Do I need a tummy tuck?

It is hard to tell from your photos, especially with the high position of the waist band on the middle photo, what is going on with your skin and fat distribution. I do see the flank fat, that can be improved by liposuction and renuvion. If excess skin is not an issue, you may be a candidate for lipo only treatment, such as air sculpt or other board certified plastic surgeon.

Thank you for your question, Dr Red Foxx.

Based on your history and pictures, most plastic surgeons would agree that you do not need a tummy tuck. You do not have much excess abdominal skin or fat, and your anterior abdominal muscle wall appears to be flat and intact. Therefore, if you want to reduce the bulging in your upper abdomen, abdominal liposuction would be a less intrusive and less expensive option.

Specifically, VASER liposuction is highly effective. VASER liposuction uses ultrasound technology to precisely target and remove fat, leading to better skin retraction and a smoother contour compared to traditional liposuction.

Regarding your breast reduction procedure, it is unlikely that it will make your stomach more noticeable. The focus will be on your chest, and the overall effect will likely be more balanced.

Please consult with several board-certified plastic surgeons to confirm the best procedure for your specific needs. However, it is likely that most will suggest VASER abdominal liposuction over a tummy tuck.

Good luck with your procedures.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS