Remove dog ears + liposuction or just lose weight? (Photo)

I don't really see that you have dog ears but rather excess fat on your hips. I would recommend either weight loss or liposuction. Lipo would be the faster fix clearly. Skin excision for dog ears is necessary when you have small pouches of skin and fat at the end of your scar. I don't see this is your photos. 

Thank you for your question and for sharing your background. Based on the information you’ve provided and your photo, it seems that the excess volume in your love handles and "dog ears" is more likely due to excess fat rather than loose skin. Because of this, you would be a great candidate for liposuction to target those areas and improve the contour of your sides and lower back.

While losing weight can help reduce overall fat, it’s often difficult to eliminate stubborn fat pockets in the love handles through diet and exercise alone. Liposuction can specifically address these areas, removing the fat and helping create a smoother, more defined silhouette. This would likely give you the results you’re looking for without the need for additional skin removal surgery.

I recommend consulting with a board-certified plastic surgeon to assess your individual needs and determine if liposuction is the right option for you.

Sincerely,
Dr. Katzen

Hi... thank you for the question and photos... Flanks (love handles) are very hard and sometimes imposible to get rid of only with exercise... a Liposuction could really help you with just great results

Thank you for your questions and photographs.  Congratulations on maintaining your weight loss and continuing your exercise regimen.  I think you have a very nice result, but I can see your areas of concern with your love handles.  If on physical exam there is a small amount of residual fatty tissue there, in office liposuction can be done to remove this slight excess, assuming your skin has maintained good tone.  The pictures do not adequately demonstrate your love handle dog ears, however.  If they are small, then at the same time as your liposuction, a small office procedure to smooth them can be done. Diet and exercise may improve the appearance of both areas, but from your narrative it sounds that these are more diet resistant areas, so surgery may be the best treatment option.   

Congratulations on your procedure and thanks
for sharing your question. I can appreciate your concern.



Your contours seem adequate. Remember that males have a more
developed oblique muscle on the side. It seems to me that your love handles are
more related to the muscle rather than fat. However, differential diagnosis can
only be done with physical examination.
In your case assuming that this is fat, weight loss should
be my first step. Then you can consider lipo and finally surgery if no
improvement.
Finally, make sure that you have a
consultation with a board certified plastic surgeon that specializes in after
weight loss surgery.



Wishing you the best in your journey

Given your history of weight loss and previous tummy tuck, you would probably be a good candidate for dog ear resection and/or a small flank liposuction.  From your photos, this may be done under a local anesthetic.  Check back with your previous surgeon, he/she should be able to help.  Best wishes, Dr. Lepore.