Second round - do I need a tummy tuck or is Lipo360 enough? (Photo)

Given your history and anatomy the answer to this question mostly depends on your specific desires. Another round of lipo will decrease the thickness of the available subcutaneous fat. Essentially this results in a smaller version of the current you. If your desire is to tighten skin and muscles, then a tummy tuck is the best option. The pros of lipo alone is that it can be performed under local anesthesia, the scars are small, and the recovery short. The cons of lipo in your case is that there is less fat available due to you already having lipo in the past, there is some looseness and decreased elasticity of your skin, and there is likely some laxity of your abdominal muscles. I recommend you consult with a few doctors in person and then make an informed decision.

Liposuction with morpheus/quantum should be just what you need to get good results and is easy to undergo. Be sure to get it done under local so your doc can stand you up and fine tune the results during the procedure for quality results.

Thank you for your question and photo. The photo is of limited view, but it does show a protruding abdomen. VASER liposuction 360 and a full tummy tuck will give you the best results. If you desire to have any more children, I would not do the tummy tuck. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
See enclosed photos of a patient who did not want a an abdominoplasty, only VASER liposuction 360.