Lipo or Tummy Tuck to Get Rid of the Skin Below my Belly Button?

I had 2 c sections in my mid to late 30's and 4 years later I cannot get rid of the skin below my belly button. I am trying to decide if I am a better candidate for lipo alone, lipo with mini or a full tummy tuck. There are so many options with smart lipo which tightens the skin. I would like to avoid surgery but not sure what would give me the best result with the smallest risk.

Doctor Answers 9

Loose skin? Tummy tuck!

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Absolutely get a tummy tuck and not liposuction. Liposuction will only make the skin more loose.  A tummy tuck removes excess skin and tightens the muscles.

Frankfort Plastic Surgeon

Tummy tuck is the only way

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Your situation will only be helped with a tummy tuck. You have mostly skin and not much fat. In addition, your muscles may be well toned so you may not need to have any muscle work done. This makes it much less painful and less complications.


John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 37 reviews

Tummy tuck is better

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It is difficult to say for sure without examining you, but based on the fact that you have had 2 pregnancies, it is likely that you have laxity of your rectus muscles as well as loose skin. Smart lipo does tighten the skin somewhat, but based on the photo you provided, I doubt that it would tighten the amount of skin you have there to the point that you would be satisfied with the result. A mini tummy tuck may be all you need, with a scar just a little longer then the C-section scar you already have.

David S. Rosenberg, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

Tummy Tuck ideal for excess skin

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If there is excess skin (that you can grab) a tummy tuck is the procedure of choice. Liposuction will never be able to tighten this much skin. It is always better to do the right procedure from day one.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews


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A well-toned abdomen is something many of us strive to get through weight loss and exercise sometimes with these methods we don't achieve our goal. Due to age, weight gain, weight loss and/or pregnancy stomach skin often looses its elasticity. If you have excess skin a tummy tuck is the way to go. A tummy tuck removes fat, loose skin as well as tightens up the muscle. On the other hand liposuction is an amazing tool for removing excess fat. In some cases you made need both its known as a lipo-abdominoplasty it combines liposuction and a tummy tuck it achieves a longer lasting and more dramatic results. Be sure to review all your options with your board certified plastic surgeon.     

Tummy Tuck May Be More Suitable

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If you have strong ab muscles and good skin elasticity, along with excess subcutaneous fat, then liposuction may be right for you. However, looking at your photos, you'd probably benefit more from a tummy tuck. This is because it appears you have excess skin which will only become more apparent with lipo alone.

Tummy tuck

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Liposuction will not tighten the loose skin hanging over your waist in the picture. A tummy tuck is the only solution.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Tummy tuck much better for you than liposuction

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1)  Liposuction will not correct this much loose skin.

2)  Forget Smart Lipo.  There is no science behind it.  Marketing.

3)  Mini tummy tuck sounds nice, but will actually give you a new deformity.

4)  Well done full tummy tuck is the only thing that will give you good result.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Tummy Tuck is the answer

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You are a good candidate for the standard abdominoplasty (tummy tuck). Liposuction is not the right procedure for you. Liposuction will not help with the excess skin and may even make it worse. It is better and cheaper for you to perform the right procedure first.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 50 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.