Mom of twins, Lipo or full Tummy tuck? (photos)

I am a mom of three children two are twins. I am not happy w my stomach after dieting, exercising, and going to a physical therapist to correct abdominal diastasis. I don't really want a tummy tuck and was wondering if lipo was an option for me, or if my skin would become loose and saggy. Maybe I should just give it more time w diet and exercise? Any input will help. I have a consult on Aug 30th.

Doctor Answers 11

Mom of twins. Lipo or full tummy tuck?

Thank you for your question and photos. The skin and muscle changes following multiple pregnancies do not often lend themselves to treatment by liposuction alone. Particularly after a twin pregnancy, many patients will require a full abdominoplasty with or without adjunct liposuction. Once the skin has been over-stretched, it is not likely to retract sufficiently for an acceptable result following liposuction alone. The muscle diastasis  is not generally corrected without surgical tightening/re-approximation in a tummy tuck. During your consultation, your plastic surgeon can review the indications for, as well as the limitations of, liposuction and abdominoplasty. Good luck to you.

Portland Plastic Surgeon
4.9 out of 5 stars 17 reviews

Liposuction or TT?

When deciding between liposuction and a tummy tuck, it is important to consider how each procedure will help you achieve your goal. While liposuction does address excess fat, it does not take care of loose skin or repair rectus diastasis. Patients who may benefit from rectus diastasis repair (most commonly found in women who have had children) would benefit more from a full tummy tuck. A full tummy tuck addresses excess fat, loose skin, and it also tightens the abdominal muscles. Unfortunately, diet and exercise cannot fix rectus diastasis. Consult a board-certified plastic surgeon regarding a plan for you that would help you achieve your goal. Good luck in your research!

Tom S. Liu, MD, MBA
Los Gatos Plastic Surgeon
5.0 out of 5 stars 1 review

Tummy Tuck after Multiple Pregnancies

Hello and thank you for using RealSelf and sharing your questions and pictures.It seems that you have loose abdominal muscles from your pregnancies.  It is difficult to improve this with exercise in that there is not an exercise that can pull inward between two muscles.  Liposuction only removes unwanted fat.  It will not improve loose muscles.Thus, it seems like you need a tummy tuck to fulfill the goals you have.  It will not only tighten your rectus muscles but remove excess skin and fat from the lower tummy.  Liposuction with a tummy tuck contours hips, thighs and flanks if needed.You may want several opinions from board-certified plastic surgeons in your area.Good luck to you.

Robert J. Spies, MD
Paradise Valley Plastic Surgeon
5.0 out of 5 stars 88 reviews

Tummy tuck

Thank you for your question. Based on photos alone. You are a better candidate for either a mini tummy tuck or full tummy tuck. Liposuction and/or PT will not repair the diastases of the abdominal muscles. The amount of skin removed needs to be determined with an in person consultation. I recommend finding a board certified plastic surgeon who is also a member of the American Society of Aesthetic Plastic Surgeons. Best of luck with your procedure.

Johnny Shea-Yuan Chung, MD, FACS
Allentown Plastic Surgeon
4.5 out of 5 stars 22 reviews

Mom of twins, Lipo or full Tummy tuck?

Thank you for the question. It really depends on your goals. You mentioned using PT to fix a diastasis. If your goal is to make your tummy more flat, then your only option is a tummy tuck procedure. Sutures are used in the abdominal wall to fix the diastasis. This will flatten your tummy and can give a dramatic result.Unfortunately, liposuction can remove fat from under the skin, but it can't improve the diastasis. I would consider a tummy tuck procedure. The incision should be kept very low so that it is hidden by a bathing suit, underwear, and day-to-day clothing.

Austin Hayes, MD
Portland Plastic Surgeon
5.0 out of 5 stars 32 reviews

Tummy Tuck - Am I A Candidate?

Thank you for your question. Based upon photos provided, you appear to be an excellent candidate for a full tummy tuck. The abdominal skin excision and muscle tightening could give you an excellent contour as well as improve the tone of the anterior abdominal wall. Liposuction could be used to better define your flanks and hips at the time of tummy tuck surgery. Please see a board certified plastic surgeon who specializes in body contouring for an in-person examination to discuss the specific details of the procedures. Ask to see before and after photos to get an idea of what can be achieved. I offer complimentary consultations to discuss your treatment options. Hope this helps!

Steven J. Rottman, MD, FACS
Baltimore Plastic Surgeon
4.9 out of 5 stars 78 reviews

Tuck or lipo

Thank you for your questions and photos.  I would recommend a tummy tuck to tighten the muscles that get stretched out during pregnancy, especially with twins!  Tummy tuck is the best way to get a smooth, flat and tight abdomen.  Liposuction will still leave the fullness in the abdomen because the muscles would still be loose.  Best Wishes!

Jamie Moenster, DO
Tucson Plastic Surgeon
5.0 out of 5 stars 22 reviews

Tummy tuck

Diet and exercise will not correct skin laxity, and no amount of physical therapy will correct a diastasis. As a mom myself, I know how hard it is to find the time for yourself for a major surgery. Liposuction is quick and easy, and will certainly decrease the thickness of the abdominal wall so your clothes may fit better, etc. Lipo alone, however, will not tighten the skin, and will not give the same results as a tummy tuck. It just depends on what your goals are - having twins is tough on the body! Your surgeon will be able to advise you on the pros and cons of both tummy tuck and liposuction and what you can expect from each. Good luck to you.

Elizabeth A. Kinsley, MD
Covington Plastic Surgeon
4.6 out of 5 stars 44 reviews

Lipo vs. tummy tuck

If you are through having children and want a flat, contoured abdomen, then I would suggest the tummy tuck.  From your photos it appears that you have some muscle separation, probably from pregnancy, that can be addressed with the tummy tuck.  If you are looking for conservative improvement, or if you still plan to have more children, then liposuction would be acceptable.  The choice of which is best is influenced by what your goals are from surgery.

Camille Cash, MD
Houston Plastic Surgeon
4.8 out of 5 stars 33 reviews

Should I get a tummy tuck or liposuction?

Thanks so much for your question.  It's more a matter of what your final goals are in terms of how to answer your question.  In the photo that you sent that shows your front view you can clearly see how much of a diastasis you currently have in your abdomen.  If you want to just reduce size and have a quicker recovery then you would benefit from liposuction.  However, liposuction will clearly not address the diastasis.  So Liposuction will be able to correct a portion of the issues where tummy will be able to address the entire situation and really re-tighten the stomach.  Both would give you positive gain but tummy tuck would give you significantly more improvement.  Hope this helps.

Shaun Parson, MD
Phoenix Plastic Surgeon
4.8 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.