Can I qualify for 360 lipo and J-Plasma or do I need a tummy tuck? (Photo)

Thank you for your question and pictures. I would recomend you to get a mini tummy tuck with liposuction for better results . If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

you need liposuction, j plasma and tummy tuck. I would use the fat to lift and contour the buttock.


my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

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. At the same time, liposuction can be performed if necessary.

Best Wishes,

Gary Horndeski, M.D.

Dear Kind154741,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From your photos you may be a candidate for a tummy tuck with liposuction for contouring. An in person consultation is the best way to give you a recommendation. We can discuss your goals for surgery and combine that with the physical exam to help choose what procedure(s) are best for you. We welcome you to visit us in our Houston office!

All tummy tucks or abdominoplasties are not the same. There are at least seven abdominal operations that I perform that include some level of fat removal, tightening of the abdominal wall and skin excision and tightening. You seem to be a great candidate for liposuction with excision of excess skin. Liposuction, even with adding laser, ultrasound, J-plasma, PlasmaPen or Thermage will most likely NOT give you a satisfactory result. Liposuction will make the skin looser and it will need to be tightened surgically. Your abdominal wall (muscles) appear fairly tight and it may not be necessary to tighten them at the same time. Good luck to you and please let us know if we can help you.

My first hand experience with J plasma was pretty dismal.

I purchased a device and used it for six months. I saw no appreciable skin tightening that could not be explained through liposuction alone.

Patient had significantly increased pain during and after the procedure when J plasma was added.

From your picture you look like the quintessential ideal full tummy tuck candidate.

I think anything less than that will leave you disappointed.

Best,

Mats Hagstrom MD