Seperate Liposuction, prior to Tummy Tuck and more (Photo)

I always recommend doing the tummy tuck prior to liposuction. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Once this has been completed, you can consider liposuction, if needed. If you are interested in an arm lift then that can be done at the time of the tummy tuck or liposuction to save you money.

Best Wishes,

Gary Horndeski, M.D.

Hello; Liposuction can be implemented for waist, back and arms; at the same session. If the skin is excessively loose; for skin tightening purposes; Renuvion J Plasma can be performed.For the abdomen area, first Liposuction; in another session, having a Tummy Tuck; creates some problems in terms of appearance and application. In tummy tuck, the upper abdominal skin is at its loosest state; which is preferable. Because, during abdominoplasty period, the abdominal skin above the navel is removed from the lower abdominal skin since it sags; it is used for covering up open space. However, when liposuction is performed; the resulting fibrosis, reduces the elasticity of the skin. After liposuction treatment, the elasticity of the upper abdominal skin decreases. Therefore, for someone who has had Liposuction; performing a tummy tuck becomes more difficult. Addition to these, it is not possible for performing homogeneous Liposuction on the sagging abdomen. Depressions and ripples; both occur in the abdomen. This situation is also difficult for correcting; after a Tummy Tuck period.

Liposuction will let a lot of scar tissue which will never disappear from your body. Fibrosis is the internal scar tissue as is a scar after any cut on the skin, it never disappears.
You have lost a significant amount of weight and have developed significant saggy tissues in your abdomen, lovehandles, buttocks, arms. So your approach must be taken by an expert on After Weight Loss surgery: Lower body lift which means a 360 incision to treat above the incision (skin removal) and below the incision (lifting effect on mons pubic area, front thighs and buttocks), muscle repair, liposuction to waist lovehandles and use that fat to transfer to buttocks and a bit to hips to create a more feminine body shape.
6 months later you may have the arms done and lipo to abdomen and if you want, some more fat to butt and hips.
Be encouraged!!
Dr. Cardenas

The only time I would recommend liposuction at least 6 months prior to a tummy tuck is when patients have a bulge of fat in the upper abdomen. You don't seem to have it and I don't see why you would do it in two stages. You have a bit of fat bulge on the sides but that area can be treated with liposuction at the time of your tummy tuck without compromising the blood supple to the lower abdomen. Arms can be done at any time.

The risk of nerve damage is very low with liposuction since the vacuum pressure in the tube does not damage nerves. The advantage of doing all the liposuction first is that the OR time is shortened, and liposuction of the abdomen can be done to remove excess fat. If the tummy tuck is done at the same time, the abdomen cannot have liposuction for safety to the lower skin, and more time is added to the general surgery. We typically wait at least 6 months after liposuction before proceeding with the arm tuck or the tummy tuck.

After a history review and physical exam is done a more accurate recommendation can be done for you.
Studies have been done that indicate liposuction at the time of the abdominoplasty is safe. Those studies indicated better blood supply to the abdomen with liposuction at the time of an abdominoplasty. The primary recommendations for multiple surgeries at the same time is to try to keep the operating time down to about 6 hours. Frequently liposuction of the abdomen, combined with liposuction of the flank (Iliac) area can and is done.

In Turkey, we perform the aesthetic procedures you want in one go. If I need to give information in order without tiring our patient, the following applications are generally performed under the umbrella of Mommy Makeover:
Breast aesthetics: Breast reduction, enlargement and lift
Tummy Tuck: Tummy tuck
Liposuction: Removing excess fat from arms, legs, abdomen, hips or waist
Labioplasty: Shortening/reducing the inner lips in the genital area
Vaginoplasty: Tightening and narrowing of the vaginal muscles
Buttock enlargement or lift
In maternity makeover, not all of these procedures are always performed. We can perform one or more operations together, specific to the person's needs and wishes.

From the submitted photos it doesn't appear you would need to have the liposuction and tummy tuck procedures done in stages. If you would feel more comfortable doing so you may want to consider having the tummy tuck performed first and then once healed return for liposuction to further contour your results. See a board certified plastic surgeon near you to learn more.