Do I Need A Tummy Tuck? How Many Liters Of Fat Do You Think I Have (This is For Liposuction)? (Photos)

Thanks for sharing your photos—you’re clearly in great shape, with very little excess fat overall. What stands out most are the contour irregularities from the previous liposuction and some excess skin. There also appears to be a bit of lower abdominal muscle separation from pregnancy, which could be contributing to the persistent pooch.

Liposuction alone probably wouldn’t be enough to fully address everything. For a more complete and lasting result, a tummy tuck (abdominoplasty) with a low-placed scar and a floating belly button technique would be a strong option. Since the belly button sits high—and given your tall frame—it could be moved down about 2 inches without appearing out of place. This allows for full muscle repair, skin tightening, and a smoother lower abdomen.

Liposuction could also help refine the flanks. When performed with a drainless technique, the use of sequential tension sutures helps keep the scar low and in the right position as healing progresses.

-DrB

Thank you for sharing your story — your commitment to fitness, healthy living, and self-care is inspiring. After everything you’ve managed over the years, it's completely understandable to want your abdominal area to reflect the level of effort and discipline you’ve put in.
Here’s how your situation breaks down:
- You’re athletic, at a healthy weight, and maintain a consistent workout routine.- You’ve had previous liposuction, but the results were unsatisfying, with some residual lower abdominal fullness and mild fibrosis.- You’re not interested in ab etching — just a flat, lean, naturally contoured midsection.
So, what might help?If your skin is tight, and the remaining issue is mainly fat and fibrotic tissue, a high-definition VASER Lipo 360 could be a great option. It can break down fibrosis, sculpt the waistline, and address residual pockets more precisely than traditional lipo.
However, if there is any skin laxity, especially in the lower abdomen (common after lipo and time), a mini tummy tuck combined with lipo might give a cleaner, flatter result. This would remove excess skin and potentially reinforce the lower abdominal wall.
Important considerations:A mini tummy tuck addresses loose skin below the belly button, but won’t significantly affect skin or muscle above it.
VASER Lipo works well when skin quality is good and underlying muscles are intact — which, in your case, may be true given your fitness level and pregnancy history (just one, over two decades ago).
For mild fibrosis, VASER can help soften and remodel tissue, especially when paired with lymphatic massage post-op.
What’s next?A detailed, in-person consultation with a board-certified plastic surgeon who specializes in revision body contouring will help clarify which route will give you the lean, defined result you're after — and finally put that stubborn pooch behind you.
— Güray Yeşiladalı, MD

Thank You for your query. You look pretty good and Vaser Liposuction in the lower part of your abdomen may be all you need. You can get some non surgical skin tightening with, J-plasma or Thermitight as well, if needed. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!