Tummy tuck or just lipo 360? (Photo)

Thank you for your question regarding whether a tummy tuck or lipo 360 combined with a Brazilian butt lift (BBL) would give you the best results. Based on your photos, it is clear that you have both excess fat and excess skin. If you proceed with lipo 360 alone, you will likely be left with significant excess skin, which could diminish your overall results.

For optimal outcomes, I recommend either of the following approaches:

Lipo 360 + BBL First, Then Tummy Tuck
In this approach, lipo 360 and a BBL are performed as the first stage. This allows your plastic surgeon to remove fat for transfer to the buttocks while improving your body contour. After 3-6 months of healing, you can return for a tummy tuck to address the excess skin and tighten the abdominal muscles. This staged approach prevents complications related to wound healing that can occur when combining extensive liposuction and a tummy tuck at the same time.

Minimal Lipo + BBL + Tummy Tuck
If you prefer to have fewer surgeries, you can opt for minimal liposuction in combination with a BBL and a tummy tuck in one procedure. This option involves prioritizing skin removal and muscle tightening while still contouring the waistline and adding volume to the buttocks. However, it limits the amount of fat that can be removed to ensure safe healing of the tummy tuck.

Lastly, I recommend considering weight loss to enhance your results further. Losing an additional 30-40 pounds before surgery would reduce your overall volume, improve skin retraction, and allow for more dramatic contouring. GLP-1 medications, like semaglutide, have been excellent tools for patients seeking to achieve their weight loss goals safely under medical supervision.

I hope this helps guide you toward the best surgical plan for your goals. When seeking surgery, always consult with a board-certified plastic surgeon experienced in body contouring procedures.

Sincerely,
Dr. Katzen

Thanks for your question. For all surgeries there is a BMI requirement. At my practice, the BMI requirement for a tummy tuck is under 33. Based on your height and weight, you do not meet the requirement. I suggest you speak with your general practitioner to help you with your weight loss journey so that you're able to reach the required BMI. Hope this helps. Always consult with a board certified plastic surgeon. Take care, Dr. Salama, board certified plastic surgery

We would need to go through your medical history history to be able to know more information such as if you’ve had previous pregnancies or any major weight loss or fluctuation in your weight in the last years, all that can contribute to flaccid in the abdominal skin, but by seeing the pictures that you sent, and how the skin falls, especially in the abdominal area, most likely a tummy tuck would be beneficial in order to be able to successfully remove the skin and depending on the condition of the skin of the back possibly also be combined with some Liposuction and fat transfer to the buttocks. However, in my professional opinion, I would recommend to first lower your BMI to a 30 or below to have the best results. This will contribute to the reduction or elimination of any intra-abdominal fat and to further better the condition of the skin is part as making the panniculus thick to give you the best possible outcome. Which if you do lose additional weight, then you will definitely need the tummy tuck!

Hello! Based on your photos, you look like an excellent candidate for a tummy tuck with liposuction 360. It is best to schedule an in person consultation with a board certified plastic surgeon to discuss your options. I have included a video in hopes that it helps to answer some of your questions. Good luck!

Dear Eclectic569369,

generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Liposuction will be dramatic in rejuvenating your mid-section. Your skin has no stretch marks and relatively good skin elasticity. The lower tummy will have a small area of loose skin and the upper abdominal skin may not be perfectly smooth and tight. If you want to maximize your results, then addressing abdominal skin laxity should be considered. A formal tummy tuck is not the only option though. The first question is if you have noticeable diastasis, meaning a bulge in-between your six-pack muscles when you do a sit up or plank type of action. Assuming so, the I would recommend liposuction with skin excision and umbilical transposition. This is a tummy tuck type of skin excision excluding the muscle tightening. This can be done with an oral cocktail for sedation and local tumescent anesthesia, so you never go "under". There are no drains with resumption of activity as tolerated. There is an overall lower complication rate and down time compared to a traditional tummy tuck. This is a great option for many women out there . . . An in-person exam by an experienced body plastic surgeon will help guide you in your decision. Thank you, I hope this helps..

From your photograph, it seems you would be an excellent candidate for a tummy tuck. You would likely be disappointed with only liposuction. It would probably be left with saggy excess skin of the abdomen and severe laxity of the mons pubis. A full tummy tuck combined with liposuction of your back would give you the effect of 360 liposuction plus so much more. Always look for a board certified plastic surgeon who specializes in tummy tuck surgery. Do your homework and check before and after photos of different plastic surgeons. Good luck.

Thank you for your question. Based on your concerns, I recommend a tummy tuck to address excess sagging skin and restore abdominal muscle integrity. Additionally, waist and back liposculpture would enhance your curves, particularly around the waist, further improving your overall body contour.

Sincerely,
Dr. Emmanuel Mallol

Based on your photos and goals, the best approach for optimal results may involve a combination of procedures. If you have both excess fat and skin, liposuction alone could leave you with loose skin, which may not give you the desired body contour. For the best outcome, a tummy tuck combined with liposuction would address excess skin, abdominal wall laxity, and remove fat. The tummy tuck tightens the abdominal muscles and removes excess skin, while liposuction can further sculpt the waist and remove localized fat.
If you're interested in a staged approach, liposuction 360 and a Brazilian butt lift (BBL) can be performed first to address fat removal and body contouring. After healing (typically 3-6 months), a tummy tuck can be done to address the excess skin and muscle tightening. You will want to be at a stable weight for at least 6 months prior to surgery. Make sure to consult with an experienced plastic surgeon who can assess your unique anatomy and recommend the most effective plan for your body goals.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thank you for your inquiry! The type of surgery is determined by the amount of abdominal skin laxity. We would love to sit down with you and discuss your options. Schedule an appointment with a Board-Certified Plastic Surgeon to help you reach your goals.