What surgery would be better for fat stomach at age 48?

Hi There,The long and the short is that you technically dont "have to have a tummy tuck or lipo"   My point is that all of these procedures are elective procedures and you should choose the one that is going to benefit you the most based on your current lifestyle and your end goal.  A minimally invasive procedure such as lipo can get you better contour and with non surgical skin tightening agents it can tighten your skin vs a tummy tuck the trade off is a scar and skin being removed.Be honest with yourself and figure out which procedure you think you would be happier with.  both are great choices and you can have good results with each procedure.

​To get a snatched waist you need to have aggressive fat removal of the torso/sides and have fat injections on the hips/buttock to give the illusion of an S Curve. This cannot be done with smart lipo, and this cannot be done awake to the full extent that contouring can be performed. I suggest you see a well trained expert in body shaping. Best, Dr. Emer.

Hi, 
Thanks for your question. 
According to the picture you are borderline candidate between tummy tuck and and/or Vaser lipo i.e. for the saggy skin in the navel area. 
It is important to know your medical history including smoking status, history of significant weight fluctuations, previous pregnancies etc. 
The key here is also to understand what you would like to achieve, what are your expectations. 
If you are happy to have more invasive procedure (Abdominoplasty) with large scars but better skin results or less invasive procedure (Vaser Lipo with eventually combination with J plasma-Renuvion) with good fat removal but regarding the risk of saggy skin this depends of your skin elasticity/ skin retraction.
In my clinical practice, if a patient refuses to undergo for tummy tuck surgery due to the scars, then after a careful assessment, if she is still suitable for Vaser lipo ,then it is important a combined protocol including J plasma (Renuvion), compression garment, manual lymphatic drainage sessions after the surgery and healthy diet and exercise can also help with skin retraction and reduce the risk of saggy skin. Usually for the complete results you need to wait up to 6 months of the treatment to give time for the production of collagen and elastin for the possible skin retraction.  
I would strongly suggest to make a consultation with an expert Vaser/ body contouring surgeon for a medical/surgical assessment in order to consider the best suitable treatment.
Hope this help,
Best Wishes,
Dr Giuseppe Fiore, MD 

Thank you for your question. There is a possibility that this can be reduced using Vaser Lipo & Renuvion (tightening of the skin). This may give you the result you're looking for without having to have a Tummy Tuck. Dependent upon physical examination, this is where the steps forward will be clearer in what techniques can be performed. I can see you do not have a lot of excess skin. However, if skin removal needs to take place, this will be minimal and nothing to worry about! Ensure you are comfortable with your surgeon and you're happy with what's been discussed, and if need be, enquire more about what is involved with your surgeon if skin removal needs to take place, so he can settle any nerves.Good luck!

Thank you for your question.
You can have VASER Liposuction with a non surgical skin tightening treatment like Thermi Tight. This should give you good results without any significant scars. All The Best !

Your "pinch-able" subcutaneous belly fat can definitely be reduced with VASER Lipo (or other liposuction). The problem of residual loose skin could be addressed either with a tummy tuck, or less invasively using Renuvion/J-Plasma to more aggressively tighten skin without having to do an abdominoplasty. 

Hi and
welcome to our forum!
From your photos, you appear to be in excellent shape, with minimal central abdominal fatty excess. There is minimal skin redundancy.
Abdominal
fullness may be due to superficial soft tissue excess, lax stretched
out abdominal muscles following pregnancy, or excess visceral (internal)
fat.  Superficial fat is addressed with liposuction, abdominal wall repair
is accomplished with abdominoplasty, and visceral fat is addressed with a
regimen of diet and exercise. A physical examination is required to differentiate
among these entities. 
The options include: 
1. liposuction which will eliminate the central fatty excess but will not address skin laxity
2. abdominoplasty which will tighten the abdominal musculature and remove excess skin
I think you would obtain significant improvement with liposuction, the simpler of the two procedures (especially if you don't wish to be "cut open").
The type
of liposuction is not as important as the experience and expertise of the
surgeon behind the instrument. Seek an experienced board certified plastic
surgeon. Look at his / her before and after pictures.
Best
wishes...

Dear UK,Great question!If your goal is to debulk fat, liposuction with Vaser will help and give some skin tightening. If your goal is debulking fat and becoming bikini tight, then removing the loose skin with a combination Liposuction and Tummy tuck is the best option.Choose an expert.Best. Dr Brecht Seattle, Wa