Do you recommend J-Plasma or tummy tuck? I’ve had two c-sections and have scheduled a BBL in November. (Photos)

A tummy tuck is the procedure you need. It will remove all of the extra skin from the abdomen as well as tighten the muscles under the skin.I hope this helps.

After reviewing your photo, I would recommend a Full tummy tuck combined with liposuction. A full tummy tuck corrects the aftermath of pregnancy:1.  The separation of the abdominal muscles (diastasis recti) is repaired to reduce the bulge2.  The loose skin is tightened3.  Fat deposits can be reduced with liposuctionLiposuction alone would not correct the bulge due to the muscle separation or the loose skin and would, in all likelihood, lead to a disappointing result for you. Generally, a tummy tuck is recommended for women after having their last child. I recommend surgery 6 months after your last baby.The combination of tummy tuck and buttock augmentation has the advantage of a one stage procedure and makes use of fat which would normally be discarded. The problem is that during the recovery period for the tummy tuck you are not able to keep your weight off of your buttocks. Pressure on the fat grafts results in less of it lasting. For this reason, I generally advise doing it in 2 steps if possible. I will do both of the procedures in one stage if a small buttock augmentation is required, but I do let my patients know that they may need a second procedure if additional fat is required.I would recommend a consultation with a Board Certified Plastic Surgeon.
Best regards, Andrew Lyos MD, FACS

Hello and thank you for your
question. Based on your photograph, you are a great candidate for a tummy tuck
with liposuction.  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

Dear Magic_doll_magic,based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From the photos you appear to be a good candidate for a tummy tuck. This would remove excess subcutaneous fat, skin, and correct abdominal wall laxity. You can add liposuction for further contouring if desired. The result will be a flatter, tighter tummy. Due to poor skin elasticity J Plasma will not be very beneficial to you.

Hi, thanks for sharing your concern and photos with us!

Looking at your photos I might say that you´ll be a great candidate to get an entire back, waist and flanks liposuction, with BBL, and tummy tuck, this is because all the extra skin located in this areas plus your abdominal muscle needs to be repaired.

Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first.

Have a great day! 

Dr. JPG

Thank you for the question and pictures.
Based on your history and photographs, it  is very clear that you should undergo a full tummy tuck procedure  in order to achieve the best outcome possible.  I would strongly recommend that you do not undergo a "less invasive" procedure;  you will very likely be disappointed with the outcome of any procedure other than tummy tuck surgery.
  Best to seek in-person consultation with well experienced board-certified plastic surgeons who can demonstrate lots of experience helping patients with tummy tuck surgery.  Your plastic surgeon consultants will likely be able to show you similar patients (before and after photographs) and help you decide whether or not to proceed. 
 Best wishes with your decision-making, and for an outcome that you will be very pleased with.

Dear Magic_doll_magic,Hello and thank you for your excellent question. I have found that many patients can get GOOD results with liposuction alone, and EXCELLENT results with IDEAL Liposuction! IDEAL Lipo is a proprietary technique that we have been developing for the past 12 years. First off, these procedures are typically performed in the office, with only local anesthesia (although patients can request deeper sedation, if they so desire. We typically use like Smart / Laser Liposuction or VASER (ultrasound) to reduce dense, fibrous fat, and stimulate collagen formation; Radiofrequency-based skin tightening (like Body Tite, or Thermi) to maximize skin contraction; and Ultrasound, RF, or subcision (Z Wave, Venus, Cellfina) to treat cellulite. Patients go home the day of surgery; typically do not use any narcotics postop for pain control, and are back to light exercise and work 48 hours after their procedures. In my practice, we specifically evaluate patients for these additional treatments, and select the appropriate treatment based on their skin quality, amount of fat, previous treatment(s), and surgical goals. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018

Hello,Thank you for sharing the information, it is a pleasure for me to answer your question.
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a goodevaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help youMy best wishes for you...