Do I Need Lipo on the Hips with a Tummy Tuck & is It Safe? (photo)

I usually perform liposuction at the ends of the incision of a tummy tuck to reduce the tendency to have a "dog ear" or bulge at this point, and to improve the contours of the flank areas. The pubic area is also frequently suctioned so that it doesn't stand out under the tight lower abdomen. The amounts of fat removed are usually small, and the risks are much smaller than compared to treating larger areas (hips, thighs).

There may be some issues about simultaneous TT and liposuction on the lifted areas if not done carefully. It does not appear from the photos that you will need any lipo in the lifted areas. 

You  should expect a nice improvement with a TT in terms of tightening the abdominal muscles and removing excess skin. I can't quite tell from the photos alone if you would benefit from liposuction in the flanks (side of the abdomen), but if you do that is a safe addition to a TT, as would be any area outside the field of the abdominal surgery field. 

When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.