Lipo or Tummy Tuck for Muffin Top After Myomectomy?

Yes it is too early to tell. I would wait and see what things look like at 4 months out. Also it would be nice to see your body to determine what would be the best route for you. You can certainly have scar release or revision along with liposuction to contour the area, or you may need a tummy tuck.
At about four months time go see a board certified plastic surgeon who can exam you and go over the details.
Good luck.

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Respectfully,Dr. Emmanuel Mallol Cotes.-

Three and a half weeks is much too early to expect this to resolve on its own. Velashape or endermologie deep massage may help significantly. Liposuction may help also and the skin can retract. Thermage may also help to tighten the skin. The only treatments that I would recommend at this early stage now would be Velashape, with your surgeon’s permission.

First of all, a consultation with a board certified plastic surgeon is the only way to determine what procedure will help you to achieve your aesthetic goals. Additionally, three weeks after major surgery is certainly too early to determine what your abdomen will look like in several more weeks as the swelling of surgery dissipates. Given your height and weight and your description of excess skin, it does sound like an abdominoplasty (tummy tuck) and liposuction, and possibly preoperative weight loss, will be the combination to give you the result you desire.

Hi!
This is a very common problem. Don't do anything for another 3 or 4 months, but this probably won't go away, unfortunately.
The muffin top is caused by a scar tissue shelf, that needs to be released downward. No kind of liposuction will do this. You will need a full tummy tuck, or a mini tummy tuck, depending on your anatomy.

At only three weeks there is no way to tell what the final outcome of the appearance of your "muffin top" and scars will be. I would recommend at least 6 months before you consider any procedure since at that time all scars have pretty well matured internal wound healing and skin contracture has been achieved. Only then can it be determined what would be best in your particular situation. It may range from a simplke scar revision, to mini-abdominoplasty, to laser assisted liposculpture, or any combination. Be patient. It's in your best interest to wait to that with whatever procedure you choose in conjunction with your surgeon you will have the best chance of success. You may also consider a simple compression garment for several weeks (abdominal binder, girdle, body armor, etc.)

As has been said, it is too soon to tell what would be the best procedure for you. One thing to realize though is that at 5'5" and 174 pounds, you are carrying extra weight. It would be wisest and safest to lose some weight before deciding what to do. You will probably need a tummy tuck though if you already have some overhanging skin.
Please visit some Board Certified Plastic Surgeons in your area who can help you sort out what is best.