A You've raised a very good question with regards to tummy tuck surgery. It is a point that I always cover with my patients pre-operatively. I am comfortable liposuctioning the flanks and mons pubis area during the tummy tuck surgery, but I am not comfortable with liposuction of the upper central abdomen (unless it's to create the median raphe only). I think it adds to increase risk of poor wound healing and potential tissue necrosis. For surgeons who can liposuction the mid-abdomen aggressively and not have a complication, I extend my admiration. But for patients and surgeons who have to deal with the resulting complication, it is a huge problem. So for patients with a thicker mid-section, I will often recommend a safer two-stage procedure. Three to six months after the tummy tuck procedure, return to aggressively liposuction the central abdomen, flanks, hips and/or back area. I wouldn't be too concerned about having loose skin again (of course, I don't have pictures to see). I think your surgeon made a prudent decision.