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

Your issues include abdominal wall laxity, abdominal skin excess, especially around the bellybutton, residual excess fat in the abdomen, hips and flanks, and irregularities in surface contour of your abdomen. Liposuction can mitigate excess fat and potentially improve irregularities in fatty tissue thickness. Devices like Vaser can help remove fat, and Renuvion can tighten the attachments of the skin to the deeper layers, but no device can tighten skin. The only way of getting what you want is to have an expert perform revision liposuction on your torso and a very low scar abdominoplasty. The reason I qualify the tummy tuck as 'very low scar' is because that is essential to having an essentially invisible scar. And contrary to many of my colleagues, you 'have enough skin'.

You have contour irregularities from the Sone Bello procedure. You will need the skin repositioned. I am not sure you have enough redundant skin to do a full tummy tuck. Unfortunately, you have not shown us your breasts. There is a breast lift technique called The Bellesoma Method which lifts the breasts and also lifts the upper abdominal skin and may be able to take care of the contour irregularities. The inferior abdomen can be taken care of by a mini tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

From the photos you appear to be a candidate for a tummy tuck. This would remove excess skin and fat as well as correct abdominal wall laxity. The result would be a flatter, more tone tummy reflecting your hard work. Liposuction can be added to enhance your results. The first step is to visit with a board certified plastic surgeon near you for a consultation to learn more.