Can I just do lipo 360 to get the flat stomach I want? (Photo)

The short and definitive answer is......no. You have skin laxity, skin excess, and stretching of the abdominal wall muscles, none of which can be corrected with liposuction or "add-on skin tightening" treatments. I can assure you that if you proceed with a lipo procedure, you are going to be very unhappy with the results.
Hope this helps.
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Your photo shows a potbelly and minimal fat on your belly and sides. The potbelly is caused by loose and separated abdominal muscles (diastasis recti). You also have loose wrinkled skin on your abdomen. To make your belly flat, you need to fix the muscles. This can only be done with a tummy tuck. If you remove the minimal fat on your belly and sides with liposuction, your potbelly will still be there and your skin will become more wrinkled. It would be a total waste of your time and money. If you don't want a tummy tuck, then don't do anything.

Although there is some excess of skin and fat on the anterior abdomen, the contour that you dislike is likely coming from rectus diastasis, or muscle separation. This can unfortunately only be fixed with a formal abdominoplasty. SMARTLipo and similar procedures can help to tighten the skin to a degree but they will not help the convexity of the lower abdomen.

Though completing Liposuction would result in the removal of the stubborn fat, help enhance your hourglass figure, and improve your contour, it will not result in a perfectly flat abdomen. Diastasis Recti, the abnormal separation of the two "strap muscles" (Recti muscles) of the front of the abdomen causes a protuberance which is not "cured" by Liposuction. Though the prominence of your stomach will not be as pronounced after the removal of the fat, the abdomen will not be wash-board flat. In order to avoid surgical repair, which would be completed during a tummy tuck, I would recommend that you Google exercises to manage Diastasis Recti. These exercises in combination with weight loss followed by Liposuction may help you achieve your goal.

Chaylam, Thank you for sharing your photos.
From your photos it appears you have a moderate protuberance/ bulge in your abdomen. Some this could be from diastasis recti or some fat inside the belly wall [ visceral fat] . If it from diastasis you would need a tummy tuck to treat the diastasis. Tummy Tuck will also give you the tightest skin. Lipo 360 with skin tightening can give you an improved to much improved belly and flanks. The recovery for Liposuction is faster and easier. The cost of liposuction is usually less. So you could do Liposuction 360 it may not give you the best result. I appreciate your preferences and I think Liposuction 360 is a reasonable choice but please understand the choice might be a compromise of faster recovery over the absolute best result. Hope that helps. Dr Wright

Dear Chaylam,
based on your photos, you look like a good candidate for a TT. Liposuction would remove fat tissue but you will probably have loose skin. 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 your question. You can achieve remarkable results with Liposuction using the smartLipo technique and Microcannular Liposuction. A lot of the skin retraction depends on how your collagen responds to the stimulation of the liposuction procedure. A lot of patients due think they need a tummy tuck can get very satisfactory results with this procedure. I hope this information helps you make a decision. Good luck on your journey.

Some patients can get a flank stomach with Lipo 360 and others cannot. There are several pre-operative factors that will determine your end result.
If your abdominal muscle is not flat before the procedure, it will not be flat after the surgery. Some patient have a Diastasis recti or Rectus Abdominus Diastasis. This is often caused by pregnancy. The growing baby causes a separation of the rectus abdominus muscle resulting in laxity of the abdominal muscle. If you can push your belly out far, you may have a Rectus Diastasis.
Other patients have a strong abdominal muscle but they store fat under the muscle as visceral fat. This fat under the muscle is around the organs. It cannot be removed with liposuction of any kind. If you have visceral/organ fat, your abdomen will not be flat after liposuction.
It appears that you may have a loose abdominal muscle, Liposuction can take out the pinchable fat on top of the muscle but it won't repair the muscle to make you flat. If your muscle is loose, you will need a tummy tuck to achieve a completely flat abdomen.
Many women decide not to have a tummy tuck due to the cost, scar or downtime. If you choose not to have a tummy tuck, then liposuction using skin tightening technology such as Vaser and Smartlipo would be your best option. These advanced technologies heat and tighten the skin improving outcomes in patient with stretch marks are skin issues.
In summary, Lipo 360 is an option for significant improvement. If you want a home run with a flat stomach, you will need to a tummy tuck. .

As I can see in your photograph, it appears that you have some intra-abdominal fat which must be lost prior to improving your abdominal appearance. The bulge that you have may also be caused by the severe weakness in the abdominal muscles which can be seen in many women after childbirth. You need to be evaluated by a plastic surgeon to determine if liposuction will help your appearance or if you need to lose weight and have a tummy tuck to get rid of the stretch skin and in order to tighten your abdominal muscles. I hope this helps and good luck from New York City plastic surgery.

You are not a good candidate for liposuction and will not see an appreciable change. Your abdomen does not look the way it does because of subcutaneous fat. In fact your fat layer is quite thin so Liposuction will have minimal impact.
Your primary problems are muscle separation, excess visceral fat and skin laxity.
To get a flat abdomen you need to lose weight then consider a full tummy tuck. Nobody has to have a full tummy tuck and nobody has to have a flat abdomen. When the time is right in your life and you know you’re not going to have more children and you feel like going through a full tummy tuck in order to get a flat abdomen then you’ll be ready.
There are no skin tightening secondary treatments that work sufficiently to make a difference.
Don’t believe the hype.
Adding Renuvion or bodytite Will not give you have noticeable difference.
Your problem isn’t subcutaneous fat so Liposuction isn’t going to do much for you at least in regards to the front of your abdomen.
Best,
Mats Hagstrom MD