Not a Good Liposuction Candidate?

Doing research for Tummy Tuck. One surgeon said, Full-TT, lipo on stomach and flanks. One surgeon said Mini or Full and that flank Liposuction would make me look WORSE saying the skin would hang even more. The first DR said it would look great and also promised me a much lower TT scar than the first. (stomach scar from forunculosis) Please help.

Doctor Answers 4

Tummy Tuck better

Thank you for the picture. Liposuction alone may not be enough to achieve a firmer body contour in that area. This is because the amount of excess skin that remains will be made worse. Skin often has a difficult time springing back and you can't predict the rate at which it will do so, particularly when an amount of fat is removed dramatically, as is the case with liposuction. A full tummy tuck with liposuction may be preferred. Please see an experienced board certified plastic surgeon for a physical examination to determine which treatment would be most suitable. Good luck.

Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Liposuction works with tummy tuck.


Just going by the one picture, I would think full abdominoplasty with liposuction of flanks should help you.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Liposuction may make your bumps and irregularities more noticeable

Liposuction may reduce your bulk but it would likely leave you with multiple irregularities. If you concern is to have a smooth and flat stomach, it is my impression you would get a better result with a Full TT but clearly this involves more risk and cost.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Male tummy tuck vs. Liposuction

Dear Truk,

From your picture, it looks like you have both skin excess (with more on your right than left) and some scars below the belly button. I would not advise liposuction, as the scars would remain the same and you would have an accentuation of the skin excess as it is "deflated". In doing a tummy tuck, you would want the side extent of the scar to go to the end of the "stomach roll" that you see on the right to get rid of all excess skin. As far as scar location goes, I'd predict you could do it with a scar at your shown underwear line centrally, and one inch higher than the underwear laterally (on the sides).

One word of caution: If the forunculosis is not active, then your risks are the same as everyone else getting a tummy tuck. If you have active forunculosis, you would be at high risk for getting a surgical infection, and I'd advise you to put off the tummy tuck until the forunculosis is totally under control.

You do not need upper abdominal lipo at the time of a tummy tuck - I consider this risky, and also unnecessary, as the stomach skin actually thins as you do the tummy tuck. I have a video clip that shows this nicely, and would suggest you look it over.

Also, be conservative on addressing your flanks. A tummy tuck alone will improve the contour in this region, and if you add lipo in a male patient, you run the risk of feminizing your torso.

I hope this helps!

Michael A. Bogdan, MD, FACS
Dallas Plastic Surgeon
4.9 out of 5 stars 67 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.