An Abdominoplasty or Tummy Tuck procedure by itself entails removing excess fat and skin from the abdomen and typically tightening loosened / stretched abdominal muscles by directly suturing the muscle wall. The end goal of this procedure is to smooth, tighten, and flatten the abdomen. However, it is rare that I perform Tummy Tuck surgery without also performing Liposuction to the trunk and commonly I perform Fat Grafting to the buttocks area… Why? Because it does far more to “show off” your figure than simply Tummy Tuck alone.
My feeling is that I get the best results by performing Liposuction over 360 degrees of the trunk with Tummy Tuck surgery to “show off the figure” more powerfully. “Lipo 360” allows me to thin the abdomen, the mons / pubic area, hips, flanks, lower back and as is helpful, the upper back / bra-roll area to give thin, even layers.
In a majority of my Tummy Tuck procedures, I also perform some amount of Fat Grafting to improve the curves of the buttocks and outer thighs. This fat is uniquely available at the time of Tummy Tuck and Lipo 360 and can help provide a more youthful, feminine figure for women. I perform TT / Lipo 360 / Fat Transfer for a wide range of body types, from very thin to moderate body weight and work with each patient to identify the optimal options to best help reach their goals.
For men, I will fat graft the buttocks as well, but generally not to the outer hip area, as a masculine figure characteristically does not have this curve.
Take a look at the link below for a good range of Tummy Tuck patients' before and after pictures from my practice.
Hope this helps,
Nick Slenkovich MD