Had several lipo on my stomach already. Are there any solutions out there for a smaller waistline? (Photo)

Hello Ocean Dolphin,
Thank you for your question regarding alternative solutions for achieving a flatter abdomen after undergoing three liposuction sessions.
You are correct in noting that the abdomen comprises various layers: small intestine, surrounding fat, muscle, and skin. Since you've already had fat removal through liposuction, other factors could contribute to abdominal distention. These include the small intestine, visceral fat around the intestine, the abdominal muscle, and the skin. However, based on your description, it seems the small intestine and skin are not the primary concerns.
Therefore, visceral fat and the abdominal muscle are the two likely contributors to your abdominal distention. Visceral fat, which surrounds your internal organs, can be effectively reduced through a ketogenic diet with intermittent fasting. Additionally, cutting out sugar and alcohol, combined with regular exercise, can significantly reduce visceral fat. Weight loss medications like Ozempic might also be considered under medical guidance.
As for the loose abdominal muscles, which are likely a major factor in your abdominal distention, a surgical approach to repair and tighten these muscles may be necessary. This typically involves a low abdominal incision through which the rectus muscles (the 'six-pack' muscles) are sutured or brought together (a process known as muscle plication). This procedure can significantly reduce the waistline, sometimes by 4 to 8 inches. In some cases, surgeons may also use mesh to flatten the abdomen further.
In summary, to address your abdominal distention post-liposuction, consider a combination of diet, exercise, and possibly a surgical procedure to repair the abdominal muscles. I recommend consulting with a board-certified plastic surgeon to explore these options further and to determine the best course of action based on your specific needs and medical history.
I hope this information provides clarity and assists you in finding an effective solution to your concern.
Sincerely,
Dr. Katzen

Dear OceanDolphin,
liposuction is the best procedure for body sculpting. You can also get fat transfer in order to make your waistline look smaller. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I would not recommend more liposuction. It appears that you have a round/protruding abdomen. Have you had children? The procedure to flatten your abdomen and narrow your waistline would be a tummy tuck. You probably have abdominal wall weakness, and possible a diastasis of your abdominal muscles. A tummy-tuck will improve this greatly. It will change the shape of your abdomen.