Could I get away with lipo 360 alone for a snatched waist without a tummy tuck? (photos)

Thank you for your question. Based on your photos you appear to be a good full body intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Hello and thank you for your question. You have too much skin laxity for liposuction alone.  Based on your photographs and skin laxity, you will be a better candidate for a tummy tuck with liposuction after you are done having children.  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.

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

yes you can get smaller waist with lipo 360 and fat grafting to the hips and buttock but your stomach will look terrible it. will be loose and sagging like a defalted baloon if you do not do tummy tuck. that will be your choice to do liposuction with internal heating (renuvion) and risk sagging if you do not do a tuck.
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 alone is not the ideal procedure for you as you appear to have skin laxity and some abdominal distension. These findings will not be improved with liposuction alone, and in fact the skin laxity may worsen. The abdominal distension is either due to visceral fat which is only improved with weight loss, or muscle separation from pregnancy which requires surgical repair via tummy tuck.That being said, you can undergo liposuction knowing and accepting that your results will be modest (no snatch waist) and that a second staged procedure after you are done with childbearing would be beneficial. Reaching a healthy BMI is of course recommended before any elective plastic surgery.Warm regards,Dr. Pedy Ganchi                                                                                                                                         Village Plastic Surgery

Based on your photos you do seem to have loose skin and likely have separation of the abdominal muscles (rectus diastasis).  These two problems cant be fixed with liposuction alone.  You would need a tummy tuck with muscle repair to address these problems.  Lipsuction will remove any fat you can pinch below the skin but will not affect anything below the muscle layer and will not fix muscles or loose skin.  You could undergo liposuction but I would recommend waiting until you are done having children and undergoing one larger procedure with lipo and a tt at the same time.  Good luck and thanks for the question.