Tummy Tuck: Q&A

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Do You Recommend a Tummy Tuck? (photo)

I'm 35, 5'7", 148lbs with 2 kids and not having any more. I'm Getting a BBL with Full abdominal Lipo in March. I'm considering a TT, but I'm not sure I will need it. I've read that the skin can retract considerably after abdominal Lipo, making a Tummy Tuck unneccesary. I've also considered that during a Tummy Tuck, I'll have my abdominal walls repaired, since they get stretched during pregnancy. I've worked-out sleeping complications. I need a professional opinion because I'm torn.

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age 35-44 stretch marks 5 ft 4 in to 5 ft 7 in after pregnancy 130-149 lbs candidate

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21 Doctor Answers | Asked by NiceDreams in Philadelphia

Doctor Answers (21)
Community Comments (0)

Brazilian Buttlift and Tummy Tuck

If you want the Brazilian buttlift then the liposuction must be done to harvest enough fat for you to be happy. The tummy tuck can be performed to address the loose skin. You should probably consider doing both. Kenneth Hughes, MD Los Angeles, CA

TT or Lipo?

From your photos, it looks like you would have a nice result from a full Abdominoplasty. Your surgeon will know if you have diastasis (abdominal wall loosening) and if so, you will need to have that repaired during your procedure. You have too much loose skin for Liposuction to benefit your abdomen, but Liposuction to your waist may compliment your TT. Make sure you talk with your Board Certified Plastic Surgeon to discuss the option of an Abdominoplasty to see if... more

Abdominoplasty vs. Liposuction

I think a tummy tuck is a great decision for you - you could have all the skin from above your belly button to your pubic area removed - and that is where most of your excess fat tissue is! The tummy tuck would also tighten your abdominal muscles and give you the flat stomach you are looking for. You are a great candidate - good luck!

Tummy tuck or just lipo?

You need a tummy tuck. Too much loose skin in your tummy. It won't shrink at all. If your surgeon said otherwise you might want to get a second opinion. Good luck.

Do I need a Tummy tuck?

Looking at your photos it appears that you are in need of a tummy tuck and not liposuction. Regardless of the type pf liposuction your excess skin will not be tightened, and will will just remain sagging. In addition you would benefit from muscle tightening. Good luck!

Tummy Tuck Is Superior Choice

You should not be torn between liposuction and a tummy tuck in your case. You unquestionably need a tummy tuck because of your loose skin. Liposuction would be completely ineffective for you.

Forget the BBL

You need a tummy tuck to correct your excess abdominal skin and diastasis recti. A liposuction will leave your abdomen looking considerably worse. Excess skin DOES NOT SHRINK DOWN WITH LIPOSUCTION, no matter what type. Seek a consultation with a board certified plastic surgeon.

Lipo v TT

No issue-you are a great tummy tuck candidate but lipo will not improve, and may worsen, your appearance. There is significant bulging with skin redundancy. Skin retraction after lipo is not "significant" in terms of correcting for this condition.

Tummy tuck or lipo

I think you should without question have the tummy tuck. Your abdominal wall looks weak secondary to the pregnancy and the extra skin you have both will be helped by a tummy tuck. I feel that lipo result has little chance of getting the result that you will be pleased with. I would not even consider it.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Excess Skin Will Only Improve With Tummy Tuck

The amount of excess skin in your photo will not be corrected with liposuction only and, in fact, will probably worsen. You appear to be a good candidate for a tummy tuck and (as you point out) your muscle can also be repaired.

Skin retraction after abdominal liposuction?

You will NOT get good skin retraction after abdominal liposuction because your photos show that you already have lost all good elasticity in your tummy skin. Only a tummy tuck will give you a flat tight abdomen.

Tummy tuck after pregnancy

You ask a straight forward question, and the straight forward answer is yes - you should have a tummy tuck. Abdominal liposuction will not improve the appearance of you belly in any way. Muscle tightening and skin removal are crucial. Review some of the pictures on this site and I am sure you will find some preoperative photos that look similar to you. Good Luck

Do You Recommend a Tummy Tuck

I would worry that liposuction to the abdomen will leave you feeling you are worse off than before You will not get much or any tightening of skin, nor any repair of the muscle wall. A tummy tuck will address the fat, the skin excess and the laxity of the abdominal muscles, and is a far superior option. Thanks, all the best.

To Tuck or not to Tuck?. That is the question.

Many women present with loose abdominal skin and some excess fat on the abdomen wondering whether to do liposuction or a tummy tuck. Most patients, like you wonder if their skin is elastic enough to retract following liposuction alone. The answer lies in what the essential problem is. If there is extra fat, but the skin and muscle are fine, then liposuction alone is adequate. However, if a patient requires any degree of skin or muscle tightening, then a tummy tuck will... more

When A Tummy Tuck is Needed

Hello NiceDreams,Based on your decision not to have any more children and your pre-operative photographs, I would highly recommend a tummy tuck for you. I perform tummy tucks for patients who have laxity and damaged skin (stretch marks and excess skin) that will not contract enough following liposuction and separation of the abdominal muscles called diastasis recti. Commonly, these woman have had at least 1 pregnancy. Your Board Certified Plastic Surgeon could liposuction your... more

Full tummy tuck with flank liposuction is ideal combination

Based on your photos, I'd recommend an abdominoplasty and liposuction of the flanks. Liposuction alone would not address the skin laxity that you have along your abdomen.

Tummy tuck vs Liposuction

The decision to have a tummy tuck versus liposuction is based on the skin quality. Some findings that may suggest a tuck is better are looseness of the skin and the presence of stretch marks. Reviewing your photos, I think that a tummy tuck would serve you best. Liposuction can be used in addition to fine tune the effects in your flanks.

Tummy Tuck or Liposuction

Judging from the amount of extra skin that you have in your photographs, I would recommend a tummy tuck. Liposuction is designed to remove extra fat but not extra skin. Tummy tuck on the other hand will remove extra skin, extra fat, and tighten up your six pack abs. If you do not want the scar of a tummy tuck, you will definitely be improved by the liposuction but you will likely have a significant amount of extra skin after. Good luck. see video

Surgery

You have hanging skin. There is no machine created that can cause this skin to retract and look good. It needs surgical excision with a tummy tuck

Liposuction will not make skin retract

Thank you for your question and photographs. You have a lot of extra skin and liposuction will only make it worse. You would do best with a standard tummy tuck to remove all of the excess skin. Make sure that you see a surgeon experienced in tummy tucks and one that is certified by the American Board of Plastic Surgery. Good luck.

Tummy tuck or liposuction

Your skin is too damaged with thinning and stretch marks from your pregnancies to expect it to retract and give a good cosmetic result. If a scar is a good trade (and you will need one anyway to tighten the muscles), plan to have a tummy tuck. Perhaps the liposuction is the procedure you should do without. Discuss your true expectations with your surgeon and decide before you proceed.