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.

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.