Is it common to have liposuction in the upper/mid abdomen after a full tummy tuck? (Photo)

In my experience, rippling with liposuction following tummy tuck is not something that I have seen.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question and photos. You have a nice improvement and what your surgeon did is not "fake abs", it is your rectus muscles brought closer together. I, personally, would not recommend "touch up lipo", but rather would do VASER Hi Def Lipo to define your abdomen better, remove fat from your back, waist and hips to give you an hourglass figure. The VASER helps with skin tightening. What you are afraid of is botched liposuction which is a result of a surgeon's poor technical ability and understanding of the underlying muscle anatomy. If you trust your surgeon, go ahead with his/her plan or seek a second opinion from a board certified plastic surgeon experienced in advanced body sculpting techniques. Good luck. 

Thank you for the question. I would advise to perform a tummy tuck and liposuction together because this way you will save on downtime and have just one recovery period for both procedures. That being said, you can certainly get liposuction some time after a tummy tuck once you complete your recovery period. 
A tummy tuck offers the most effective way to correct loose skin and muscle separation in addition to eliminating excess fat. Liposuction will also remove fat, but it can't address flabby, hanging skin that typically persists after weight loss. For this reason, many patients who have experienced a massive weight loss or recent pregnancy tend to opt for a tummy tuck. This procedure can also be combined with liposuction for maximum effect.  
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!