I'm 23 yrs old, 5'6, and 230 lbs. Large Volume Lipo? (photo)

Hello Red, thank you for your inquire and photos.   My recommendation will be: 1) Extended Full Tummy Tuck and 2)  Lipo (flanks, back and upper hips areas)  to enhance your body contour,  IF you feel comfortable with your actual weight and like you said, " just rid myself of a saggy tummy  " where I think Liposuction only will not give you a good result.   .  But if eventually you decide to loss weight first,    The ideal procedure, on the other hand, to really have a life-lasting result is,  having a bariatric procedure (gastric sleeve p.e.).   Best.  Dr. Vega

Large volume liposuction refers to removal of fat above a given volume, usually several thousand cc. Patients who harbor this much fat usually have significant contour problems after liposuction. Nevertheless, many of them are very happy with the results.

  If the hanging tissue is what is bothering you then a tummy tuck or an apronectomy may be your best choice.  The liposuction will reduce the fat in the apron, but the skin will hang even more.  Find the plastic surgeon with ELITE credentials who performs hundreds of liposuction and tummy tuck procedures each year.  Kenneth Hughes, MD Los Angeles, CA

Definitely, maximize your efforts of weight loss prior to liposuction.  Your BMI (Body Mass Index) is too high.  There are certain risks with liposuction, specifically clots in the leg (Deep Vein Thrombosis) that can be potentially fatal.  Risks such as these and others increase with a higher BMI.  Additionally, since you have had a child, if the skin does not shrink appropriately after  liposuction, then you will need additional procedures to deal with the skin i.e. Tummy Tuck.  Be patient, keep working at it, you are young.  Good luck

Dear Red - as others have suggested, lipo and tummy tuck would improve your appearance, but if your overall size and weight are your main concern, why not look into bariatric surgery first?  Then the body re - contouring would be, in my opinion more worthwhile.