Would a Tummy Tuck without lipo to the flanks give me good results? (Photos)

Your history and goals are very clear, and the questions you raise are excellent.
Scar managementA full tummy tuck can usually remove a vertical C section scar, especially if it is tethered and surrounded by sagging skin. In your situation, the available upper abdominal skin appears sufficient to be pulled down smoothly, so there should be no need for a new vertical incision. The vertical scar can be converted into a low horizontal line hidden below the underwear line.
Diastasis recti repair (MR)This can restore core support and flatten the abdominal wall. It will not create dramatic curves on its own, but it establishes a firmer, smoother foundation.
Flank liposuction vs no lipoMany patients achieve good results with tummy tuck and muscle repair alone. Liposuction of the flanks is often added when extra waist definition is desired, but it is not mandatory. Based on your weight stability and your goals, a natural balanced outcome is achievable without flank liposuction.
Future weight fluctuationsA fluctuation of three to five pounds is unlikely to cause overhang after surgery. Skin removal and tightening reduce the redundancy that leads to sagging. As long as your weight remains within your usual range, results should hold well.
This overview should give you a clearer idea of what to expect. A direct evaluation by your surgeon will provide the most accurate guidance for your case.

Your photos suggest you would get a good result from a tummy tuck without liposuction. You might have further improvement by adding the liposuction. If performed carefully and conservatively, there are very few negatives to liposuction other than the added cost. The anticipated benefit with and without liposuction should be discussed with your surgeon

Thanks for your question! It's hard to tell from the photos if you have enough loose skin for a full tummy tuck. My guess would be yes. I would also recommend liposuction to the braline, waist and posterior hips to really accentuate your waist. Best of luck!

At 5'4 and 118 lbs., your BMI is 20.5, which is in the normal range. You do not appear to have a significant amount of fat that would benefit from liposuction. However, you do have a little bit of excess skin above the belly button but most of your wrinkling concerns are below the belly button. I am not sure you have enough skin for a full tummy tuck. You may benefit from a mini tummy tuck, which can pull the lower skin. In terms of the upper skin, you may benefit from a breast lift that would lift the upper abdominal skin. I would need photographs of your breasts to determine if you are a candidate for a breast lift.

Best Wishes,

Gary Horndeski, M.D.

First of all, liposuction is often beneficial in accentuating the curve at your waist. It does not usually take long at all in and is some benefit to most people. It seems you would benefit a little, especially from your back view. I would certainly have to do a complete examination, because from your photographs it is not clear that you are a candidate for a tummy tuck. You need to go over these expectations with a plastic surgeon. Also from the photographs it it seems that you would not lose your vertical scar completely. Good luck!