Which treatment is best to treat my bumpy stomach? (Photos)

The photo seems to demonstrate both skin laxity and a small amount of fat which would very likely improve nicely with a standard abdominoplasty. As the laxity this photo seems to emphasize is in the upper abdomen and overall, I think your true tissue excess is on the smaller side, I recommend you also consider a reverse abdominoplasty. The scar is often almost entirely hidden within the breast folds or can be reutilized if/when shared with a breast lift or augmentation.
Be sure to seek an in-person consultation with a board-certified plastic surgeon to determine what option is best for you.
Dr. Brandon Lambiris Board-Certified Plastic Surgeon–Sarasota, FL

At a low BMI, a bumpy abdominal contour is often less about needing major fat removal and more about the combination of skin quality, mild looseness, tethering or scar-like bands, small fat pockets, and the abdominal wall underneath. In the photo, there appears to be mild lower-abdominal skin laxity and creasing with uneven contour around the central abdomen, but an exam is needed to tell whether the skin, fat layer, or muscle separation is the main driver.

If the skin is loose or there is diastasis, a mini or full tummy tuck may be the most reliable option, depending on the amount of extra skin and belly button position. If the skin tone is good and the issue is small fat pockets, limited liposuction can help, but it can make texture worse if the skin is already loose. Energy-based tightening may give modest improvement only. A board-certified plastic surgeon should check skin pinch, abdominal wall strength, and whether you have diastasis before choosing between liposuction, skin tightening, mini tummy tuck, or full tummy tuck.

You appear to have some loose skin and some possible pockets of fat. A tummy tuck can tighten the loose skin and remove any stubborn fat, however you’ll need to determine whether the surgical risk and resulting scar are worth the predicted results.

You have skin redundancy of the abdomen. The treatment is a tummy tuck, and not a mini-tummy tuck. Of course, an incision is needed within the bikini line.

It looks like you have some skin laxity that will benefit from skin removal. There are two very good options for you depending on your anatomy, specifically your muscles. The first question is if you have noticeable diastasis, meaning a bulge in-between your six-pack muscles when you do a sit up or plank type of action. Your muscles look flat in your photo so this is likely not a major issue in decision making. Assuming so, the I would recommend liposuction with skin excision and umbilical transposition. This is a tummy tuck type of skin excision excluding the muscle tightening. This can be done with an oral cocktail for sedation and local tumescent anesthesia, so you never go "under". There are no drains with resumption of activity as tolerated. Also, you get the benefit of liposuction of the abdominal flap in the same setting, so you lose the fatty bulk which is NOT done in a formal abdominoplasty. There is an overall lower complication rate and down time compared to a traditional tummy tuck. This is a great option for many women out there . . . An in-person exam will help determine which option is best for you. I hope this helps.

You appear to be an excellent candidate for a tummy tuck. 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. I do not recommend a tummy tuck is you are still wanting children.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your photo. Unfortunately, it’s difficult for me to make a diagnosis of exactly what is causing your irregularities on your abdomen without a in person consultation. The possibilities include redundant skin and redundant fat underneath your skin. A consultation with a board certified plastic surgeon would be able to sort out the causes of this irregularity and whether it could be repaired simply with diet and exercise or liposuction or the skin redundancy is so great that a tummy tuck would help to smooth out the skin. Best wishes.

It may be more aggressive than you are interested in but a tummy tuck to remove excess abdominal wall skin would be recommended.

From the submitted photo it appears you have skin laxity on your abdomen. A tummy tuck will address this as well as remove excess fat and correct abdominal wall laxity. The result will be a tighter, flatter tummy. See a board certified plastic surgeon near you to learn more.

The solution is really straightforward.

You need an abdominoplasty. Add some liposuction and you will get a great result.

Good luck.