Fat above belly button, will I have a unfavourable results with TT & lipo on sides only? (Photo)

Thank you for your question and for sharing your pictures. Based on your history and the photos provided, you appear to be a suitable candidate for a tummy tuck and liposuction on your sides. However, I would advise against liposuction above your belly button during the same surgery as a tummy tuck. If liposuction is performed in this area, it may jeopardize the blood supply to the abdominal flap, potentially leading to necrosis (death of skin), wound dehiscence, and a prolonged healing time of up to a year.

If you're certain about wanting liposuction above the belly button, I'd suggest having it as a separate procedure before the tummy tuck. You could consider liposuction on your lower abdomen and sides initially, then wait 4-6 months before undergoing a tummy tuck. In summary, only have liposuction on the sides during your tummy tuck. Thank you again for your question regarding fat above your belly button and potential results with a tummy tuck and liposuction on your sides only.

Sincerely,
Dr. Katzen

Lipoabdomionplasty would be a great option for you. I do recommend liposuction of the anterior (front) abdomen and flanks at the same time as your tummy tuck. I do full lipoabdominoplasty on most of my tummy tucks and those who choose not have to the lipo are usually left with regret. If you feel like you would like the fatty wall layer on the front of your abdomen addressed then I would consider consulting with a surgeon who commonly does this technique.

The safes way to do a tummy tuck it’s not doing lipo in the center just the sides, and after 3 month you can come back and do the lipo if you needed

You appear to be a great candidate for the tummy tuck with liposuction of the sides for contouring. Liposuction of the upper abdomen is not typically done in conjunction with a tummy tuck due to healing/blood supply concerns. However the tummy tuck will address the entire abdomen including the fat above the belly button that concerns you.

I think you would obtain a very nice result without liposuction in the upper abdomen. You don't have a significant amount of excess fat there and once the tummy tuck is performed, you should obtain a nice result with less risk. Liposuction can increase the risk of problems as a result and always best to do the least that you need to do to get the result that you want. Best wishes.