Standard tummy tuck or extended? + BBL (Photo)

An in person evaluation is best but based on your photos you will have some improvement with a tummy tuck and liposuction. However it appears your visceral fat will keep your results from being optimal. Visceral fat is the fat that surrounds your organs and is behind your muscle wall. This is what creates the "bulge" that you mentioned. It is not improved with a tummy tuck or liposuction but is improved with weight loss. I encourage you to get as close to your ideal weight before having surgery to give your surgeon the opportunity to maximize your results.

Dear brightDays2024,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for sharing your goals and photos. I believe you will get great results from an extended tummy tuck, liposuction 360, and a heart-shaped BBL. An extended tummy tuck will address excess skin and help create a smoother, more contoured abdomen, while lipo 360 will refine your flanks and back to complement the hourglass shape you're seeking. A heart-shaped BBL can further enhance your silhouette and provide the fullness and contour you desire for your buttocks.

However, for optimal results, I recommend focusing on weight loss first. The bulge in your upper abdomen could be due to muscle weakness of your rectus abdominis (diastasis recti), which a tummy tuck with muscle repair can address. However, it could also be caused by visceral fat, which lies deeper around your internal organs and cannot be removed surgically. Weight loss is the only way to reduce visceral fat, and doing so would significantly improve your abdominal contour and enhance the outcomes of your tummy tuck and BBL.

By achieving a lower and stable weight, we can safely remove more fat during liposuction, allowing for a more dramatic transformation. I recommend consulting with your plastic surgeon about creating a surgical plan that aligns with your weight-loss goals. Once you're ready, you’ll be amazed at the results these procedures can deliver!

Sincerely,
Dr. Katzen