Are "pauch" stomachs a good candidate for abdominal lipo?- With photos this time! (photos)

I've always had a little paunch stomach. My PS directly told me that there's a risk of dents & contours, & that I would probably get better results with a TT. I just want to wait until after kids for a TT. What do you think-- are paunch stomachs good candidates? He also recommended I get flank lipo, which I am going for. I'm mostly leaning toward yes for abdomainal lipo, but I don't want to do it if I'll look worse. Any input is kindly appreciated!

Doctor Answers 5

Liposuction or TT

You look to be an excellent candidate for liposuction. Lumps and bumps are unusual after liposuction. 


Vero Beach Plastic Surgeon
5.0 out of 5 stars 7 reviews

Liposuction of Abdominal "Paunch"

The abdominal paunch is one of the problems for which liposuction was developed. You appear to be an ideal candidate from your pictures, though a consult with a qualified plastic surgeon will be necessary to tell for sure. Since the person you have consulted is worried about contour abnormalities, I would suggest you seek a plastic surgeon who has significant experience with liposuction and has been doing it for a long time. This should assure that you have a good result as irregularities are quite rare when the procedure is performed properly by an experienced surgeon. 

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

Liposuction - am I a good candidate?

Thank you for asking about your liposuction.

  • You are right not to have a tummy tuck until after you have children.
  • Your photo suggests that a small cannula liposuction of the excess fat in the mid-tummy would help -
  • But if you have stretched muscle in the lower abdomen, you will not get a flat tummy.
  • Your liposuction result depends on your anatomy and the skill of your surgeon - just be sure he knows you want him to just reduce the fat, not do to much.
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS

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Vaser Hi Definition Liposuction / Body Contouring -- FEMALE HI DEF

I suggest seeing a VASER HI DEFINITION contouring specialist. With your smaller build, you would be a great candidate for Vaser Hi Definition Liposuction and would benefit most from a true contouring type procedure. To avoid any post-liposuction abnormalities such as "dents & contours" I suggest consulting with an expert who has a lot of experience.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
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Abdominal Liposuction

While soft tissue irregularities are a risk for any liposuction, they should be very uncommon when the procedure is performed on the right patient by an experienced surgeon. I see the biggest problem in slender patients who had laser lipo to excess by inexperienced practitioners. In the right hands you should be an excellent candidate for the procedure. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 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.