Not satisfied with my stomach. Tummy tuck or Lipo? (Photo)

Hello @Polite3529, thank you for your question. In my opinion as part of your surgical plan I suggest you take into account to have a tummy tuck and liposculture 360. Each procedure serves a different purpose, a tummy tuck is a surgical procedure that removes excess skin and fat from the middle and lower abdomen and strengthens the abdominal muscles, in which there is abdominal lipolysis, abdominal diastasis repair, skin removal with umbilical reconstruction depending on each case. On the other hand liposculture we take out fat from all parts of the body to make it more harmonious. The two procedures combine will give you the best results. Is important that you consult consult with several board certified plastic surgeon. If you are considering surgery, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Hello, and thank you for your question regarding your dissatisfaction with your stomach and whether you should have a tummy tuck or liposuction. Thank you for your history and your pictures. In your pictures, you have excess skin and fat on the upper and lower abdomen. You also have excess skin and fat in the suprailiac crest or love handle region. You also have rectus abdominis muscle weakness, which can be seen on your profile as a distended abdomen. Liposuction will only correct one thing, namely, fat. Since your abdomen is a three-component problem (skin, fat, and muscle), all three areas need to be treated. Since liposuction targets fat, liposuction alone will not yield optimal results. Therefore, most experienced board-certified plastic surgeons would suggest a tummy tuck. There are seven different types of tummy tucks. You should discuss this with your chosen plastic surgeon. Most tummy tucks are placed horizontally, low in the pubic region, and the incision extends over the hips. A tummy tuck is also called an abdominoplasty and takes approximately 3 to 4 hours to complete. You should also consider liposuction of the love handle region to add more curvature to your waistline. Any fat removed during the procedure, whether it’s from the tummy or the love handles, could be injected into the buttocks if you desire even more buttock fullness. Good luck. I hope I’ve helped answer your question regarding your dissatisfaction with your stomach and whether you should consider a tummy tuck or liposuction. Good luck. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. (Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Hi, thank you for sharing your question. You may be a good candidate for a tummy tuck or additional liposuction with the use of Vaser to treat that residual laxity and adiposity. An in person evaluation would be needed.

Thank you for your question. Based on your photos you appear to be a good candidate for Tummy Tuck with muscle & hernia repair, full body intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area, and adding the J-plasma to optimize results.
Kind regards,
Dr. Emmanuel Mallol Cotes.-

Dear Bright139439,
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. Flanks liposuction would give you a better shape. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I appreciate you including your pictures. In my opinion, since you have lax skin and most likely muscle separation due to your pregnancies you would get the best contour with a full tummy tuck and liposuction of the waist. Tummy Tuck Wins!!!

Consult with a trusted board-certified plastic surgeon.
Warmest personal regards.

Earl Stephenson, Jr

I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing your question, and pictures. Based on them and considering your previous surgeries, including a BBL, liposuction revisions, and C-sections, a tummy tuck might be the more suitable option for addressing your concerns with your stomach. Tummy tucks are particularly effective for individuals who have had changes in their abdominal area due to pregnancy and previous surgeries. This procedure not only removes excess skin but also tightens the abdominal muscles, which can be stretched or separated during pregnancy. Liposuction is excellent for removing fat but doesn't address excess skin or muscle separation, which are common concerns after pregnancy and C-sections. It's essential to consult with a board-certified plastic surgeon who can evaluate your specific case, discuss your previous surgeries, and provide a personalized recommendation based on your goals and physical examination.

Just based on your photos, a tuck might be better to help tighten your weak abdominal muscles and remove excess skin. If residual fat is present, do more liposuction first.

Hello and thank you for your questions and your photos. An in-person examination will provide much more specific information regarding the quality of your tissues and any separation of muscles. Based on your pictures and the concerns you have shared, it seems you might benefit most from a tummy tuck. I recommend you consult with a board certified plastic surgeon who specializes in body contouring procedures and can guide you through the process.

Best wishes!