Hello marshburn14. Thank you for your question regarding whether you need liposuction along with your tummy tuck. Based on your photos, you do not need liposuction, but liposuction of the flanks can give you a more contoured and hourglass shape. The tummy tuck with muscle repair will be the star of the show, addressing the loose skin and tightening the abdominal muscles, which is especially beneficial after having children. The liposuction would be the cherry on top, helping to further sculpt your figure and enhance the overall results of your tummy tuck. It can provide additional contouring to the waistline, making your final results even more impressive. Good luck, and I hope this helps to answer your question regarding the necessity of liposuction with your tummy tuck. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS