The most important point to liposuction is that the fat is removed so that all areas of the body fir seemlessly together. This means that any liposuction to the flank must include some liposuction to the back, abdomen and outer thighs. During a tummy tuck, we start by liposuction the back, then perform the tummy tuck and finish the procedure with more liposuction of all exposed areas.This is the artistry of plastic surgery.
The answer to your question depends on your anatomy - how much extra fat do you carry in your flanks? This question requires a physical exam to provide a more reliable answer. Please see a board certified PS to learn more about your options. Best wishes,Dr. Basuhouston, tx