Will a traditional tummy tuck be right for me and if so will it take care of my back fat? (photos)

I am a 34 y/o female who has two boys -- ages 8 and 9. I had both of my children via c-section. During both pregnancies I gained a tremendous amount of weight but most of it was just fluid (not pre-clamsia). My weight gain with both pregnancies was close to 60 lbs. As of today, my current weight tends to be around 159 - 162 lbs and I am 5'5 inches tall.

Doctor Answers 17

Will a traditional tummy tuck be right for me and if so will it take care of my back fat?

Based on the photos you have provided--  you are a very good candidate for Tummy Tuck-- it will def remove all of your excess abdominal skin . Liposuction of back, flanks will remove your excess fat and will create a beautiful contour.

Orlando Plastic Surgeon
4.9 out of 5 stars 63 reviews


you ll get a excellent result, with the normal tummy tuck, and a full  liposuction ( abdomen, flanks and superior and inferior back)
you re still young so your skin will be fine

you dont need the circunferencial tummy tuck, even if you don't operate with me don't do that

Marco Carmona, MD
Mexico Plastic Surgeon
4.9 out of 5 stars 72 reviews

The Extent of Improvement With Tummy Tuck

Looking at your pictures, I think the major area to improve is the anterior abdomen, especially the cetner. This is likely to be dramatically improved with an aggressive Tummy Tuck. The areas in your back look to be largely issues in your flanks as a continuation of your abdomen. This is the area that really benefits from liposuction at the time of a tummy tuck.  I do not consider that extra or beyond a tummy tuck in most cases because, to me, it is critically important to getting good results. Some folks need extra liposuction in the back to get good results but you do not look to be one of them.
Dr. Pyle

Jeremy Pyle, MD
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 109 reviews

TT and back rolls

You have a very beautiful body shape so that will be a great foundation for a very nice and extreme result. 
Tummy tuck procedure will be perfect for you, removing the flaccid skin on your abdomen and getting a tight muscle repair can achieve a very flat abdomen and a tapered waist. 
Liposuction will help a lot with your back rolls but you have to acknowledge if your back is saggy because of losing and gaining weight , then lipo will help to make those rolls thinner but not tighter. 
I can only envision a great result. So feel encouraged. 
Dr. Cardenas

Laura Carmina Cardenas, MD
Mexico Plastic Surgeon
4.8 out of 5 stars 210 reviews

Tummy tuck with liposuction

I think it's very important to consider the love handle area when performing a tummy tuck. The shape and contour of the hip can often make a dramatic aesthetic difference in the overall appearance of tummy tuck surgery.
For the purpose of the tummy tuck I divide the love handle or the flank into two areas. The frontal flank, and the posterior flank. Some people carry their love handles on their sides (the frontal flank), and in some cases the love handle goes all the way around as part of a bulge above the buttocks (the posterior flank).
All of my tummy tucks include liposuction all the frontal flank if I think that will benefit the patient. The frontal flank is defined by what I can reach during surgery with a patient in a face up position.
When my patients have the love handle going around to the backside I feel that the best way to approach this by performing liposuction from the backside with the patient face down before the tummy tuck. This patient flip flop adds more time to the surgery and costs more but gives a circumferential contouring of the entire waist.
While your photographs are helpful it is really a physical exam that will help to determine what is best for you. If my patients feel full on the side or have specific bulge I recommend frontal flank liposuction only. If I can feel that fullness working its way towards the backside I recommend a combination of the two. In some patients I don't recommend additional liposuction at all.
Based on your photograph I suspect you would benefit from some degree of flank liposuction but I would have to examine you to see if you would do better with front alone or both.
Clearly your best option is to get a candid opinion from your plastic surgeon.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 104 reviews

Will a traditional tummy tuck be right for me and if so will it take care of my back fat?

A tummy tuck would remove loose skin and would tighten the muscles. Liposuction to the flanks and back would further improve your contours.

Find a board certified plastic surgeon who performs hundreds of tummy tucks and body contouring procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Mommy make-over

  1. Your photo shows that you need a tummy tuck with flank liposuction,
  2. This will not remove back fat.
  3. You can have liposuction of the back with the tummy tuck OR
  4. have a tummy tuck that continues to the back (called a body lift, circumferential abdominoplasty or tummy tuck + back lift.
  5. A face-to-face exam is needed to see which approach is better.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Candidate for an abdominoplasty

You would be a good candidate for a standard abdominoplasty.  This should include liposuction of the upper back and posterior hips.  It would be best for your to consider this surgery when you are close to the weight that you want to stay.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Will a traditional tummy tuck be right for me and if so will it take care of my back fat?

From your photos and short history, you appear to be a good anatomical candidate for a tummy tuck (abdominoplasty). A standard abdominoplasty does not cosmetically improve the back fat but will significantly improve the cosmetic appearance of the abdomen.The  2 options to improve the area of the back fat are:  extended the tummy tuck incision to the back, with or without liposuction, or liposuction alone. Each will produce a different extent of correction.

Following the advice of anyone who would presume to tell you exactly what to do based on two dimensional photos without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Tummy tuck and back fat

It looks like a tummy tuck will help you a lot. As long as you are healthy you should be a good candidate. You and your surgeon will have to decide that when you meet. The rolls on your back are not going to change much with a tummy tuck and you shouldn't expect them to or you are going to be disappointed. That area can be treated with liposuction though. When you meet with your doctor make sure you show them your back so that an appropriate plan can be put into place.

Lee E. Corbett, MD
Louisville Plastic Surgeon
4.8 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.