Am I a candidate for LIPO 360 (no BBL, tummy tuck).I want to remove the bulk from my middle.

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards
Dr. Emmanuel Mallol Cotes.-

based on your photos you need skin tightening and liposuction but given the looseness you need skin removal.

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Hello,

Liposuction can help shape your mid section to a more hourglass silhouette. An assessment of your abdominal skin elasticity would be needed to determine whether adequate skin retraction is expected after liposuction alone. If there is excessive skin laxity, which is difficult to assess from the above images, a tuck procedure would also be advised.

Warm regards,
Dr.Pedy Ganchi Village Plastic Surgery

I appreciate your concerns and desires, however better photos would be helpful to provide a more detailed answer. You may indeed be a candidate for Lipo 360, however in person consultation with a board certified plastic surgeon in our area should be your next step. Best of luck.

The areas are sculpted as the patient desires. The results depend very little on the method used and very much on the board certified plastic surgeon selected. The patient must have adequate skin elasticity to allow for skin retraction after surgery. This factor is the most important element to good results aside from technical proficiency of the surgeon and the patient’s ability to follow the postoperative guidelines.
If the waist was smaller at one time, the waist can likely be reduced through liposuction of the abdomen, flanks, back, and love handles to those same measurements or smaller provided the muscular and fascial integrity has remained the same. Consult via email, Skype, or in person with a board certified PS who is an liposuction expert.

Dear Witty640570,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from a liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Thank you for posting your photos with your interesting question. It appears that you would be a good candidate for liposuction of your midsection to create an hour glass figure. Lowering your waist to hip ratio in inches will give you this effect. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with liposuction. At the time of your consultation, the plastic surgeon can assess your skin's elasticity and ability to snap back after liposuction. Also, you can discuss your goals, have all of your questions answered to your satisfaction and review the plastic surgeon's before and after liposuction photos. Best wishes, Richard Wellington Swift, M.D., F.A.C.S.

From the pictures you have posted, liposuction will help you attain your goals. Please keep in mind that pictures are not the only thing that is taken into account. It is important to have a consultation with a board certified plastic surgeon to discuss your specific goals, circumstances and options. Write down all your questions and concerns and ask the plastic surgeon when you go to your consultation. Best wishes

You would do well with liposuction of the abdomen and flanks. I do not think you require a 360 procedure to accomplish your goals. Best wishes.

If you want to remove the bulk from your abdominal region the best procedure is a tummy tuck. This procedure will provide the most noticeable results. Liposuction will only remove fat, so you have to consider the excess skin and skin laxity that will result from just liposuction. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee