Voluptuous Large Volume Lipo Tampa, FL. What are my options? I'm ready (Photo)

You can get volume reduction and improvement in contour with properly performed liposuction and would do well with little downtime and no general anesthesia with water assisted devices.  I suggest seeing a body shaping expert for treatment.  Best, Dr. Emer.

Based on your photos, you can get a volume reduction with liposuction. You would get a nice result, but might end up with some loose skin in the lower abdomen/pubic area. I often do this procedure under local tumescent anesthesia with Xanax for relaxation and a shot of Demerol. Patients tolerate this very well. Your abdominal area will improve greatly, but will not be completely flat due to your abdominal muscle laxity. In women who wish to have a tummy tuck and have a similar presentation to your body, I often do the liposuction first and proceed with a tummy tuck 4-6 months later. This way, the outcome is superior and the incision is much shorter. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation. Good luck.

NO! You need to lose weight first. Most of your fat is intra abdominal or visceral.. Plus you have excess skin that lipo will NOT correct....

It looks like you need to lose weight, but liposuction will decrease the overall volume of fat but will not treat the visceral fat, loose skin, or muscle weakness.

The options include liposuction and tummy tuck, but you must remember that these are best for contouring and are not a substitute for weight loss.  Diet, exercise and lifestyle modifications will be your best first steps.  Following weight loss, if there are some areas that are difficult, liposuction could be used for improvement of these areas.  Following weight loss and/or liposuction, you most likely will have excess skin that will not respond to diet, exercise or liposuction.  In addition, the laxity in your abdomen would likely require muscle repair.   A full tummy tuck with muscle repair would further improve your result.  There is no quick fix, but if you can do all of this, I think you would be much happier with your final result.  Liposuction alone at this time will likely leave you disappointed.For more information on liposuction, please visit the link below. 

From your photo it looks like you are definitely not a candidate for liposuction.  A tummy tuck would certainly help with trunk contouring, but you will get a better result if you lose weight first or commit to a second surgery after for further tailoring.

Diet and exercise are the keys to success. yes it is difficult and slow. Liposuction of your abdomen may be 2-3 liters and the result would be better if general anesthesia and all safety precautions used. Deep sedation may be another option. Even though you are healthy, you need to select a board certified plastic surgeon who works in an accredited center.