Liposuction or tummy tuck? I have this hangover on my lower abdomen (Photo)

Question

I've always been super insecure about my stomach area. I'm 31 years old, 5ft 1in tall and about 170lbs. I'm currently in the process of working on losing weight. I've always been interested in getting liposuction to my stomach and chin. I have had no children but I've always had this hangover on my lower abdomen since I can remember. Would liposuction help as I'm not looking to remove extra skin, or would a tummy tuck be more beneficial? Thank you

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. 
I would recommend you get a tummy tuck and chin lipo for you to get better results. 
If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Murat Diyarbakirlioglu, MD, FEBOPRAS · Answer

Hello. According to the photos you have excess skin on lower abdomen and also fat depositions on sides and upper abdomen. In my opinion the best way to give you a good result is a lipoabdominoplasty surgery. Otherwise with only liposuction you can get rid of most of your fat but probably you will have contour irregularities especially on lower abdominal area. Also waist definition can be better with lipoabdominoplasty. Good luck.

Leila Kasrai, MD, FRCSC · Answer

It looks like you have some stretch marks on your mid-section. This may be an indication that you have loose skin. As a result, a tummy tuck would be recommended to get rid of the “hangover” on your lower abdomen. If you are only concerned about this area, a mini tummy tuck may be sufficient. Liposuction can be performed at the same time to improve your results if needed.

Matthew C. Camp, MD · Answer

Regarding your abdomen, the surest way of obtaining a tight abdomen is a tummy tuck. This would remove the excess superficial fat, and tighten the skin. The trade off is a scar. Liposuction alone would likely not be satisfying, as the skin will remain. There are skin tightening modalities such as renuvion, or body tite, which remove fat and cause dermal shrinkage. These treatments have reduced scar, but few surgeons provide it. Liposuction of the chin can cause significant improvement after the post surgical swelling subsides (1-2 months)

Gary M. Horndeski, MD · Answer

Liposuction will do resolve the excess skin. If you are planning on having future children, I recommend you hold off on a tummy tuck because it will stretch with pregnancy. The other alternative is to do the tummy tuck and then have it repeated once you are done with pregnancies. At this time, I recommend a low fat diet, core exercises such as sit-ups, planks, pilates and consult with a bariatric surgeon.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear michnic12,
it is hard to tell for sure without an examination. You can try with liposuction and see if you will end up with loose skin. In some cases, liposuction can be a good solution for abdominal pouch. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gregory Lakin, MD · Answer

You could benefit from abdominal liposuction, and skin excision to remove that lower excess skin to improve the overall result. You may not need a full tummy tuck if you don’t want one. You could also benefit from neck liposuction.

Kristen Aliano Messina, MD · Answer

Thanks for your questions and photos! I think you would benefit from a tummy tuck with liposuction of the flanks. The tummy tuck will remove the extra overhanging skin and the liposuction will help with contouring. Please see a trained plastic surgeon.

Leo McCafferty, MD · Answer

I think that taking the first step of losing weight is exactly the right idea.  I would urge you to get down to your ideal weight for your height before making any decisions.  A recommendation today based on your weight would be vastly different than a recommendation once you have reached your ideal weight.  Reaching your ideal weight will not only give the opportunity for the best result possible, but also allow for a much safer procedure.  Good luck and congrats on losing weight.

Camille Cash, MD · Answer

From your photos it appears you would have the best result from a tummy tuck with liposuction for contouring.  This would remove excess fat and skin as well as repair any abdominal wall laxity.  As you mentioned that you intend to lose weight, it is best if you complete your goal prior to surgery.  This will allow your surgeon to optimize your results.  You can consider liposuction to address the area under your chin.  You may be a candidate for Kybella, which is a nonsurgical option to address the chin.

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