Adding lipo to tummy tuck for best results after weight loss from bariatric surgery? (photos)

Hello @Cheerful260279 thank you for your question and showing your pictures. I suggest you have combine treatment tummy tuck and liposculture. Each procedure serves a different purpose, a tummy tuck is a surgical procedure that removes excess skin and fat from the middle and lower abdomen and strengthens the abdominal muscles, in which there is abdominal lipolysis, abdominal diastasis repair, skin removal with umbilical reconstruction depending on each case. On the other hand liposculture we take out fat from all parts of the body to make it more harmonious. The two procedures combine will give you the best results. Is important that you consult consult with several board certified plastic surgeon. Best wishes! Alan Gonzalez MD FACS

Thank you for your question regarding what to do with your abdomen after a 120 pound weight loss after having bariatric surgery in 2018. I would definitely suggest an extended tummy tuck. A mini tummy tuck or regular tummy tuck will not address your entire abdomen. The incision needs to go from as far back as possible underneath the abdominal panus and across the upper pubic region or mons. During your extended tummy tuck, the mons should be lifted and reduced, and the excess skin and fat from above the mons to at least above the belly button should be removed. The rectus abdominus muscle should be plicated. I would also suggest liposuction of the superior iliac crest or the love handles. This will eliminate any residual fat. In regards to the bra line back fat, you did not submit good pictures of the back. However, the options range from liposuction of the back to a horizontal or even vertical torsoplasty. If you wish to go to the liposuction route, I would definitely suggest the VASER liposuction machine. This is the best machine for back liposuction. If you have excess skin of the back, I would suggest either an incision from the armpit down your sides to eliminate the excess skin. Alternatively, if you have a significant amount of back skin, I would suggest a horizontal torsoplasty where the incision goes across your back, underneath the bra strap line. Please examine my website for examples. Thank you and good luck regarding your weight loss journey.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Congratulations on your impressive weight loss! From your photos you would benefit from an extended tummy tuck with liposuction for contouring. Without a photo of your back it's difficult to recommend if liposuction would be adequate or if a back lift would need to be considered. If you are wanting to address the maximum amount of loose skin, then a bra line lift would accomplish this.