What procedure is best: Smart Lipo or Mini Tummy Tuck? Is Tiny Tuck an option? (photo)

I am 5'3", 118lbs, 33 yrs old, workout 3-5 days a week, currently no children and not sure if I will have any. I am looking to get a flat stomach and remove my pouch. I recently met with two different board certified PS. One recommended Smartlipo to correct my imperfections and the other recommended a tummy tuck and said lipo may make things worse. A tummy tuck sounds extreme. I liked both PS and felt they were both knowledgeable. Unfortunately, the contradictions have me confused. Any advise?

Doctor Answers 9

Smartlipo vs tummy tuck.

You have a great figure, you are young and healthy and you have great skin.  Plus you appear to have some good abdominal muscles!  You are a great candidate for aggressive liposuction to remove the excess fat and have the skin shrink over the smaller fat layer.  


Cedar Park Family Physician
4.7 out of 5 stars 14 reviews

You do not need a TT. Smartlipo should be helpful

you are very thin and you definitely do not need a full TT. What i cannot tell from your photos, is whether your stomach is not flat due to a small amount of fat (which will respond to Smartlipo) or if it is due to fascial weakness, which will only respond to your muscles being tightened such as in a mini TT. you would need to be examined in real life to determine this.good luckdavid berman md

David E. Berman, MD
Sterling Plastic Surgeon
4.9 out of 5 stars 72 reviews

Lipo

Good question. I believe liposuction would provide you with a great result that you are looking for. Sometimes these procedure can be done awake or asleep.

Christopher Balgobin, MD
Minneapolis Physician
5.0 out of 5 stars 18 reviews

Liposuction candidate

Smartlipo should definitely address the problem. See a board certified plastic with an expertise in body contouring in your area for a detailed consultation. They should be able to answer your concerns more specifically. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck! 

Dean Vistnes, M.D.
Vistnes Plastic Surgery
San Francisco Bay Area

#realself #drdeanvistnes #liposuction

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 40 reviews

Smart Lipi or tummy tuck ?

Based on your photos and your history it appears that you do not need a tummy tuck. When I evaluate an abdomen I look at the three things the skin the fat and the muscle. It appears that your skin is in good condition, you have excess fat and you do not seem to have a muscle separation. However this can only be determined for sure on  physical exam. With over 30 years of experience with liposuction I think that I can say that you would be a good candidate for liposuction of the abdomen and flanks. You should have the flanks done. Otherwise you will not have a waist  that  you want.

Andrew Kaczynski, MD
Sacramento Plastic Surgeon
4.9 out of 5 stars 105 reviews

SmartLipo vs Tummy tuck

In answer to you question, it all depends on what your ultimate goal is. If you want a super flat look with the muscles plicated to the midline to eliminate the bulge at the bottom, you need a tummy tuck. Anything less can be done with the lipo.

Robert L. True, MD
Grapevine OB/GYN
4.9 out of 5 stars 7 reviews

Tummy Tuck vs. VASER Liposuction with Fat Transfer

I suggest seeking a consultation with an experienced cosmetic surgeon. By the photos posted you do not seem like a candidate for Tummy Tuck with Liposuction. Without seeing you in person hi definition body contouring with VASER liposuction and fat transfer to your breasts/buttocks would be a great alternative and would offer definition/shape to your already small frame. Non-invasive skin tightening options are available, depending on the laxity of your skin. Please seek an expert on this procedure. Best always, Dr. Berger

Andre Berger, MD
Beverly Hills Physician
5.0 out of 5 stars 7 reviews

VASER Hi Definition Liposuction / Body Contouring with Fat Grafting

I suggest seeing a VASER HI DEF body sculpting physician.  You may be a candidate for fat reduction but also skin tightening/contouring.  Please see an expert, if there is loose skin it may need to be removed.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 151 reviews

The best way to achieve a flat tummy depends upon what's making it not flat

I see mild fullness in your abdomen below the level of the umbilicus. It appears that most of this is surface fat above the muscles. It's covered by skin that appears to be not very loose and requires no tightening. Your muscle tone is excellent and needs no help from anyone. Based on this you are an excellent candidate for liposuction only. A tummy tuck would pull the lower abdomen skin tighter, but tighter skin is unnecessary for you. I perform tummy tucks quite frequently, but I see no other reason why cutting you and leaving a scar would be of benefit in any way.

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.