5’4, 190lbs, mom of 7 - should I consider lipo too? (Photos)

If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Hi, thank you for sharing your question. You are a good candidate for tummy tuck. I would consider a little more weight loss prior to surgery and also adding liposuction to improve contour in the flanks. I hope this helps.

Thank you for your question regarding what to do with your abdomen after seven full-term babies and weighing approximately 190 pounds. I would definitely suggest a full tummy tuck. During your full tummy tuck or abdominoplasty, an incision is made in your lower abdomen. If you have a C-section scar, the incision is made just underneath the C-section scar. During your tummy tuck, the rectus abdominous or six-pack muscle will be repaired. The excess skin and fat from the belly button to the top of the pubic region would be removed, and your abdomen would be flat. In the whole tummy tuck procedure, you also get a new belly button and a pubic lift and reduction. I do not necessarily think you need liposuction. If you want more of a snatched waistline or removal of fat from the hip or saddlebag region, you may consider liposuction. However, in your case, I think the tummy tuck will be enough. Liposuction would be icing on the cake if you wanted further areas to be reduced. Please seek an experienced board-certified plastic surgeon who is experienced in tummy tucks.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

You appear to be a great candidate for a tummy tuck procedure, but I would also suggest liposuction to your flanks and back to really cinch in your waistline. Discuss your options with a board certified plastic surgeon. Best of luck!

Dear Gregarious228972,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question and series of photographs.  Nothing replaces an in-person examination, but I think you would most benefit from a full tummy tuck and liposuction of your waist and flanks once you have reached your goal weight.  The tummy tuck will tighten your stomach muscles, helping to achieve a flatter appearance, while removing excess skin and adipose tissue.  Liposuction can be used to enhance your tummy tuck results by narrowing your waist and removing isolated areas of diet and exercise resistant fat.  Hope that this helps

From your photo you would benefit from a full tummy tuck with liposuction for contouring. This would remove excess fat and skin as well as correct abdominal wall laxity. The result will be a tighter flatter tummy. The liposuction would enhance your curves.

Tough choice. You have a very thin waist line with a round bottom. If you have liposuction of your sides and lower back, then you would be a bit thinner. The abdominoplasty portion of your question is totally relevant as you will have a much flatter stomach post procedure.
Dr. Taranow

You definitely need ful TT with muscle plication/repair. As for liposuction in Florida can ONLY offer 1 liter lipo (2.2 pounds) by office surgery rules. So you could have the 1 liter lipo to flans/love handles or bra back areas. Fees from $7,000+++

I suggest you have multiple in person consultations to discuss various treatment combinations.

It’s pretty common to have liposuction in conjunction with a tummy tuck especially of the backside which doesn’t directly get improved from the tummy tuck.

In your case your waste is relatively thin compared to your hips and buttocks so Liposuction isn’t really needed in regards to proportions.

You can discuss your wishes and get a better understanding of various procedures by having in person consultations.

Best,

Mats Hagstrom MD