Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck? (Photo)

I've had a gut since I was 2. I was overweight and have lost 45 lbs and maintained it for the last three years. I'm 15 lbs away from my goal weight and want to have either a tummy tuck or liposuction on my abdominal area. Which will give me an hourglass figure and flat stomach?

Doctor Answers 19

#Liposuction Vs. #TummyTuck for a flat stomach

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Good work on the weight loss. You should be proud. 
Yours is an age old question. Who should have a tummy tuck and who should have lipo. The truth is that neither of these operations is as difficult as knowing how to choose who gets what.
Both sort of exist on a spectrum.  Liposuction has less downtime and minimal incisions but is very dependent upon the surgeon being exceptional and the quality of your skin to contract over the now smaller you.  Tummy tuck has more downtime and a longer incision but has the ability to dramatically improve shape, especially in someone with good shape.   There is nothing more valuable than an in person consultation and I would encourage you to find a doctor you like and trust in an office where you feel comfortable.  It is apparent through your pictures that you have a good shape beneath the extra skin and the goal in your case would be a homerun. I included a reference to someone who started similar to you and had a tummy tuck.
Dr. Pyle

Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 124 reviews

Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck? (Photo)

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Looking at your pictures: You have a skin overhang with moderate diastasis. In my opinion liposuction will not be help you accomplish your goal. I think a Full tummy tuck with liposuction to your hips and flanks will serve you best. You are a good candidate for this procedure already.

Maan Kattash, MD, FRCS, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 21 reviews

Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck? (Photo)

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It's difficult to answer your question without actually examining you. From your history, though, of having lost 45 pounds and wanting to lose another 15 pounds, along with a pouch overhang I would probably think that you would need a TT.

Getting a flatter stomach with a tummy tuck vs lipo

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It appears as though you'll get the best results from a tummy tuck.  Having done many tummy tucks on women with your figure, I keep the scars low in the bikini line so that they're hard to see.  I don't believe lipo will do much for you.

Will Liposuction Give Me an Hourglass Figure, or Do I Need a Tummy Tuck? Lost 45 lbs.

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You are an excellent candidate for an hourglass figure, but only with a tummy tuck. There is excess skin that will not shrink up, but will become looser if you just have liposuction. The upper abdomen does not look all that loose, raising the possibility of a lower abdominal or mini-tummy tuck procedure. The amount of skin laxity and skin elasticity would have to evaluated in person. However, given the power of a tummy tuck to smooth out, flatten and redistribute the abdominal skin, you have an excellent chance of having an hourglass figure.

Robert M. Lowen, MD
Mountain View Plastic Surgeon
5.0 out of 5 stars 53 reviews

Tummy tuck versus lipo

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In a comparison between the two procedures, the tummy tuck will give you a much more dramatic and worthwhile improvement.  There are downsides to choosing a tummy tuck, however. The length and cost of the surgery, the length of recovery and the scar are factors which you should also consider.  Also have you had children or planning to I. The near future.  If so, you should wait until,after having children to gave a tummy tuck.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 28 reviews

Tummy tuck

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Hi.  Congratulations on your weight loss success!!

Based on your photos, I'd recommend a tummy tuck and lipo together.  The tummy tuck will take care of the loose skin, and improve the muscle contour/bulge seen on the lateral photo.  Liposuction of the waist / flank area will help give you more of an hourglass shape, and a smaller waist.  Women also like liposuction of the bra-fat area, too.

All the best,

Tummy Tuck To Achieve Best Results

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Judging from your photos, you may need a tummy tuck as there appears to be excess loose skin, particularly noticeable in the area below your belly button. This can only be removed with a tummy tuck. To give you a better hourglass figure, you may also want to consider getting liposuction.

Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck?

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Congratulations on your weight loss. It is unlikely that you can get a good cosmetic appearance of your abdomen with liposuction alone. A tummy tuck and liposuction of selective areas would produce the best result.

Keep in mind, that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure may not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 22 reviews

Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck?

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Congratulations not only on your weight loss, but in maintaining it so well! From your history and photos, my recommendation would likely be a tummy tuck with liposuction of the flanks. You should wait until you reach the target weight with the additional 15 pounds. Good luck.

Eric Desman, MD
Alexandria Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.