Can I achieve a flat stomach with just lipo? (Photo)

Good liposuction treatment of the abdomen and waist can make a dramatic difference in your abdomen and mid-section. Additionally, after the liposuction is done, you can have a lower abdominal skin excision (like a mini-tummy tuck) to remove excess skin which will tighten the lower tummy, get rid of the overhanging skin and lift the mons area. The skin excision will not add any time to the recovery, no drains and you can be back to work in 3-5 days for most people. This can all be done with a light oral sedation and local tumescent anesthesia; no need for general or even deep IV sedation. If you desire, you can get a tummy tuck down the road when you have more time and resources . . . 

You would probably be disappointed with liposuction alone, since you appear to have some loose skin that won’t be tightened up. This loose skin will become even more prominent, giving you a “muffin top” so your mid-section won’t be flat. 

This is a common question and so I am glad you asked.  My answer is not necessarily the correct one, it's my opinion that will differ from others.Liposuction removed fat just below the skin.  It will not tighten the skin.  So the best candidate are patients who do not have very much skin in the area.You are a much better candidate for a tummy tuck.  Doing liposuction alone would decrease the bulk of the abdomen but I think the excess skin would be unsightly.The best option for you is more weight loss... I know, not what you want to hear.  Plastic Surgeons are physicians, so we are also concerned about the overall health of our patients.  It's great that your active and a non smoker with recent weight loss, but your not all the way there.  With more weight loss, your abdominal protuberance would reduce and you would enjoy even better results with Tummy Tuck.  There is excess fat under the skin and within the abdomen.  A Tummy Tuck can also include tightening of the muscle layer that is best done when there is not the tension of excess fat behind the muscle layer.My recommendation is to loose more weight until you can take time off for a Tummy Tuck.  You will be healthier and  have a much better result in the  long run.All my best.

Thank you for your question and pictures, you seem to be a good candidate for liposuction of front,sides,upper and lower back for a nice contour, and a tummy tuck for a nice flat abdomen, always see a board certified PS.

Like the previous surgeons have stated, liposuction alone may not give you the look you desire. It is possible to do aggressive liposuction to the upper and lower abdomen to remove that hard to lose fat, however, the excess skin left behind may leave you with an unsatisfactory result. I would recommend vigorous liposuction to the upper/ lower abdomen, anterior/ posterior flanks, followed by an abdominoplasty to remove the excess skin left behind. 

Thank you Neakaboo01 for your question and congratulations on the weight loss. Liposuction will shrink you down in inches, contour your waist line significantly. With that being said you will still have some of the extra skin. If a laser assisted liposuction is performed then you can get some skin retraction.  Best of luck to you.