Lipo vs tummy tuck? What results would I have with just lipo? (Photos)

Hi, I want a flat stomach like I had before 2 children. I haven't gotten back in shape. I need to lose probably 15-20 pounds and just really tone up. I have been thinking about a tummy tuck but the recovery seems to be too much as a working mom with small children. Can lipo produce good results. I guess I am ok with loose skin as long as my stomach is flat for now. Would there be a lot of loose skin that it would be noticeable with a tight dress? I think I have abdominal separation.

Doctor Answers 31

Lipo vs tummy tuck? What results would I have with just lipo?

Based on the pictures only, there seems to be a bulge in the center which is likely due to loose muscle. Liposuction will not fix this and therefore you may be disappointed. A Rapid Recovery No Drain Tummy Tuck will give a better result. See link below for examples. 


Chicago Plastic Surgeon
4.9 out of 5 stars 65 reviews

You appear to be a candidate for a tummy tuck.

You note that you want to regain the flat stomach you had before having two children. You also mention hoping to lose 15 to 20 pounds, which would leave you with excess abdominal skin but wouldn’t flatten your stomach. Judging from your photos, your stomach protrudes, which may be caused by separated abdominal muscles. Only a tummy tuck can repair ab muscles and remove excess skin to help you achieve the flat stomach you’d like. Many plastic surgeons include liposuction with a tummy tuck for an overall improved contour. Consult with a board-certified plastic surgeon for best results.

Liposuction vs. tummy tuck


Upon examination, a board certified plastic surgeon will tell you what they feel is your best option.  The decision is based upon skin elasticity, how much redundant skin you have, stretch marks, and how much extra adipose (fat) is present on your abdomen.  Your surgeon will also do an examination to see if you need your abdominal muscles tightened back up from having children.  Express your concerns to your surgeon and they will help you make the right choice.  

John M. Trupiano, MD, FACS
Troy Plastic Surgeon
5.0 out of 5 stars 16 reviews

Dr. Derby Sang

Thank you for your question and your photos.

i recommend you to combine both procedures for excellent results. Tummy tuck will help remove excessive skin tissue and the lipo will contour and mold your body figure.

Best of luck. 

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 63 reviews

Lipo vs. tummy tuck

Thank you for the question and photos. Based on theses pictures, I would argue that a tummy tuck would be more effective in achieving your desired results. Liposuction can remove fat but it is largely a contouring procedure designed to target "problem areas." It can't fix loose, hanging skin, which often persists after weight loss or childbirth. In many cases, combining tummy tuck with lipo will enhance the results and give you that amazing flat stomach you've always dreamed of. 

As always, an in-person exam with a board-certified plastic surgeon is the best way to assess your needs and obtain a reliable medical advice. Best of luck! Dr. Michal Omidi.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 63 reviews

Tummy Tuck with Liposuction

Thank you for your question and for posting appropriate pictures. Unfortunately, liposuction will not address any loose skin and certainly won't address muscle separation. No amount of diet or exercise will address these either. You seem to be a good candidate for a tummy tuck with liposuction for optimal contour. A lateral tension abdominoplasty will reattach the muscles, remove the loose skin and give you the flat tummy you desire. You will need to have a consultation with a board certified plastic surgeon for precise recommendations. 

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.8 out of 5 stars 88 reviews

Tummy tuck with liposuction (not liposuction alone)

Hello and thank you for your question. Based on your photograph, you are a great candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 80 reviews

Dr Kayser

Thanks for your question. If you were to choose a single procedure, it would absolutely be a tummy tuck. You have excess skin with stretch marks that can only be removed with excision period to perform lipo, would leave you with thinner excess skin that would likely be unsatisfactory to you. I would certainly recommend a consultation with a board certified plastic surgeon who is experienced in these matters. I hope this helps and have a wonderful day. Dr. Kayser - Detroit

Melek Kayser, MD
Detroit Plastic Surgeon
4.9 out of 5 stars 31 reviews

Lipo vs Tummy tuck?

Hello, thank you for sending your photos and inquiry. I suggest having tummy tuck done as well with liposuction combined to have the results you are looking for. Since you already had a pregnancy your skin has stretched already and in order to achieve a flat stomach with tummy tuck you can only get those results, if you only have liposuction done the skin with be flaccid. I suggest seeking a board certified plastic surgeon and discuss details. Best of luck! 

Ricardo Vega, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 41 reviews

What results would I have with just lipo?

Based on your photo alone it seems that your issue is primarily diastasis and loss of muscular tome in the abdomen with skin laxity after your pregnancy. If we are correct then liposuction has very little to offer. Tummy tuck or disastsis repair will get your shape back.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 40 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.