Considering options, stuck if I should aim for abdominal liposuction or tummy tuck? (Photos)

Liposuction of the abdomen would be insufficient. You definitely need a tummy tuck. I recommend an abdominoplasty with mesh reinforcement. The mesh creates a more flatten abdomen by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question regarding the choice between abdominal liposuction and a tummy tuck. I appreciate the information you have provided, including your medical history and photographs. Upon reviewing your pictures, it is evident that you have a moderate amount of excess fat and skin in the anterior abdominal muscle or rectus muscle area.

It is important to note that liposuction is primarily designed to remove fat and does not address muscle concerns. Its impact on skin contractility is minimal. Given your combination of skin, fat, and muscle issues, the most suitable surgical option for you would be an abdominoplasty, commonly known as a tummy tuck.

During a tummy tuck procedure, an incision is made low in the pubic region. Tissue dissection is then performed up to the sternum, exposing the rectus abdominal muscles. By addressing the descending muscles and correcting their laxity, a more aesthetically pleasing contour can be achieved, particularly when viewed from the side or when wearing fitted clothing. Additionally, any excess skin from just above the pubic region to the belly button is directly removed. While liposuction can be combined with a tummy tuck, it may not always be necessary.

Therefore, I strongly recommend a tummy tuck procedure for you, as I believe that liposuction alone would not fully address your concerns. In fact, relying solely on liposuction may result in an unfavorable outcome, as it is unlikely to sufficiently improve skin contraction. I hope this clarifies the choice between a tummy tuck and abdominal liposuction. Wishing you the best of luck.

Sincerely,

Dr. Katzen