Is fat removed during a tummy tuck, or is only skin removed?

 The typical abdominoplasty remove ms extra skin and lower abdominal fat by direct removal and additional liposuction can be done of the other areas of the flanks and torso at the same time if done appropriately. The muscles inside can be tightened. Typically all of the skin between the bellybutton and the pubic bone  all the skin between the ribs in the bellybutton is pulled down  to smooth everything out. The bellybutton is pulled through in it's normal location. There are variables  and  many many versions of tummy tucks that are customized to each individual patient and their needs 

During a tummy tuck, a combination of excess fat and skin is removed. This is also frequently performed in conjunction with liposuction. Best of luck!

When you describe your skin as hanging below your pelvic bone, there is no doubt that you need a tummy tuck.  Almost always, I perform liposuction simultaneously to treat unwanted fat that is not removed with the skin.  Typically these areas are the upper abdomen, pubic area, and flanks (love handles).  Liposuction also helps avoid the muffin top deformity.  Liposuction and abdominoplasty can be done together by experienced plastic surgeons, saving a second operation.  There are plenty of examples on my website.  Patient satisfaction after the combined procedure is higher than after either procedure alone.  I've attached a link to this section of my website in case you wish to read more.

In patients with significant weight loss, the skin excess is the main problem to correct.  There is not sufficient subcutaneous fat left behind to warrant liposuction in most of these cases.  

Thanks for your question.  Tummy tuck surgery involves removing not only skin, but also the fatty tissue deep to the skin being excised.  You would need to have a proper assessment to determine whether liposuction would be safe and effective at removing additional fat during the same operation.

Congrats on the massive weight loss.  A consultation would help determine the details of the tummy tuck procedure.  In general, fat is removed with the overlying skin.  After massive weight loss, I spend a lot of time with the patient examining their areas of concern and describing variations of the appropriate procedures (e.g. tummy tuck vs lower body lift) that will help them achieve their goals and explaining the trade-offs between skin excision and length/location of the incisions.  I would recommend visiting with a board certified plastic surgeon in your area who does a lot of body contouring as part of their practice.

Thanks for sharing your concerns with us.When we perform a full tummy tuck we remove both things, fat and skin if we  accompanied with lipo we drain more fat and we give a better body contour.Best regards,Dr. Emmanuel Mallol Cotes.-

In a tummy tuck, the excess skin and fat below the belly button are removed.  Most extreme weight loss patients that I see are more loose skin than excess fat.  I don't generally liposuction areas above the belly button during a tummy tuck for fear of jeopardizing the blood supply to the skin.  If you were to have excess fullness due to fat after everything settles then we could discuss liposuction of that area.  I would suggest that you see a board-certified plastic surgeon who can examine you in person and review your options with you.

Fat and skin are both removed from the area where skin is excised. Liposuction may be done on other areas, but it depends on the shape of your abdomen. You will need to be evaluated in person to determine the best option. Many weight loss patients also need a circumferential excision, not just the abdominoplasty.

Thanks for your inquiry.  The fat attached to the "skin flap" is removed with a tummy tuck.  Many times surgeons will liposuction the flanks, the love handles as well.  Please discuss in person with a board certified plastic surgeon your goals so they can advise if the areas you are talking about are treated by a tummy tuck. Good Luck.