Possible for me to have both Lats and hips? Can I keep my love handles? Or is that not a good idea? (photos)

Hi and thanks for your question. Based on your photos, you are a good candidate for liposuction.
For your case I recommend vaser and microaire combination. In this combination; vaser (ultrasonic liposuction) is used for liquifying the fat and microaire (power assisted liposuction) is used for aspiration. Liposuction can be done for your tummy, flanks, upper and lower back regions.With this combination your belt region will get slimmer belt region and good body contour. If you want, aspirated fat can be used for your butt and hip augmentation.
 
Best of lucks.

Hi, thank you for sharing your question.

You are a good candidate for 360 Liposuction. This can combined with VASER to remove as much fat as possible in order to improve your contour and shape. With this approach you will be able to achieve the results you want. I hope this helps. Best of luck!

I would begin with a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. This will also take care of some excess skin you have including around your back posteriorly. After this is done, you can consider liposuction with fat transfers to the hips or buttocks.

Best Wishes,

Gary Horndeski, M.D.

if you have loose skin you ned internal heating or a tummy tuck with lipo 360. you can get a great result with contouring.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

I recommend you schedule multiple in person consultations so you can discuss this in detail while reviewing before and after pictures and the provider can examine you at the same time.

I typically treat the torso as a single anatomic unit and typically treat all of the torso without spot treating only parts of it.

In my practice what we qualify full torso includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area.

Lats typically refer to the area above the latissimus dorsi. You should check some anatomy charts to see exactly where that is.

The term hips tends to be the most confusing term because people refer to hips as anything from outer thighs to the love handles transitioning into the waist.

To avoid confusion, get an accurate assessment and get an understanding of what can and can’t be accomplished there is no substitute for having multiple in person consultations with local board-certified plastic surgeons.

In the end the only variable that really matters is the candidacy of the patient and the skill and experience of the plastic surgeon.

I suggest you let the driver do the driving.

Defined the best surgeon for the procedure in your community requires having multiple in person consultations at which time you should ask to see the entire collection a before and after pictures for each provider.

As well I recommend reading all the reviews on all the various physician review websites paying close attention to any provider with any significant number of justified negative reviews.

While an abundance of positive reviews may seem reassuring it tends to be more correlated with businesses that have aggressive marketing campaign. To differentiate the truly great plastic surgeons the single variable that seems to be most consistent is an absence of justified negative reviews.

If you follow these recommendations you are, I believe, more likely to end up with a good outcome and having cosmetic surgery be a positive experience.

Best,

Mats Hagstrom MD