Would i be a good candidate for liposuction on abdomen and lower stomach? (photos)

If your goal is to have a flat belly, you need to fix the factors that are causing it to appear swollen. In order of importance these are (1) an excess of internal fat (aka visceral fat) that needs to be reduced by weight loss because there is no other way to reduce it, (2) loose and separated abdominal muscles (aka diastasis recti) that need to be tightened and repaired by a tummy tuck because there is no other way to repair them, (3) loose skin with stretch marks that need to nipped and tucked with a tummy tuck because there is no other way to tighten them, and (4) a little bit of liposuction around the waistline to provide some definition and narrowing along the sides. If you don't do a tummy tuck and opt for lipo, you won't look much different than you do now except the skin will be wrinkled and look worse. If you don't want a tummy tuck, just lose weight and exercise. If you want a tummy tuck, you will need to lose weight first to get rid of the visceral fat. Check out the video and you will understand why lipo won't fix you.

Hello, thank you for question and pictures.
Based on the picture you provided, I suggest considering a tummy tuck (abdominoplasty) and Vaser liposuction on the flanks and lower back. This surgical option involves skin removal and can provide better results for excess skin.
However, if you prefer a less invasive procedure, I recommend Vaser liposuction combined with Renuvion/J plasma or Bodytite on the upper and lower abdomen, flanks (anterior and posterior), and back area (360-degree approach). This method is ideal for fat removal and body contouring and can also improve the waistline if your body allows for it.
The combination of Vaser liposuction with J plasma-Renuvion or Bodytite can help increase the probability of skin tightening. In my clinical practice, I prefer using Renuvion and usually combine it with Vaser liposuction as I believe it provides better results in terms of body shape and skin tightening. Renuvion only requires one session and is typically performed under general anesthesia or sedation in a hospital setting. Bodytite requires as well 1 session in combination with Morpheus 8 ( 3 sessions 4 weeks apart)
It's important to note that Vaser liposuction and Smart Lipo are two different procedures. While Vaser liposuction uses ultrasound energy to liquefy fat before it's removed, Smart Lipo uses laser energy. Both are minimally invasive and offer similar results. However, in my opinion the use of ultrasound technology in Vaser liposuction allows for more precision and less damage to surrounding tissue.
My approach , which involves circumferential body Vaser liposuction and Renuvion/J plasma, is an excellent option for women or men who want to improve their body contour and silhouette with fewer scars and avoid a tummy tuck.
Before undergoing Vaser liposuction, a preoperative assessment is necessary to determine if you are a suitable candidate. This may include factors such as a BMI less than 30-32, overall health, and any medications you are taking.
I strongly recommend scheduling a consultation with one expert Vaser/body contouring surgeon for a medical and surgical assessment to determine the best treatment for you.
I wish you all the best in achieving your desired results.
Dr Fiore

My initial concern looking at your photos is what the integrity of your abdominal muscle wall is like and also the amount of visceral fat you appear to have. Get an in-person consult to further evaluate but a tummy tuck may need to be a part of your answer.

You are not a particularly good candidate for Liposuction. The main reason for this is that your problem is not related to excess subcutaneous fat.
To choose the correct procedure your first if I have a clear understanding of what the problem is. There are four variables that determine what someone’s abdomen looks like. In other words, if somebody doesn’t like the way that her belly looks it is always because of one or more of four different variables. Since each variable has different ways of being treated, it’s important to understand what the primary, secondary and tertiary variables are in order to be treating the actual problem.
The four variables that determine what the abdomen looks like our abdominal skin laxity typically due to previous pregnancies or significant weight loss.
The second variable is excessive amounts of subcutaneous fat. This is the fat layer between the skin and your muscle. The third variable is muscle, separation from previous pregnancies, causing the abdominal wall to bulge, or give you a pregnant appearance. The force variable is excess visceral or intra-abdominal fat, which is fat around your internal organs. This kind of fat cannot be removed with a surgical procedure, and can only be reduced with weight loss. In my opinion, you have all four of these. The number one issue is most likely muscle separation from your four previous pregnancies. The second most important variable is most likely skin laxity or excess visceral fat. What are you do have some access subcutaneous fat it is not the primary reason for your abdomen looking the way it does.
Most of the problems regarding the appearance of your abdomen I related to your previous pregnancies and pregnancies do not change fat distribution. Pregnancies typically create abdominal, skit Laxity and muscle separation.
Liposuction will not have much impact. I’m guessing you’re subcutaneous fat layer is about 2 inches thick and if you have half of the fat removed it’ll bring in your abdomen by 1 inch. Well 1 inch is still some impact it is not significant enough to give you an impressive outcome.
The correct approach in your case is successful weight loss, followed by a full tummy tuck.
Nobody wants to have a tell me a joke, and certainly nobody needs to have a tummy tuck. It is, however the correct procedure to treat. Pregnancy related changes, especially skin, Laxcity and muscle separation.
I suggest having a few in person, consultations with local board-certified plastic surgeons to get a better assessment and better understanding of various treatment options. I recommend you do not schedule Liposuction. I think it will leave you disappointed.
Best,
Mats Hagstrom, MD