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

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

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.

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