Too much visceral fat for Tummy tuck???? (photos)

Hello,Thank you for your question and photos. It is good to recognise that there are limitations regarding type and location of fat prior to surgery. Visceral fat must be reduced with diet and exercise. I recommend that patients get as close to their ideal weight as possible and stable there before planning surgery.Having said that, it appears that a reasonable amount of your excess abdominal fat is outside the abdominal cavity and could be reduced with liposuction. You likely have enough skin excess to warrant a full tummy tuck and muscle tightening would help to slim your waistline. An in-person consultation is the best way to determine your options and best planning for optimal results.All the best

Your abdomen looks like you would have a good result after your surgery. Even if you have some prominent visceral fat the muscle tightening should help with flattening the area.  The lipo will help to thin out the outer fat layer 

Based on your pictures, you would have a nice result with a combined lipo-abdominoplasty. Consider a non-drain tummy tuck with a Rapid Recovery program. The breasts can be addressed at the same time. See link below for examples.

Excellent question! To start, yes, you should be seen in person in order to have the most accurate diagnosis. Judging solely on the images, you would be a great candidate for a standard Tummy Tuck. No vertical scar should be necessary if the closure is done with the bed flexed. We always perform liposuction of the hip and flanks and often in the anterior abdomen as well- definitely defines the waist. Additionally, Wide Abdominoplasty Rectus Plication will flatten your contour to help address the fullness created by the visceral fat. A small breast reduction can be done in conjunction with the Tummy Tuck, and we recommend that you consider a small amount of fat grafting to the superior pole for upper pole fullness. Good luck with your procedure & don’t hesitate to reach out should you have additional questions or concerns!

That's an excellent question. Visceral fat is something that can not be treated and when present it takes away from the aesthetic outcome. A consultation is required before a definitive answer can be given. Specifically, I would like to know if you have been pregnant, how your abdomen looks when lying supine and whether or not there is a significant muscle separation (rectus diastasis).Based on your photos, I expect you would benefit from a full tummy tuck with liposuction. If you do end up with a vertical scar, I think it would be very small . . . not something that would detract from the final result. Trying too hard to avoid the vertical scar can lead to too much tension or too short a distance between the lower transverse incision and belly button. Higher, rounder, smaller breasts might certainly be the result of a carefully planned breast reduction that removes tissue from the lower and outer breast areas. Whether these two procedures should be combined is something you would have to discuss with your surgeon.