While traditionally Plastic Surgeons have avoided doing liposuction on the abdominal flap because of the risk of skin flap loss, the incision is limited and dog ears are accepted, and because there is still undermining of the upper flap which requires drains, there now are ways to answer every one of these problem. With newer techniques the abdominal flap can be thinned with liposuction to make the abdomen look more sculpted, the incision lengthened to give a much more defined waist, and the upper flap not undermined which makes drains not necessary. Please see my published paper in the Journal of the American Society of Plastic Surgery, September 2011. In that article we report on 113 consecutive cases with lower than standard problem and what I would define as superior results.
As to your present dog ears, they can be removed with local anesthesia in the office OR. Another way to approach them is to look at you lateral thighs and buttocks and see if there is laxity there, if there is than a later thing and buttock lift would fix not only the dog ears but also correct this lateral thigh and buttock laxity.