Will lipo of saddlebags and abdomen leave saggy, lumpy skin? (Photos)

Photographically, your skin elasticity looks to be good and you are an excellent candidate for tumescent liposuction using micro-cannulas. This technique offers the smoothest results and lowest complication rate. Introducing "skin tightening" devices can increase the risk of complications unnecessarily. While skin that is already crepey will remain so, once the fat is removed from the abdomen and the skin is "unweighted", we usually see a dramatic reduction in the panis (fatty skin that hangs down).

Great question!  This all depends on your skin quality, but it could be possible that the skin ends up being loose than before.  Imagine a deflation balloon - as the volume decreases, you could have excess skin.  If you have thick elastic skin, then it maybe not cause an issue, if you already have a bit of loose skin and its not firm at the moment, then you could end up with looser skin.  You shouldn't be lumpy.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

Hello and thank you for your question. While it is impossible to give you concrete advice from a photo, if you are looking to reduce excess fat on your abdomen a full tummy tuck, mini tummy tuck or liposuction may be your best options.  Generally speaking, if there is loose skin and/or stretch marks that need to be addressed during the procedure a tummy tuck is preferred over liposuction.Liposuction can be helpful in removing fatty deposits around the abdomen and giving an overall toned appearance of the abdomen. Although there can be some shrinkage of skin with just a liposuction procedure, there is rarely enough shrinkage for someone who has abdominal wall skin laxity. My suggestion would be to see a board certified surgeon in your area for an in person consultation to ensure you are an ideal candidate for liposuction.