Would you recommend lipo 360 or tt with lipo?

Thank you for your question! Based on your photos, I would recommend a tummy tuck with 360 liposuction. This procedure will give you the flattest stomach possible by repairing the muscle separation to the abdomen, from having children, and removing the excess skin and fat. I recommend consulting with a board certified plastic surgeon, who can create a personalized plan for you. Best of luck!

Hi, thank you for your question.You would be an excellent candidate for tummy tuck with liposuction of the flanks and back. Your abdomen has excess skin that would not give you an optimal result with just liposuction.Consult with a board certified plastic surgeon to help answer all of your questions.I hope this helps. Best of luck! 

Hi and thank you for your photos and question. I believe you would be a great candidate for a tummy tuck along with liposuction 360. A tummy tuck will remove excess fat, excess skin including stretch marks and tighten the abdominal muscles. Liposuction will help in achieving contour and removing stubborn unwanted fat. I recommend you meet with a Board Certified Plastic Surgeon to discuss your concerns further. I hope this helped. Best wishes! Dr. Aydin

Thank you for your question.  Looking at your photos I would recommend a tummy tuck to be done with some lipo in the flank area.  This will allow your surgeon of choice to tighten up your abdominal wall muscles, remove your extra skin, contour your flank area.  Although I don't typically go too aggressive with the liposuction at the same time as a tummy tuck because we have to watch the blood supply going to larger part of the surgery.  Each surgeon will have their own protocol and recommendations, I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you. 

Healthy people at their ideal weight should have the best overall recovery from a TT, but some of this will depend upon the surgical technique and adherence to postoperative protocols.
A TT addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen.  The TT also creates a more youthful belly button and removed c-section scar.
TT without muscle repair may make the recovery easier, but, if you have laxity in that area from your four pregnancies, the result will be better with plication. In general, the muscles should be brought to anatomic norms. The smaller the separation, the less tightening required and probably the less discomfort. Swelling will occur irrespective of muscle repair, and almost every patient requiring a TT will benefit from the muscle repair.
Liposuction, along with the TT, will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (stomach, flanks, back) and also result in a waist as small as possible.  A smaller waist may make the buttocks more conspicuous, but definition will not change

Hello and thank you for your question. Based on the photo, I
believe you are a better candidate for a tummy tuck, which can be combined with 360 liposuction. During tummy tuck,
extra skin in the lower half of your abdomen including the stretch marks will
be removed. In addition, typically the fascial laxity/separation of recti
muscles will be taken care of by muscle plication, giving you a flat
abdomen. The added liposuction of your hips/flanks will help with creating a
natural and aesthetic waistline. Incision can be placed very low to be
hidden under bikini. With proper surgical technique, belly button can be
designed to  be a true 'innie'. Recovery from tummy tuck is 1-2
weeks. Strenuous activity and lifting heavy weights should be avoided 6 weeks
to 3 months post op. I would seek consultation with a board-certified
plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.                                            
Johns
Hopkins-trained double board-certified plastic surgeon

Hello and thank you for your question.  Although you would be best served with an in-person consultation, based on your photographs alone, I think you would be a great candidate for an abdominoplasty (tummy tuck) with liposuction of your torso to balance out the "tuck" you will get from your tummy tuck. I routinely perform 360 liposuction with my tummy tucks, which includes liposuction of the flanks, hip roll, upper back, mid back, bra roll, and presacral triangle.  I find that this balances the entire trunk – both your back and your front.  Be sure to seek a consultation with a board-certified plastic surgeon who specializes in aesthetic plastic surgery and be sure he/she addresses all your concerns about an abdominoplasty and discusses the surgery details including the risks and benefits of the procedure, recovery time, and post-operative course.  In terms of the abdominoplasty details -- the necessary skin and fat is removed, the abdominal muscles are plicated (tightened), a small umbilical incision is made that is not externally visible (to give you an "innie" belly button), and a short, low waistline incision is designed to be easily hidden by your underwear or bikini.  Please view plenty of before-and-after pictures in real women (and not just computer-generated images) who have a similar abdominal appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.  And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For further information on tummy tucks, please refer to my link below.  
Good luck.

Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon

Thank you for your question and series of photographs.  Nothing replaces an in-person examination, but I think you would most benefit from a full tummy tuck and liposuction of your waist and flanks.  The tummy tuck will tighten your stomach muscles, helping to achieve a flatter appearance, while removing excess skin and adipose tissue.  Liposuction can be used to enhance your tummy tuck results by narrowing your waist and removing isolated areas of diet and exercise resistant fat.   Hope that this helps

Hello and thank you for your question. Based on your photographs, skin laxity, and history of 4 pregnancies, you are a great candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  The belly button can be designed to look natural and have no scars on the exterior.   Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Dear jolmedo20,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. I would suggest you to consult a board-certified plastic surgeon because 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