What should I do with this tummy to achieve bikini good looking? (Photo)

Thank you for your question and your detailed description of your concerns. Based on the information provided and your photo, I believe you could be a great candidate for Vaser Hi-Def Liposuction or a tummy tuck with muscle repair depending on your preferences and aesthetic goals.

Vaser Hi-Def Liposuction is a minimally invasive option that targets fat deposits and enhances muscle definition. Since you don’t appear to have significant excess skin, this procedure could help sculpt your abdomen and give it a more defined, toned look. It would also avoid the need for any large incisions or scars. However, it won’t address loose skin or the abdominal gap (diastasis recti) you’ve mentioned.

If you want to address the diastasis recti and loose skin comprehensively, a tummy tuck with muscle repair may be a better option. This involves suturing your abdominal muscles together, which would eliminate the "falling down" feeling you described when kneeling. You mentioned not liking the appearance of a T-scar, but if you’re okay with a vertical scar from the belly button combined with a horizontal incision from hip to hip, a full tummy tuck would give you excellent results.

For a complete transformation, you could combine the tummy tuck with liposuction of the flanks to create a more contoured, hourglass shape.

Ultimately, your choice will depend on:

Your Tolerance for Scars: A tummy tuck will involve more noticeable scarring compared to Vaser Hi-Def Liposuction.
Your Goals: If you’re aiming for muscle repair and skin tightening, a tummy tuck is the better option. If your focus is on fat removal and muscle definition, Vaser Hi-Def Liposuction may suffice.
Consultation with a Board-Certified Plastic Surgeon: They can assess your skin laxity and diastasis recti in person and help you make an informed decision.
No matter the route you choose, you have excellent potential to achieve a bikini-ready result. Best of luck, and congratulations on taking this step toward your goals!

Sincerely,
J. Timothy Katzen, MD, FACS

Dear Enthusiastic284398,
it is hard to tell for sure without an examination. Based on your photos, it looks like you don't have much loose skin so you probably don't need tummy tuck. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The best option is a full abdominoplasty. Your diastasis (muscle laxity) makes an abdominoplasty necessary (as opposed to liposuction with skin excision). It is likely, although not 100%, that you will have a vertical incision extending from the low transverse scar where the umbilical hole is closed. Hard to assess until we are in the operating room during the procedure. Even though, you will still benefit and I would consider proceeding so your skin and muscles will be tight and rejuvenated. Thank you.

It is possible that you may benefit from a mini tummy tuck. A minor amount of skin can be excised and also the inferior abdominal wall can be reinforced at that time.

Best Wishes,

Gary Horndeski, M.D.

Hello; from relevant photos, neither your skin quality; nor the tightness in your abdominal muscles; it is possible to evaluate. In your upper abdomen area, it is enough for performing a Full Abdominoplasty; there is not much skin. If there are no cracks in the skin and the skin quality is sufficient; if there is no separation in the abdominal muscles; I recommend for abdominal Vaserlipo and Renuvion J plasma treatments. On the other point of view, with Vaserlipo and Mini Tummy Tuck; you can reach for good results.

It’s hard to tell how loose your skin is on standing photos. In general
Mini tummy tucks are disappointing and a full tummy tuck is a better option

Hi, thank you for sharing your question. You have multiple options to treat your skin laxity and muscle separation. Combining a mini tummy tuck with a reverse TT can achieve the results you want without the long standard TT scar.

You could try liposuction to remove excess fat and EMSculpt to tighten your abdominal muscles non-surgically. Otherwise, I would consider a min-tuck and leave the belly button where it is.

From the submitted photos you will have the best result from a standard tummy tuck. This will remove excess fat and skin as well as correct the abdominal wall. You can add liposuction for further contouring. The result will be a flatter, tighter tummy. Visit a board certified plastic surgeon near you to learn more.

I suggest you continue having multiple in person, consultations with plastic surgeons in your community until you were confident you found the most talented tummy tuck surgeon in your area.
To do that ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had similar body characteristics to your own.
Once you comfortable with provider selection, then follow their recommendations.In regards to getting a quality assessment, there’s no substitute for an in person consultation with an examination.
For most patients who have significant pregnancy related changes full tummy tuck is indicated.
Best,
Mats Hagstrom, MD