Would Lipo360 or a Tummy Tuck deliver better results? Concerned about loose skin. (photos)

Thank you for your question. Looking at the photos you have provided I would recommend a tummy tuck. It will allow your Surgeon to tighten up the abdominal wall muscles and pull down the extra skin. This is the best way to get the flattest belly. Liposuction will reduce you down some inches with some skin retraction as well. If you choose to go the liposuction route I would recommend a laser assisted liposuction to help with the retraction component. I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss your options. Best of luck to you.

Hi, thank you for sharing your question. You would have a better result by combining those procedures. Together they can achieve better contour and shape without the loose skin. I hope this helps.

Hello! When you receive Lipo 360, you can experience excess skin after, as it is not removing the skin it is removing fat from within the body. If you are concerned about loose skin a tummy tuck would be great for you! You can always add lipo after a tummy tuck if needed.
Best of Luck!Dr. Julia Spears MD

Thank you for your question, based on your pictures you appear to be good candidate for intense liposuction and skin tightening treatment (this treatment is not substitute of a tummy tuck) if you don't want a tummy tuck yet for any reason, this will improve your body contour and skin laxity.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Although it's not your only option, a lipoabdominoplasty (tummy tuck and lipo) that would give you the most dramatic change. The tummy tuck would remove the excess skin from the level of the belly button down to the pubic area from hip to hip. After tightening the underlying muscle, the skin above the belly button extending to just under the breast would be redraped downward to cover the entire abdomen. Liposuction of the flanks, waist, love handles, bra rolls, and back can be performed at the same time to sculpt away excess fat in these areas and improve the curves. A tummy tuck requires general anesthesia and at least a couple weeks of downtime. A tummy tuck also comes with scars which include a low transverse scar, ideally at the level of the bikini line, and a scar around the belly button.

If the scars, general anesthesia, and recovery demand is not something that you accept then the next option would be thorough liposuction of the upper and lower abdomen from just under the breast to the pubic area, liposuction of the flanks, waist, lower back, love handles, and bra rolls. This is referred to as a 360. This option would improve your shape and decrease your size but it won't remove excess skin. This option is performed in our office with the patient comfortable awake but relaxed with oral medications and with thoroughly placed local anesthesia. Regarding work and normal activities, the downtime is 2-4 days. The scars are very minimal. With this option, you can always move into a full tummy tuck in the future if the skin is still bothersome.

With all that said, a consultation in person is the best way to determine what procedure is right for you.

You have hanging skin already. Liposuction will results in even more hanging skin. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure 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 and photos. Based on these photos, neither procedure alone would give the best results. These procedures are not either/or, but in combination will give you an hourglass figure. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Dear Philosophical901993,
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. Flanks liposuction would give you a better shape. 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

I would do the liposuction first to remove the excess fat. Once healed, if you have extra skin, then consider the mini tuck.

Liposuction alone can I am slightly help you address unwanted fat below your skin. Some people claim there is some mild skin tightening however, It is unlikely to address all of the excess skin. Combining Liposuction and abdominoplasty in Your case would be a great option as you have some combination of both