Thank you for your question about whether your hip tattoo can be removed or avoided during a tummy tuck. Thank you for your history and your interesting question. Thank you for your pictures. First, you do need an abdominoplasty or tummy tuck; liposuction will not work. Second, there were several different varieties of tummy tucks. Specifically, there are six types of abdominoplasties. The pattern depends on what type of abdominoplasty you want and your abdominal anatomy.. There is a horizontal abdominoplasty where an incision is made in the pubic region and carried out almost horizontally to your hips. Another variation is called a high lateral tension tummy tuck. During a high lateral tension tummy tuck, an incision is placed low in the pubic region and then extended high over the hips. Most experienced tummy tuck plastic surgeons would suggest a high lateral tension tummy tuck for you. During a high lateral tension tummy tuck, your tattoo will probably be completely removed. However, with a high lateral tension tummy tuck, the resulting scar is visible over the hips. That means if you were low hip huggers or low panties, the incision will show over the hips. However, the high lateral tension abdominoplasty gives you a more body shape and creates more of an hour-glass figure. Therefore, most plastic surgeons would be able to remove your tattoo completely if you consent to a high lateral tension tummy tuck. I hope this helps to answer your question regarding whether your hip tattoo can be removed during your tummy tuck. If you have any more questions regarding tummy tucks, abdominoplasties, or abdominal liposuction, contact an experienced plastic surgeon. Since the tummy tuck surgery is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in performing tummy tucks. Do your research. If you cannot find an experienced tummy tuck plastic surgeon in your neighborhood, consider traveling out of state. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. Sincerely, Dr. Katzen. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)