46, female. Best procedure for slimming abdomen and waist? (Photo)

Question

46yo healthy F interested in abdominal lipo with breast lift and transfer. Would like to slim waist and enhance hourglass figure. Is lipo enough? What type if so?

Semih Yildiz, MD, FEBOPRAS · Answer

In my opinion, liposuction could help refine your waist and lower abdomen, but the photo suggests you are already relatively lean, so the improvement would likely be subtle rather than dramatic. The best areas to assess are the flanks, lower abdomen, and possibly the lower back because those zones create more of the hourglass effect than treating only the front of the abdomen.
If your skin tone is good and there is no significant muscle separation, 360 liposuction or more detailed contouring/HD liposuction may be enough. If there is loose skin or diastasis on exam, liposuction alone will not flatten or tighten that. Also, because you appear lean, there may be limited donor fat for breast transfer, so a surgeon should be honest about how much fat can be safely removed and how much volume can realistically survive.

Daryl K. Hoffman, MD · Answer

Although it's really not possible to assess your condition based on this photo, I will say that both Smartlipo® and VASER® liposuction are excellent options if you want to create a more pronounced hourglass shape by removing fat from the abdomen and waist. Smartlipo is a laser-assisted technique, while VASER lipo uses ultrasound technology for a gentler treatment.

Daniel Barrett, MD · Answer

Dear Sundancer1,

based on your photos, you look like a good candidate for a lipo. Liposuction of your abdomen, back and flanks should give you more curves and hourglass 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Hello, thank you for your question and photo. Liposuction can be a great option to slim your waist and enhance an hourglass shape if your skin has good elasticity and there isn’t significant muscle separation, as it effectively removes excess fat and improves contour. However, it won’t address loose skin or weakened abdominal muscles, in which case a tummy tuck might be needed for the best result. Combining this with a breast lift and fat transfer can help create better overall balance and proportion. The right approach really depends on your anatomy, so an in-person consultation with a board-certified plastic surgeon would help determine whether liposuction alone is enough for your goals. Best of Luck!

Ashraf Abolfotooh Khalil, MD · Answer

Thank you for your question and the picture. 
Additional details are important in your case&mdash;particularly whether you have had previous pregnancies or significant weight loss&mdash;as this directly affects the most suitable approach. 
If you have not experienced pregnancy or major weight fluctuations and your skin quality is good, liposculpture alone may be sufficient to slim the waist and contour the abdomen. This can effectively target excess fat in the tummy and waist to help enhance an hourglass figure. In selected cases, fat transfer can also be performed to the hips or breasts for subtle enhancement. If a more noticeable breast volume increase is desired, implants may be a better option in combination with a breast lift. 
VASER liposuction can be used if you are looking for more defined contouring, such as enhancing the natural lines of the abdomen; that's when high-definition liposculpture may be considered. 
It is best to consult with a board-certified plastic surgeon, and a thorough in-person assessment is essential to determine the most appropriate approach tailored to your anatomy and goals.

George Marosan, MD · Answer

Thank you for your question and single view photo. Based on this photo, no meaningful advice can be given. To get the best hourglass figure, I use the VASER Hi Def Lipo (VHD) 360 degrees or circumferential technique. Many times, the fat is used to fill out hip dips or flat buttocks to further enhance the results. The breasts cannot be commented on from this photo. See a board-certified plastic surgeon with expensive experience in body sculpting techniques for an in-person consultation/evaluation. Good luck.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs of your breasts. However, the breast lift technique I recommend is Bellesoma. 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. This also pulls up the upper abdominal skin and may help with abdominal appearance. If liposuction is done then the fat can be transferred to the breasts if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Kadir Berat Oyur, MD · Answer

Thank you for your question.
Based on your photo, you appear to have good skin quality with localized fat in the abdominal and flank areas. In your case, liposuction alone may be sufficient to slim the waist and enhance an hourglass contour, especially when combined with contouring of the flanks.
A detailed evaluation would help determine the most appropriate technique and whether any additional procedures would further optimize your results. I hope this helps.

Mehmet Ozdemir, MD · Answer

Thank you for your question.
Based on your photo, you have good skin quality with some localized fat in the abdomen and flanks. In your case, liposuction alone may be enough to slim the waist and enhance an hourglass shape, especially when the flanks are contoured as well.
A detailed evaluation can help determine the best technique and whether any additional procedures would further enhance your results.
I hope this helps.

Camille Cash, MD · Answer

From the limited photo it appears the best result would be from a tummy tuck with liposuction for contouring.  This would remove excess fat and skin as well as correct abdominal wall laxity.  Liposuction would accentuate your curves.  The result would be a flatter, tighter tummy.  Visit with a board certified plastic surgeon near you to learn more.

46, female. Best procedure for slimming abdomen and waist? (Photo)

Answers (12)

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