I feel like my stomach sticks out more than my butt - BBL or Lipo? (Photos)

Question

Seeking help. I feel I have a nice shape but since having my son I do have a little bit of an apron belly. I feel like my butt is still there but at this point, my tuummy sticks out more than my butt. Suggestions? (I want more children within the next few years hopefully.)

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question! I agree that you have a great frame/underlying shape. In my opinion, lipo 360 and BBL can certain enhance this shape and contour by subtracting the excess fatty tissue from areas like your abdomen, flanks, and lower/mid back, and adding some of this volume will help with the overall contour and projection of the gluteal region. The other important factor to address would be the excess skin. If you are not finished having children, I would ultimately hold off on a tummy tuck at this point, which would be the most powerful way to address the extra skin. As long as you are ok with some residual skin laxity at this point, I think adding skin tightening (QuantumRF or Renuvion) to your lipo 360/BBL would give you the best results (short of a tummy tuck) with the least amount of scars and recovery/downtime!

Stanley Okoro, MD · Answer

Thank you for your pictures. For best and optimal results, you are a great candidate for Lipo360 with a tummy tuck with fat grafting to your buttocks/hips. It is possible that when performing lipo360, especially the full waistline, can accentuate your buttocks as well without having to have a BBL. If a tummy tuck if off the table for you, you may also benefit from Lipo360 with skin tightening with the understanding that a tummy tuck is still your best option. We would love to schedule a consultation!

Raffy Karamanoukian, MD, FACS · Answer

Body contouring procedures have become increasingly popular and can help men and women recontour their body in adulthood. If you have stubborn areas of fatty accumulation that are more resistant to diet and exercise, you may be a candidate for body sculpting liposuction performed at Kare Plastic Surgery in Santa Monica. Liposuction remains one of the most popular procedures in cosmetic surgery and allows patients to slim and toned their waist line, back, arms, and legs using this minimally invasive and highly coveted procedure.

Among the most common areas to have liposuction performed is the waist line and stomach area. This makes liposuction an excellent alternative to a tummy tuck or mini tummy tuck. If you have had fluctuations in weight, you may benefit by recontouring the waistline and abdomen using liposuction. Patient with excessive skin in the lower abdomen from childbirth or from excessive weight loss may not respond well to liposuction because the extra skin will continue to hang. In these patients, and abdominal plasty procedure is preferred.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your inquire, 
Liposuction helps when there is real fat in the abdomen, flanks, or lower back that pushes the profile forward. By reducing that volume, the stomach looks flatter and the waist becomes more defined. Many patients are surprised to see that after a good lipo, the butt looks more projected even without adding any fat, simply because the waist-to-hip contrast improves.

Also, a BBL can be an excellent combined with the 360 liposuction  if you want more roundness, projection, and a clearly defined hourglass shape. Adding fat to the butt or surrounding areas after lipo often produces the most balanced, feminine, and natural-looking result.

Sincerely, 
Dr. Emmanuel Mallol

Daniel Barrett, MD · Answer

Dear Pebblez305,

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

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. Based on your photos, you have excess skin. Also, you have been pregnant, which results in loosening/stretching of the abdominal muscles and bulging. Liposuction will not address these issues. The best surgery would be a tummy tuck to remove the loose excess skin and tighten the abdominal muscles, combined with liposuction to remove excess fat. You should wait until you are done with having children before you have with tummy tuck. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

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