60 more pounds to lose - Would a tummy tuck and lipo be beneficial? (Photos)

It is more helpful to mention your height and weight in numbers so we could know your BMI. My comments relate to patients with a BMI of 33 or less, occasionally up to 35.
Sometimes patients like yourself are concerned about the problems that the overhanging abdominal skin and fat pose, like rashes under the skin, real obstacles to working out, quality of life issues. The 60 lbs. more to lose are not all on the abdomen, and all the extra fat and skin on the abdomen, and the fat on the waist and flanks, along with the bra rolls can be removed with a lipoabdominoplasty, 360 lipo plus tummy tuck.
The extra weight will be on the rest of the body where you store fat, usually hips, thighs, buttocks, and some intra-abdominally. By having an abdominoplasty and losing the rest of the weight, you won't "mess up" the abdominoplasty, because the "weight" you lose afterwards will not be from the abdomen (see attached photo). Your question: "would a tummy tuck with lipo make a difference in appearance". Yes, and a difference in your workouts. You can see patients on my website with BMI's over 30 and determine if this approach would be appropriate for you. You have to go to a surgeon who is comfortable doing both extensive liposuction and a tummy tuck at the same time. Obviously, the concensus is to wait until most of the weight is lost. This can be very difficult or take a very long time for some patients. In my practice, timing is dependent on goals and expectations, tempo of weight loss, quality of life, acceptance of some trade-offs in immediate vs later results.

A full tummy tuck with liposuction would significantly improve the contour of your midsection by removing excess skin and fat from the lower abdomen, tightening separated abdominal muscles, and sculpting the waist with liposuction. However, if you plan to lose more weight, it’s best to lose it before surgery because losing significant weight after a tummy tuck can lead to loose skin again and affect your final result.

Dear Loving979103,

congrats on the weight loss! Generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery