Thoughts; tummy tuck? Laser Lipo? Cool sculpting? Liposuction? (Photos)

How flat can I get my stomach? I know I will not be able to wear a bikini due to the amount of stretch marks. I had 3 c section plus I was cut an additional time due to a miscarriage. I am in constant pain well discomfort and my doctor believes a tummy tuck will help. Do I or should I also get flank Liposuction? Any doctors include that in their cost? I'm also getting a reduction which is covered by my insurance.

Doctor Answers 12

Tummy Tuck - Laser Lipo-Cool Sculp

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Thank you for your question and photographs.

A brief review of your history that includes four pregnancies indicates you have abdominal muscles that have been "stretched", and your photograph shows loose skin and stretch marks above and below the umbilicus.  The best way to treat both lax muscles and skin is a full abdominoplasty.  The hip/flank area may be improved with liposuction.  

Smart Lipo and Cool Sculpting are procedures designed for smaller amounts of fat removal and skin that does not have that much laxity.

In my practice, we include the liposuction of the anterior flank/hip as part of the global fee if it is needed.

Good luck with your procedure.

Washington Facial Plastic Surgeon

A tummy tuck with liposuction of your flanks (hips) and abdomen will give you the best results

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From your picture it appears that you have some lipodystrophy (fat deposits) on your abdomen and flanks (hips). The best way to correct both of these problems and give you the best results is to preform liposuction on your abdomen and flanks along with a tummy tuck and plication diastasis recti (tightening your abdominal muscles). This can be done safely with out a drain if your surgeon limits the undermining of your upper half of your abdomen to just in the mid line, preserving the perforating blood vessels which supply the blood supply to this upper portion of your abdomen. Combining this with plication of the fascia (fibrous tissue) of the abdominal flap to the abdominal muscle fascia, makes it safer with better results and there is no need for a drain. See my paper on Abdominalplasty with suction Undermining with out the use of a drain, published in Plastic and Reconstructive Surgery Journal, PRS, September, 2011. 

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 17 reviews

TT vs Liposuction

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A TT removes fat and skin, while liposuction removes fat only. If you want less fat and tighter abdominal skin, you are a good candidate for a TT. Liposuction will remove fat but it may make the skin more relaxed and wrinkled. Consult a Board Certified Plastic Surgeon.

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 25 reviews


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Thank you for the question and pictures.

In your case, I do suggest a Tummy tuck along with liposuction to the waist, upper and lower back. The cost can be between $ 5000- 6500.

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 257 reviews

Tummy tuck or cool sculpting

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A tummy tuck  with flank liposuction will give you your best result Laser liposuction will not improve your result and will increase your surgical time. Cool scultping will not be helpful. Your surgeon;s office will explain the fees. 

Thoughts; tummy tuck? Laser Lipo? Cool sculpting? Liposuction?

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The best option as seen in the posted photos is a full tummy tuck. As for costs you also need to include the hospital costs as this portion is NOT covered by insurance so I would venture an out of pocket expense of $10,000.

Tummy improvement

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Dear 4betterme,
   Thanks for submitting your pictures. From observing the pictures, tummy tuck will give you not only a flat stomach , but because of the muscles tightening, there is high likelihood that you will lose significant amount of weight. Few of my patients lost over 40 pounds in about 4 - 6 weeks !  Due to the significant amount of weight loss, I usually do not do liposuction procedure at the same time and I wait 6 - 8 weeks for the weight to stabilize and than assess the need for liposuction. Another important fact is that combination of tummy tuck and liposuction is associated with significantly higher rate of complication . It is my belief, that because cosmetic surgery is purely elective it should have as  minimum as possible, complication. So, I do it in two stages if necessary. Consult with board certified plastic surgeon whom you find safe and you like their before and after pictures.
                     Best of luck,
                                           Dr Widder

Tummy tuck and lipo

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For the best result you should have a tummy tuck and lipo at the same time. I, for one, almost always include liposuction at the same time as the tummy tuck provided there is no significant interference with the blood supply. You may even want to consider a full lower body lift also known as a belt lumpectomy..

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 37 reviews

Tummy tuck Lipo cool sculpt?

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Thanks for your questions and your photographs.

From your photos it seems as though you have a lot of loose skin above and below the belly button. Fat removal devices such as laser lipo or regular liposuction and even cool sculpt will make the skin even looser. Tummy tuck will tighten the loose skin.

If the skin tone is better in the flanks lipo may be appropriate to improve the hip contours.

In my own practice flank liposuction is included in the price of the tummy tuck for areas that can be reached with the patient asleep face up. Some patients carry more fullness around to the backside. for these patients we start liposuction with the patient face down first. For posterior flank liposuction we charge a second site fee because it takes longer.

A  word of caution:  While we all hope that your breast reduction and tummy tuck help to alleviate  your pain there are many causes of back pain and these surgeries may not solve it. In fact many patients temporarily experience an increase in back pain until they can stand up straight after tummy tuck.

Best wishes and good luck.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Thoughts? Tummy Tuck?

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Basically your best option is Saldanha technique lipoabdominoplasty with lipoplasty of the hips/flanks. Anything less would not give you the result possible with these. Best to you.

Grady B. Core, MD
Birmingham Plastic Surgeon
4.6 out of 5 stars 13 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.