Liposuction 360 or Tummy Tuck for post c-section and weight loss? (photo)

Question

I'm 5'1 and 42 years old weight 175 and had 2 c-section but lost over 65 pounds. I was thinking of doing an BBL with 360 lipo but thinking maybe need to do tummy tuck? I workout 6 days a week with cardio and weights. Wanna know if just do 360 lipo maybe extra skin could reattached with using foams/boards and good fitted faja?

Jason Emer, MD · Answer

For best results, I recommend a hi definition procedure like VASER liposuction, which can be performed at the same time as a tummy tuck, depending on skin laxity. I use VASER HI DEF with ThermiRF/J Plasma/Renuvion/InMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on the picture your first recommendation is Full tummy tuck with muscle repair combined with liposuction. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Johanna R. Krebiehl, MD · Answer

Unfortunately, the only truly effective treatment for excess skin in the abdominal area is a tummy tuck. Liposuctioning may ultimately create more excess skin, since it is removing more fat and not addressing the skin at all. Liposuction is ideal for patients who have smaller, isolated areas of fat and good skin quality. Surgeons will often do a tummy tuck with conjunctive liposuction to the hips, flanks, or other nearby areas to really create that hourglass shape. The tummy tuck will remove all of the excess skin, tighten the abdominal muscles, and give you the most "bang for your buck", so to speak. The downside is that it create a larger scar than liposuction, but the scar is low and easily coverable in most clothing and swimwear, and heals very nicely over time. I recommend scheduling a consultation with a board-certified plastic surgeon who can create the best plan for you to achieve your goals.

Gary M. Horndeski, MD · Answer

At 5'1 and 175 lbs, your BMI is 33 which puts you at a high risk for complications from a tummy tuck. Additional weight would be more desirable but I know that is difficult to achieve. Liposuction can be done at this time. 10 lbs can safely be removed during one session of liposuction. You will more than likely need a circumferential body lift. First, I recommend doing the liposuction of the upper abdomen then do the tummy tuck 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. After these have been completed, I would recommend a circumferential body lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear msprettyfree,
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

Scott C. Lindsay, DO · Answer

Thanks for your question! I do not think you should go down this road unless you are committed to a tummy tuck. Doing liposuction to your abdomen will leave you with significant amounts of loose skin. Please seek out a consult with a board-certified plastic surgeon. Good luck!

Camille Cash, MD · Answer

Congratulations on your weight loss!  You will have the best result from a tummy tuck with liposuction for contouring.  Liposuction alone will leave you with more skin laxity and a poor result.  A tummy tuck will remove excess fat and skin as well as correct abdominal wall laxity.  Liposuction added to this will sculpt and define your curves.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

Hello, 
Thank you for your question.
Your photo shows that your skin is fairly loose after your c-section and weight loss.   Based on the photo, you are a good candidate for a tummy tuck.  Liposuction can be used at the same time to treat your sides.   The skin looks too stretched to reattach.
All the best to you,
Dr. Nancy de Kleer

Tania Medina de Garcia, MD · Answer

thanks for contacting us! the liposuction is not gonna be enough to make your stomach flat! just with tummy tuck we can take it out the extra skin!

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