Why would some surgeons recommend adding lipo/360 lipo to a tummy tuck and others not think it's needed? (Photos)

After 100 lbs. weight loss, it is highly probable that your breasts have descended as well. I usually like to do a breast lift prior to a tummy tuck because if you do the tummy tuck first then it will pull the breasts further down making is harder to lift the breasts as high as possible. If the breasts are done first then this will pull up the upper abdominal skin and can minimize the amount of dissection necessary for the tummy tuck. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time, a tummy tuck can be done. 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. After these have been completed, then you can consider liposuction and possible fat transfers to the breasts, if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Liposuction can help enhance body contouring when combined with a tummy tuck, especially in areas like the flanks or lower back. However, not all patients require it. The decision to add liposuction depends on factors such as fat distribution, skin quality and the surgeon’s technique or philosophy.