Contouring with tummy tuck? (Photo)

Question

Im 5ft 5inch and weigh 9 stone 10 after having 3 pregnacies 3rd pregnacy went up to 16 stone I now have over hang above c section scar and and what i call jelly belly can i achieve my tummy i want just with tummy tuck or will i need contouring with lipo to accheve this as i have seen to surgeons one says i dont need lipo the other said i do Both surgeons are highly recomended and have all qualifications ect

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding contouring with a tummy tuck.You've done an incredible job getting back in shape after your pregnancies. The issue of excess skin and the "jelly belly" you're describing, particularly after significant weight fluctuations, is quite common.

A tummy tuck (abdominoplasty) is an excellent procedure for removing excess skin and tightening the abdominal muscles. However, whether you need additional contouring through liposuction depends on your specific body composition and aesthetic goals. Liposuction can help remove localized fat deposits, particularly in areas where fat might be more stubborn, and can enhance the overall contouring of your abdomen.

If one surgeon is recommending liposuction while another isn't, it's likely because they have different perspectives on how to achieve the best aesthetic result. Both approaches can be valid, depending on your anatomy and the final outcome you desire. If you have a considerable amount of excess fat in addition to the skin, liposuction could provide a more refined result. However, if your primary concern is the loose skin, a tummy tuck alone may suffice.

It's important to communicate clearly with your plastic surgeon about your expectations and the results you wish to achieve. Both of your consulted surgeons come highly recommended, so consider discussing your concerns with them to understand their rationale better.

I recommend the tummy tuck with liposuction of the flanks for your best aesthetic result. Doing liposuction of the

Sincerely,
Dr. Katzen

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Liposuction can help to give a better contour to the waist the performed at the same time as tummy tuck surgery. Make sure you see a reputable and appropriately qualified surgeon as the combination of these procedures can cause significant complications as well if not performed correctly.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

While a tummy tuck can certainly improve the contour of the abdomen by removing excess skin and fat, it may not address all contouring concerns, especially in areas outside the scope of the procedure. For example, if you're looking to contour areas such as the hips, waist, or back, additional procedures like liposuction may be recommended in conjunction with a tummy tuck to achieve the desired results.

It's essential to have a thorough consultation with a qualified plastic surgeon to discuss your specific goals and expectations.

Sincerely,  
Dr. Emmanuel Mallol

Daniel Barrett, MD · Answer

Dear Onelifeluvit,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

From the submitted photo it appears you will have the best result from a tummy tuck with liposuction for contouring.  This will remove excess fat and skin as well as correct abdominal wall laxity.  The result will be a tighter, flatter tummy with flattering curves.

Contouring with tummy tuck? (Photo)

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Contouring with tummy tuck? (Photo)

Answers (10)

Answer: Contouring with tummy tuck

Answer: Contouring with tummy tuck

Answer: Considering options

Answer: Considering options

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Everything you need to know about Tummy Tuck

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