To get hourglass TT w/ Lipo, do you need abdomen and flanks lipo or do you need it elsewhere? Do all PS do hourglass? (Photo)

Liposuction allows you to have stubborn fat resistant to diet and exercise removed from unwanted areas and transferred to areas that can benefit from the added volume like the buttocks and hips. Liposuction of the abdomen, back and flanks results in a waist as small as possible.  Unfortunately, liposuction would debulk the fat but would not address any abdomen skin issues. The TT will be the only surgery to address skin laxity in the appropriate fashion.  
With a TT,  the stretchmarks to the level of the belly button are generally removed, sometimes more. The amount of skin removed in a TT depends upon the surgeon's technique and the patient's tissue characteristics. 
Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Dear samm8375,I guess it depends on surgeon's preferences. I usually combine tummy tuck and flank and abdomen liposuction to get an hourglass shape. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Thank you for your question. Tummy tuck, also know as abdominoplasty, is a procedure to remove excess skin and fat from the lower abdomen and to restore the weakened abdominal wall, giving a firmer and smoother appearance.  
We nearly always add liposuction to our tummy tucks to sculpt the body 360 degrees to achieve an hour glass figure. Most of the time liposuction is done to the waist and back.Tummy tuck is a very powerful technique in the right hands, and can have dramatic results if done correctly.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Thank you for reaching out. The results in the photo are unrealistic, you can definitely receive a great result from a TT and lipo. I typically take my patients back into the OR at around 6 months post op for lipo to contour the body, but you can not change the bodies shape that drastically. I would visit a few experienced board certified surgeons for in person consultations to discuss it more in detail. Best of luck. Dr. Kim

Thank you for reaching out, unfortunately, the photo you posted in my opinion would be an unrealistic end result expectation. Any and every experienced board certified surgeon is always aiming to contour the body and give you the best possible results. A TT is a great way to repair the muscles, remove excess skin and contour the body, I would just make sure you are not expecting the above results. Best of luck on your upcoming procedure! Dr. Kachenmeister