Am I a candidate for just lipo, or do you recommend the panniculectomy? (Photo)

If you are healthy with a BMI of about 30, the TT and liposuction would address loose skin and fat in the abdomen, bra roll, flanks, and back.  The abdominal wall can be tightened as well through a process called plication.  You might want to consider a BBL prior to the TT so that fat can be harvested from the abdomen and other areas to enhance the buttocks. Consult with an American Board of Plastic Surgery board certified plastic surgeon who performs hundreds of TTs, liposuctions, and BBLs each year, and posts untouched before and after photos on his/her website along with patient reviews.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Hello and thank you for your
question. Based on your photograph, you are a better candidate for a full tummy tuck
with liposuction.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon