Lipo or tummy tuck? Advice on which procedure I need for belly? (Photo)

Question

Hello so I have an issue wheee I always look like I have a pop belly and I always have a spare tyre , I’ve had laser lipo but it didn’t work . I have had 4 kids my question is do I need lipo or a tummy tuck I do have pelvic floor issues also not sure if abdominal platt helps this too ?

Albert Ko, MD · Answer

Thank you for your question and photo! Pregnancy can cause diastasis recti, which needs to be repaired by tummy tuck. Repairing the muscles will give you a flat abdomen appearance. It is always best to make an in person consult with a board-certified plastic surgeon. Best of luck!

Daniel Barrett, MD · Answer

Dear Intuitive726043,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Moises Salama, MD · Answer

Thanks for your question. It is difficult to provide a proper evaluation from this picture alone. I suggest uploading additional pictures of your front. That said, It doesn't appear that you have excess hanging skin, which is address with a tummy tuck. Therefore, 360 lipo may be your best option. 360 lipo includes lipo of the upper and lower abdomen, the upper and lower back and the flanks. I recommend you schedule a consult for a proper evaluation. Make sure the surgeon you choose has extensive experience and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Luis A. Mejia, MD · Answer

Dear Intuitive726043, thanks for sharing your concerns will be really good to see more pictures where we can appreciate your belly both sides and front closer, Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gary M. Horndeski, MD · Answer

If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You need an examination to see if you have excess fat or just a weak abdominal wall. The noninvasive EMSculpt Neo might work very nicely for you to tighten your abdominal muscles and decrease excess fat.

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and photo. Lipo or TT? As you may know, it's not easy to say before an in-person exam. By this photo, it seems that you will have excellent results with a 360 lipo since you don't have saggy skin on the belly, but Tummy Tuck may repair abdominal muscles. Contact a board-certified plastic surgeon in your area for a physical exam. Good luck!

Camille Cash, MD · Answer

From the submitted photo it appears the contour that bothers you is caused from abdominal wall laxity.  This is not uncommon after childbirth and will be corrected with a tummy tuck.  Liposuction alone cannot address it.  See a board certified plastic surgeon near you to learn more.

Mats Hagstrom, MD (license on probation) · Answer

There are four variables to determine what the afternoon looks like. In other words, if somebody doesn’t like the way, their belly looks it is always because of one or more of four different tissue variables. The four different tissue variables that determine what the abdomen looks like are abdominal skin laxity typically due to previous pregnancies or weight loss, excess subcutaneous fat, muscle separation from previous pregnancies, and excess visceral or intra abdominal fat. In your case, it appears you have mild skin, laxity, thin layers of subcutaneous, fat, significant muscle, separation, and possibly mild to moderate visceral fat access.
Liposuction only reduces subcutaneous fat. That distribution is not created by previous pregnancies. Previous pregnancies cost muscle, separation and skin laxity. Both of those conditions are best treated with a full tummy tuck.
The fact that Liposuction did not deliver quality results the first time I should tell you that subcutaneous fat is not the issue at hand.
Sufficiently talented the plastic surgeon should be able to make an accurate assessment and deliver predictable outcomes.
I suggest having multiple interpersonal consultations with local board-certified plastic surgeons in your area. A qualified surgeon should be able to give you a quality assessment and explain different surgical options of which most likely a tummy tuck is going to be the best choice.
During each consultation, ask each provider to open up their portfolio and show you the entire collection of before and after pictures of previous patients with similar body characteristics to your own. And experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. continue scheduling consultations until you feel quite confident you found the best provider to meet your needs.
Secondary Liposuction typically offers very little in comparison, to what can be obtained from the first procedure.
Best,
Mats Hagstrom, MD

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