Options to get a flat stomach, and smaller waist? (Photo)

I think that a tummy tuck with liposuction of the sides and back would produce a nice result for you.  Seek out a plastic surgeon who has performed these procedures hundreds of times and has a great number of reviews and before and after pictures.Kenneth Hughes, MDBeverly Hills, CA

Dear Ms. 86classic,Thank you for your story, questions and photos."Best" is difficult to determine and depends on a personal exam and discussion of the benefits and the limitations of the particular technology.Hopefully you will find the following information helpful.For clarification body contouring can be divided into two major categories:I. Non surgical fat reduction There are various technologies that are non surgical and they include but are not limited to: 1) ultrasound (Ultrashape)2) freezing (Coolsculpt)3) Radio Frequency (RF) Topical (Vellashape III, Thermi Smooth) Injectable (Thermi Tight)4) injectable (Kybella)5) topical laser (Zerona)I personally use Ultrashape , Vellashape III, Thermi, Kybella for those patients who after discussion would like a non surgical alternative. Depending on the anatomical area and only after clear and realistic expectations will we proceed.II.Surgical A) Liposuction is the "Gold Standard" for fat removal. There are various types, including but not limited to:Liposuction 1)suction asst. Liposuction (SAL)2) ultrasonic asst. liposuction (UAL)3) power asst. liposuction (PAL)4) laser asst. liposuction (LAL) 5) water asst. liposuction (WAL)They are all effective and are secondary to the experience of the Plastic Surgeon with the particular liposuction technology.In addition to liposculpting many of us have added non surgical methods "to shrink skin" after liposculpture using Radio Frequency(RF)devices. Two such devices I personally use are Vellashape III and Thermi Tight.B)Abdomioplasty there are four types of abdominoplasties. A-C All have horizontal incisions and D has a significant vertical compotent.1) mini- muscle tightened below umbilicus to pubic bone2) standard- muscle tightened from breast bone to pubic bone3)extended as in standard but incision longer to excise excess skin/fat in outer thigh area 4)fleur de lis- same as standard but in addtion excess skin/fat excised in a vertical directionEach of the two categories (and the various sub groups) have their benefits and limitations and need a personal examination and discussion with a experienced Plastic Surgeon who utilizes both categories and has the various technologies.I recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Liposuction has its limitations, but one should be able to remove a substantial amount of fat from abdomen, waist and hip liposuction. This should flatten your abdomen to some degree, depending on how much intra-abdominal fat you have.