Why do plastic surgeons prefer tummy tucks over Vasar Lipo and J Plasma treatments? (photos)

This is a very common question- it all depends upon each patient's concerns and what they are willing to undergo to get the desired results.As a plastic surgeon, I routinely perform both procedures. Based on your photos, Vaser ultrasound liposuction will 360 contour your back, waist and tummy with less down time. Vaser will remove stubborn fat and tighten skin to a degree.A tummy tuck is indicated for very lose skin and muscles, which you do not appear to require.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations. 

Hello, 
Thank you for your question. You are astute to question the recommendation from someone with a biased perspective (in so much as not being skilled in both approaches). 
I certainly understand and appreciate your apprehension to undergo a tummy tuck. That said, I agree with your plastic surgeon that abdominoplasty (tummy tuck) will be necessary for optimal results. 
Best wishes,
Dr. Moein

You likely need weight loss and a tummy tuck based on your photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert. If you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc). Sometimes noninvasive options like vanquish and coolsculpting can be done to also help contour, and reduce fat, and tighten skin.
Best, Dr. Emer

Hello 1021,
It’s a pleasure to answer your questions! Based on your pictures and description, I would recommend set-up an in-person consultation with an experienced plastic surgeon to determine if you have Diastasis Recti. This is a condition that can cause a bulge in the middle of the abdomen where the rectus abdominis (the six-pack muscles) separate during pregnancy. Moreover, this medical condition may be the reason why some patients still look pregnant months after giving birth. If you have a Diastasis Recti, then you would need an abdominoplasty (tummy tuck) with VASER Liposuction of flanks. Ideal results wouldn’t be achieved by liposuction procedures performed only. During an abdominoplasty, excess skin is removed, muscles are tightened and VASER Liposuction may be used to contour the abdomen and flanks. VASER Liposuction is clinically proven to cause 53% more skin retraction relative to other standard liposuction methods so it’s very likely that you won’t need a back lift to achieve your cosmetic goals. Request an in-person evaluation with your plastic surgeon to determine if you are a good candidate for abdominoplasty and VASER Lipo on flanks based on your age, skin laxity, Body Mass Index (BMI), and health status, and discuss your specific needs and cosmetic expectations. Good luck and may God bless you! Dr. De La Cruz.       

Plastic surgeons have no preference for tummy tuck over liposuction, it is just a question of what will give the best results. If there is loose skin OR the potential for loose skin after fat is removed, a tummy tuck is going to give a better result. If you are seeing a doctor who does liposuction but not able to offer tummy tucks, they will be motivated to offer only what they do. Since plastic surgeons do both, they will steer you toward what is best for your specific needs. There is no version of liposuction (VASER, "smart lipo" etc) that tightens the skin nearly as much as a tummy tuck.

We have created a high definition VASER liposuction protocol that evaluates your status and preoperative state that uses our high definition body scale to grade your preoperative state. This will determine your best treatment action. From your photos it seems that your abdomen has a grade of 4 because of your muscle looseness, e.i diastasis. Your back has a grade of 6. Using the HD protocol you would best be served by a full tummy tuck in the front with a full muscle repair as well as VASER liposuction of the back and buttocks with renuvion, e.i j plasma, skin tightening. A skype or facetime consultation with a VASER specialist will beneficial. 

Hi
and welcome to our forum!
Thank
you for your submission. The treatment of choice depends upon your
goals. Do you have children and are any more children contemplated?
 An abdominoplasty is designed to remove any loose abdominal skin and soft tissue and to repair the abdominal musculature which is usually splayed apart by pregnancy.  Future pregnancies will most likely disrupt the repair...We do not recommend abdominoplasty if a pregnancy is considered within 5 years. Do you wish to lose
weight? If you are not within 20 pounds of your desired body
weight, significant weight loss after abdominoplasty will "undo"
the surgical result. 
Liposuction
can be performed and can remove excess fatty tissue between your abdominal
muscles and the skin.  This may result in a
degree of loose skin. Liposuction will NOT address the fatty tissue beneath
your abdominal muscles, surrounding your internal organs. This can only be
lessened with diet and exercise. Liposuction will not significantly address skin laxity. Liposuction will not address the status of your abdominal musculature.
From your photos, it appears that you could benefit significantly with liposuction, but maximum improvement could be achieved with abdominoplasty and flank liposuction.
Speak
with a board certified plastic surgeon in your area. 
Best
wishes...

You will get lots of volume reduction with just VASER Liposuction, however you will have loose skin.The tummy tuck will remove the loose skin, and Diastasis Recti can be tightened if present.Visceral fat, the fat under the muscle can not be touched, and will still give a roundness to the abdomen. Healthy diet and exercise over years will help with this.Best. Dr Brecht Seattle, Ws