Can You Get Agressive Liposuction on Your Flanks and Upper and Lower Back with a Tummy Tuck?

ive heard that it isnt good to get lipo with a tummy tuck? but then some say just the flanks but ive also seen MANY before and after photos where there isnt a nice shape to these women with the tummy tuck =( they kinda look like a square? **dr. mendieta so far has done exquisite work with his tummy tuck pts

Doctor Answers 8


As long as you are in good health there shouldn’t be a reason why those areas of liposuction and a tummy tuck couldn’t be performed during the same operative session.  For most patients, I include abdominal liposuction with a tummy tuck because I feel it is necessary to get the optimum result.  Liposuction of the flanks in conjunction with the tummy tuck will also enhance your waistline.  Be sure to research only board certified plastic surgeons then schedule a consultation with a thorough exam to make sure you are a candidate for these multiple procedures.

Be well and good luck!


Houston Plastic Surgeon
4.6 out of 5 stars 26 reviews

Abdominoplasty and liposuction

Timing and planning of multiple surgical procedures is a common question and patient concern.  Combining an abdominoplasty and extensive liposuction of the flanks, upper back and hips is possible.    There is a slightly higher risk of complications with this combination.  The main surgical concern is avoiding injury to the blood supply to the lower abdomen.  Also the amount of fat aspirated should be less then 5 liters to be in a safe zone.  As long as you are in good physical health and have no overriding medical conditions you should be a good candidate. With this combination the highest priority has to be safety and the prevention of DVT and PE.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Tummy tuck with aggressive liposuction

There are as many answers to this question as there are plastic surgeons performing these procedures.  In my practice, most abdominoplasties undergo some form of upper and lower abdominal liposuction during the procedure.  This assists mobilization of the skin and allows a greater degree of sculpting to the final result.  However, the method used must respect the blood supply and underlying health status of the patient to help guard against post-operative wound healing problems.

William Franckle, MD, FACS
Voorhees Plastic Surgeon
4.9 out of 5 stars 32 reviews

Liposuction with tummy tuck

I agree with the previous responders that liposuction can be done with tummy tucks in combination as long as the circulation of the anterior abdomenal flap is respected.  The flanks and back are excellent candidates for lipo, but the expected swelling of the elevated anterior flap is aggravated with liposuction here and may risk postoperative problems.  Do obtain consultation with a board certified plastic surgeon who puts your safety first.

Randy Wong, MD
Honolulu Plastic Surgeon
4.8 out of 5 stars 36 reviews

Tummy tuck

Liposuction can be safely combined with a tummy tuck, but I am careful to choose the areas to safely complement the result.  With a tummy tuck, the abdominal skin and fat are lifted as a flap from the bottom below the belly button towards the top at the rib margin.  The important blood supply for the flap comes from the top and the upper sides of the abdomen.  As long as the lipo covers the hips, back and or flanks towards the back, I think that is fine.  I personally avoid lipo on the front sides of the flanks so as not to injure the blood supply that is important for healing.  I hope this information is helpful.

Ronald H. Stefani Jr, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Suction of the flanks and back commonly accompany a tummy tuck.

Suctioning of the flanks and back is commonly done with an abdominoplasty.  I do not suction the anterior abdomen fearing too much trauma might compromise the integrity of the skin.  Seldom do patients need this suctioned later.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Liposuction during Tummy Tuck Surgery?

Although it is not possible to give you specific advice without direct examination and a full communication of your goals, it is generally safe to do some amount of liposuction of the flanks during tummy tuck surgery.  Sometimes,  depending on a specific patient's anatomy and goals it is necessary to remove excess skin/adipose tissue directly ( in addition to liposuction surgery)  in the flank areas.  This operation may  being referred to as an extended tummy tuck or belt lipectomy. 
Be careful to communicate your goals clearly with your plastic surgeon;  correct treatment of the flank area is necessary to avoid the presence of a “muffin top”.  This area is of concern to some patients even after having undergone  standard tummy tuck surgery.
I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Tummy tuck is often combined with liposuction on back and flanks

It is safe to do needed liposuction ( not aggressive) on flanks and back at same time as tummy tuck.  


Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.