What procedure would be best to make my waist smaller than my hips? Lipo or TT? (Photo)

Question

My goal is to have my waist noticeably smaller than my hips. Which procedure would be best to accomplish that? Lipo or a tummy tuck. I am a mother of 2, but my stomach has always protruded out like in the pictures.

Carmina Cardenas, MD · Answer

Your abdomen is very protruding and you will be a perfect candidate for a Full tummy tuck with tight muscle repair to achieve a flat abdomen and smaller waistline. 
Liposuction only, won’t help because your problem is not excess of fat, it is very loose muscle. 
Liposuction can be done to waist and lower back. 
Be encouraged!!!
Dr. Cárdenas

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on these photos, you don’t seem to have much skin laxity but it’s hard to say whether this is subcutaneous fat or visceral fat. The answer to this would be determined after an evaluation in person.

Tommaso Addona, MD · Answer

Thank you for your question.
Based on your photos, I think you would benefit best from an abdominoplasty. While liposuction is great at removing unwanted fat from the body, you will be left with excess skin on your abdomen. An abdominoplasty will remove the unwanted tissue, create a more youthful belly button, and repair the rectus muscles that have grown apart during your pregnancies. I also tend to liposuction the flanks region to provide my patients with an hourglass figure. I recommend speaking with a board certified plastic surgeon about your options and for a thorough evaluation.

Daniel Barrett, MD · Answer

Dear Tasteful553013,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Andre P. Marshall, MD · Answer

Hi Tasteful553013, 
Stomach protrusion can be caused by weakened abdominal muscles, especially after pregnancy, visceral fat, and/or a combination of the two. A consultation or exam is best needed to assess your current condition. However, based upon pictures alone it does appear you have a significant amount of abdominal wall laxity that is often best treated with a muscle repair during a tummy tuck. Again, formal consultation with a board certified plastic surgeon would be needed to better assess your needs. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. I would recommend you Tummy Tuck with Liposuction for betters results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

Gary M. Horndeski, MD · Answer

From your side view, you can see your abdomen is protruding anteriorly. The technique I recommend is an abdominoplasty with mesh reinforcement, if you are not planning future pregnancies. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Liposuction only removes fat but does nothing with the excess hanging skin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.  I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards

Camille Cash, MD · Answer

From your photo it appears you have abdominal wall laxity that is contributing to the round appearance of your tummy.  A standard tummy tuck will address this as well as remove excess skin.  The result will be a flatter, tighter appearing tummy.  See a board certified plastic surgeon near you to learn more.

Vasfi Celik, MD · Answer

Hello,According to your demands, your waist will look smaller than your hips with 360 body liposuction and rectus diastasis repair. And also maybe bbl can be fulfilled but as for these photos to give an exact information is not possible.

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