Thank you for the question. Generally speaking, liposuction is a tool that is often used during the time of tummy tuck surgery. Different plastic surgeons utilize this tool differently; some are more “aggressive” than others. In my practice, I frequently utilize this tool to treat adipose tissue of the flanks and pubic areas during the tummy tuck procedures. In our practice there are no additional charges associated with liposuction surgery performed at the time of tummy tuck surgery, unless a completely separate part of the torso (such as the back or lower extremities is treated). I would suggest that you spend additional time discussing your goals, plans, and expectations directly with your plastic surgeon, in front of a full length mirror. Working together you will come up with the best plan to achieve the desired outcome. I hope this, and the attached link, helps.