I'm having full trunk liposuction with fat transfer/grafting to my hips. Will my skin bounce back?

My surgeon doesn't want to go too flat on my stomach because he's afraid the skin might not bounce back as well. He examined my muscles and stated that they were still close. I was about 30 pounds lighter last year and my stomach looked amazing considering. Is it fair to assume if I went almost flat with the liposuction my skin would do the same as when I was thinner? I'm pretty conflicted. He says it might sag, but I know I want it to be flat. Other opinions would be nice. Thanks!

Doctor Answers 3


There is often a delicate balance between fat removal and skin retraction. It sounds like a good plan by your surgeon.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Skin tone after liposuction

Given that your photos demonstrate striae and stretch marks, it is unlikely that your skin tone will result in a flat abdomen. My concern is that you had a rapid and significant weight gain. Rather than surgery, why not try to get back to that starting point and then reassess?

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Liposuction - will my belly be flat?

Thank you for asking about your liposuction.
  • You appear to have had children - your tummy has stretch marks and your lower muscles are severely stretched - appearing to cause a sway back.
  • With stretch marks, your skin will not bounce back. 
  • Your muscles may be close but in profile, look severely stretched and in need of repair.
  • IF the lower abdomen fullness is entirely fat - liposuction is the right approach.
  • But if it is stretched muscle, a tummy tuck will be needed to have a flat tummy.
  • I suggest you see your plastic surgeon again and be sure that the issue is fat - not muscle.
Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FAC

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.