the limited information and image, it appear that you may benefit from liposuction. It is impossible to know for sure if your skin will thighten after the procedure, but you have a good chance. These procedures can be performed at the same time. Being Board certified by the American Board of plastic surgery will assure you that the surgeon has the proper training, not the results. Good luck!
+1

Definitely, tummy tuck.

Hi! I have seen a lot of men with your anatomy.  A good abdominoplasty will give you a flat stomach, and you can do it together with your gynecomastia.  Your weight is not an issue. Liposuction will just leave you with loose skin.  
+1

Liposuction of abdomen and gynecomastia surgery at the same time

I often do these procedures combined. If you are healthy, than these surgeries can be done together ander intravenous sedation. I use the VASER ultrasound bodysculpting system. From the limited view on the photo, I believe that your abdominal wall skin will tighten up nicely. I always liposuction the back and "love handles" to cause circumferential tightening and give you the best contour. It's impossible to evaluate your gynecomastia since you have a T shirt on. In my practice I'm... more
+1

Liposuction

With your frame I would think of liposuction first.  The thing to remember is you can always have more done if you'd like and liposuction and abdominoplasty are two different yet complementary procedures. Liposuction may give you the results you want without the down time and long incisions.
+1

Tummy tuck versus liposuction

First, they both can compliment each other.  But, if you have a lot of loose skin, then I would suggest a tummy tuck.  Still, the liposuction can be performed in areas not undermined during the tummy tuck to compliment the results.
+1

Liposuction versus abdominoplasty

Liposuction, possibly combined with ultrasound to tighten the skin, will give you good results. Initially after surgery, you will be swollen, but over the next several weeks, you will notice a gradual decrease in your abdominal girth. As the swelling diminishes, you will also experience skin tightening. In most men, this is all that is required. In a few men, particularly those who have undergone large fluctuations in weight, the skin is of sufficiently poor quality to prevent significant... more
+1

Liposuction is for you

It depends on what the diagnosis is for you as to what would be the better surgery. If there is excess fat only, then Ultrasonic LIposuction would "tighten" the skin a bit while removing the extra fat. This is the case for about 80 percent of the males that I do. If you have a lot of extra skin, then Liposuction alone will not do the trick for you totally, and you would have to remove extra skin in the form of a tummy tuck. If you have a significant Diatstasis Recti (where the... more
+1

Depends on the kind of result you seek

You will have better result with tummy tuck and lipo combined. This will remove fat pockets around your waist and also remove exess skin from lower abdomen. This will have longer recovery compare to liposuction alone and will cost more. The result of lipo alone will not be as good since you have excess skin over lower abdomen.
+1

Tumnmy tuck or liposuction for male

I would ask your plastic surgeon. However, given the brief history you have supplied, I would likely recommend liposuction first and give it time to assess the resiults, If your skin fails to contract satisfactorily, you may require a tummy tuck at a later date. 
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