Can liposuction help get rid of my b-shaped stomach? (photos)

Question

I've never had kids and no matter how much I workout I can't seem to get rid of this b shaped stomach. What can I do to get rid of it?? I want to feel confident in my body and wear a swimsuit.

Sam Speron, MD, FACS · Answer

Hello and thank you for your questions and pictures!  An aesthetically pleasing shape is something many of us desire and while proper nutrition, exercise and weight control are very important, sometimes we cannot achieve our goals. Simply getting older can play a role in the appearance of our bodies.

If you desire the most dramatic improvement, then a full tummy tuck can help you achieve your goals. A tummy tuck removes excess fat and skin, and tightens  muscles.  However, a mini tummy tuck or just liposuction are very good procedures and many patients are happy with only these surgeries.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of tummy tucks and body contouring. Good luck with your future surgery!

I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. 
Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Gerald Minniti, MD, FACS · Answer

You will need to be seen to get the best recommendation. Good liposuction results rely on good skin elasticity, something that cannot be ascertained well by photographs. It is possible that you would get a good result from liposuction, but to possibility of waviness or irregularities increases with loss of skin elasticity or relative skin excess. In that case, a tummy tuck would be necessary. This is true regardless of whether you've had children or not.

Gary M. Horndeski, MD · Answer

Yes, you can an excellent candidate for liposuction. Liposuction can safely remove 10 lbs during one session. Since you have not had children yet I would suggest you wait until you are done having children before undergoing a tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear mrosa90,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Christopher Pannucci, MD, MS · Answer

Hi mrosa90,
The side view shows that you have upper abdominal bulging (the top part of the "B" shaped belly you mention). A clinical exam could confirm, but bulging in this location is commonly from a split in the rectus muscles ("rectus diastasis"), which allows the intra-abdominal contents to bulge forward.
Your plastic surgeon could do a "sit up" exam with you, to feel for a gap between the muscles. If it is there, an abdominoplasty/tummy tuck could simultaneously remove the excess skin and fat below the belly button and internally tighten the six pack muscles ("plication") to improve the upper abdominal bulge.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Camille Cash, MD · Answer

Liposuction can help improve your abdominal contours.  You may also consider adding J Plasma to tighten skin for a more defined look.  If you are wanting a flat abdomen you may want to consider a tummy tuck.  See a board certified plastic surgeon near you for a consultation to learn more.

Anmol Chugh, MBBS, MS, MCh · Answer

There are essentially two types of fat that can cause this tye of tummy bulge
Subcutaneous fat- Under the skin, punchable fat. This is amenable to Liposuction.
Visceral fat- Deep from skin, around organs. Amenable to diet.
Please get it checked by a certified plastic surgeon to assess type of fat and any underlying hernia. If the bulge is due to subcutaneous fat, liposuction can be a good option in your case.

Mats Hagstrom, MD (license on probation) · Answer

Liposuction is probably your best option.

The contour of your abdomen is most likely partially related to fat distribution but may also in some ways be related to how your skin drapes your torso.  to differentiate or understand how much skin contributes you can try pulling up on the skin above the area of concern to see if it corrects the contour.

And examination should be able to differentiate if your abdominal contour is more fat related, skin related or potentially related to your muscle wall.

I think most likely Liposuction will give a very nice partial improvement.

You may have slight hooding over  your belly button after the procedure but overall you appear to be a good to excellent candidate.

Liposuction results vary substantially depending on who does the procedure.

I recommend having multiple in person consultations with local board-certified plastic surgeons who show an excellent track record with Liposuction based on numerous before and after pictures.

Best,

Mats Hagstrom MD

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