Loose Skin After Liposuction. Can It Shrink Back or Do I Need a Bodylift? What is Possible with the Chest? (photo)

While a physical exam is always the best way to determine skin laxity, your photos show a fair degree of skin laxity which is not likely to improve much over the next months.  Your best chance for skin tightening and additional improvement in the contouring and narrowing of your waist is at a minimum an extended abdominoplasty with additional liposuction of your flanks but likely the best result will come from a belt lipectomy/lower body lift.  Your chest contour appears good and this may be acceptable to you even if the skin is slightly loose there as the scars from tightening the chest skin can be more visible.  Good luck! 

       I think that you should give yourself at least 3 months.  Then you can decide on whether a tummy tuck or a variant is necessary.  Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tucks each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

You are 5 weeks following your operation and still have some residual swelling. I would re-evaluate your skin laxity in 1 to 2 months. That being said, you will probably need additional surgery for skin tightening or more liposuction based on your pictures. Of course, a physical examination would be required to give you the most accurate advice.