Will cutting out fat during tummy tuck give results equal to having liposuction?

Thank you for the question.
Generally speaking, liposuction is a tool that is often used during the time of tummy tuck surgery. Different plastic surgeons utilize this tool differently; some are more “aggressive” than others. In my practice, I frequently utilize this tool to treat adipose tissue of the flanks and pubic areas during tummy tuck procedures.


Care must be taken during tummy tuck surgery to avoid excessive "trauma" to the blood supply of the abdominal wall flap;  for example, if too much liposuction surgery is performed at the time of  tummy tuck surgery, it may be a cause of compromise of blood flow and resulting wound healing problems...




 
 I would suggest you spend additional time discussing your goals, plans, and expectations directly with your plastic surgeon, in front of a full length mirror.  Working together you will come up with the best plan to achieve the desired outcome.  It is very important that you are both be on the same page when it comes to goals/expectations…
 
Best wishes. 

Patients who have rectus diastasis and are planning to have a tummy tuck often are looking for a more sculpted and thin waist.Historically, it was a challenge to combine liposuction with a tummy tuck operation. However, with more up-to-date and refined surgical techniques combining liposuction with a tummy tuck operation, it is not only safe it is also more effective at contouring and shaping the waistline.  In advanced surgical hands the drainless tummy tuck operation can result in sculpted abdomen with no drains being necessary in the postoperative period. Performing liposuction avails the surgeon the ability to do discontinuous undermining which allows the upper abdominal flap to be advanced as a composite flap for closure. The main significant alteration in the surgery is maintaining nerves and blood vessels to the abdominal flap with the liposuction. Therefore, liposuction can actually accomplish a more complete abdominal re-rejuvenation than simple tummy tuck alone. As you plan your surgical treatment I certainly hope that your are incorporating a board certified plastic surgeon and feel comfortable discussing these points and others with your surgeon and getting an answer that is to your satisfaction.

Hello and thank you for your
question. I usually recommend liposuction in combination with a tummy tuck.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon