80 pound weight loss - Tummy tuck WITH or WITHOUT flank lipo? (Photos)

Hello, your stated concern and photos all indicate your main concern is the loose skin on your abdomen, so it would seem reasonable to avoid flank liposuction. Based on the photo you don't appear to have dysproportionate flanks or much fatty tissue in that location, plus you already have a defined waistline. Your best advice will always be achieved during an in-person consultation, because the physical exam provides a lot of important information, such as skin tone, tissue thickness, checking for hernia or spread of the muscles (rectus diastases), etc. Thank you for your question.

It is impossible to determine from photographs whether liposuction may help. In many weight loss patients, liposuction may not be required. I may use it for additional local contouring without any bad effects of loosening skin. Sometimes patients have a very minimal amount of fat of the abdomen, but may retain a small amount of extra fat at the lower flanks, which may be carried around to the back a little bit.

I do not think you need flank lipo from the photos. Often, I’ll perform the tummy tuck, and if there is a little fullness near the ends of the incision, a small amount of lipo can be done from the front. Formal flank lipo is usually performed with you positioned on your sides or on your stomach. This adds to anesthesia time, and I don’t think that extent of lipo is needed.

Based on your posted photos, it appears you would be a good candidate for a full tummy tuck with muscle repair. Having liposuction as a personal decision, though based on your photos, you do not need liposuction, but you might consider the use of J plasma or Endo laze to help tighten the skin in those areas in combination with the tummy tuck. Best of virtual consult with fee could range from $8000-$12,000. Again, best of virtual console with