Lipo 360 or tummy tuck - which procedure in combination with J-plasma and umbilical hernia repair would be best? (photos)

From your side view, you can see excessive skin and liposuction will not be effective. I recommend somewhat of a mommy makeover. I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique also lifts your upper abdomen. After this, I would recommend a tummy tuck. I would also use mesh to repair your hernia. At the time of tummy tuck, you may need liposuction as well.

Best Wishes,

Gary Horndeski, M.D.

The safest way to proceed with your procedure is the tummy tuck and repair of hernia and suctioning of flanks. No suctioning should be performed on the upper abdomen or upper back as this may cause necrosis (dead skin) at the tummy tuck incision. The suctioning of the upper abdomen and back can be safely performed 6 months later. Hope this helps.

From your photograph, it seems you might be very disappointed with just liposuction. You have excess abdominal skin and probably muscles that can be significantly tightened. This would require a tummy tuck. I think I might choose to do a full tummy tuck with full liposuction of your flanks and back also. Since I usually perform liposuction of the abdominal wall, you essentially would be getting a tummy tuck and 360 liposuction.

Hello; First of all, you should have lost the weight; that you gained before giving birth and you should not have visceral fat. If you have visceral fat and have an abdominoplasty; after the abdominal muscles are stitched and repaired, you will have serious breathing difficulties. When you bend forward in order to tie your shoes; does your breath stop? If it does; you have too much visceral fat and you need to launch for diet and reduce visceral fat; before surgery. If you do not have visceral fat; this appearance is due to diastasis in the abdominal muscles and it is corrected with the abdominal muscle repair; which is applied during the abdominoplasty. Waist and back liposuction; can also be implemented at the same time.

Hi from Istanbul!Thank you for your question.You are a good candidate for tummy tuck, hernia repair, liposuction especially for your back. J plasma or Argon plasma can be a good alternative for your back to make skin tighter and it will reduce the risk of sagging. I would not recommend you liposuction and plasma for your abdomen instead of tummy tuck. Best Luck

Thank you for your question and for sharing your history and photos. Given your recent medical history, including the emergency C-section, hysterectomy, and subsequent health concerns, it's crucial to ensure that you are in good health before considering elective surgery. I strongly recommend discussing your plans with your cardiologist to make sure you are medically cleared for the procedures you’re considering.

If you are cleared for surgery, your best results would likely be achieved with a tummy tuck combined with umbilical hernia repair. A tummy tuck would allow for the repair of your rectus abdominis muscles, which can be particularly beneficial after pregnancy and abdominal surgery. Additionally, it would remove excess skin and fat from the lower abdomen, providing a more comprehensive contouring result.

If you prefer not to undergo a tummy tuck, Lipo 360 combined with J-Plasma would be your next best option. Lipo 360 would contour your midsection, while J-Plasma would help tighten the skin. However, keep in mind that for body shapes like yours, the tummy tuck typically offers superior results, especially when addressing both excess skin and muscle laxity.

Regardless of the procedure you choose, it’s important to approach it with realistic expectations and ensure you’re in the best possible health before proceeding. If weight loss is a goal, achieving that first can also improve your surgical outcomes.

I hope this helps to answer your questions and provides guidance on the best procedure for you.

Sincerely,
Dr. Katzen

It appears that you have a large amount of deep visceral fullness, that will not be improved by liposuction or tummy tuck. The best approach is to seek the care of a weight loss consultant, to deplete the deep adipose tissue (fat) around your organs. After losing the weight, you can then consider surgical options to perfect your result.

Greetings!
Full abdominoplasty with liposuction due to the skin laxity. Speak with your surgeon in regards to your hernia repair if it is in fact a umbilical that will be repaired with your muscle plication. However if there are any other hernias you may want to consult with a physician that is a board certified general surgeon as well. Your surgeons anesthesia team will want you to have a cardiac clearance as well. Please feel free to schedule a virtual/in-person consultation to discuss you body goals.
Mays Plastic Surgery

A lipoabdominoplasty with lateral hip extended incision would be the best option. A breast lift (mastopexy) would be nice for your breast architecture as well.

Dear williamsdom,
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