Will a tummy tuck remove fat and help improve the upper abdomen? If not, does a tummy tuck with liposuction resolve this?

Congratulations for your weight loss, and thank you very much for this interesting question.After analyzed all the information provided to us, i recommend you a Tummy Tuck, to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).Finally I suggest you to send yout photos to us to give you better advices and recommendations. Respectfully, Dr. Emmanuel Mallol Cotes.-

In general, a tummy tuck/abdominal plasty will not remove upper abdominal subcutaneous fat. That said, the first thing to do is determine if the fat you complain of in the upper abdomen is truly subcutaneous versus intra-abdominal. Sometimes the muscle repair done at the time of a abdominoplasty/tummy tuck will tighten the upper abdomen and give a less protuberant appearance. If in fact you have a lot of upper abdominal subcutaneous fat, the better approach is to do an aggressive liposuction as a first stage of operation followed a few months later by an abdominoplasty/tummy tuck.It is absolutely essential that you seek the advice of a plastic surgeon who is certified by the American Board of plastic surgery and has extensive experience in body contouring. I wish you the best. Dr. Gabbay.

Thank you for the question. Tummy tuck and liposuction address different needs so it would help to conduct an in-person exam to give you an individualized answer. 
A tummy tuck offers the most effective way to correct loose skin and muscle separation in addition to eliminating excess fat. Liposuction will also remove fat, but it can't address flabby, hanging skin that typically persists after weight loss. For this reason, many patients who have experienced a massive weight loss or recent pregnancy tend to opt for a tummy tuck. This procedure can also be combined with liposuction for maximum effect. 
The bottom line is a full tummy tuck will not only remove excess fatty tissue, but also eliminate excess skin and correct abdominal muscles that have been separated and weakened by lack of physical activity or pregnancy. 
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!