34, c-section 2 years & can't get rid of stomach pouch, tummy tuck or liposuction?

Hello, The tummy tuck with remove your loose skin and fix any muscle separation. Liposuction will only remove the "bulk" from the area. With that being said, if you just have Liposuction you may still be left with loose skin in the area. A tummy tuck will give you the best result. Please always consult with your board certified plastic surgeon. - Dr. Joe

Hello, based on the photographs provided, the prominence of your lower abdomen is most likely caused by rectus diastasis which can only be corrected with a surgical repair. This is routinely done as part of an abdominoplasty. Liposuction can be added to improve contour. I hope you find this helpful.

Thanks for your question! That "pooch" is likely from a diastasis recti (or muscle separation). I don't think you will need a full tummy tuck, but some sort of tummy tuck is going to be the right answer. Liposuction likely won't make much of a difference. Good luck!

Thank you for your request regarding whether you need a tummy tuck or liposuction to address your stomach pouch after a C-section.

Based on your history and pictures, it appears that you have excess skin, excess fat, and weakened abdominal muscles, likely due to your pregnancy. While liposuction effectively removes fat, it relies on your skin's ability to tighten up afterward. Given your history and the changes from pregnancy, your skin may not have the elasticity needed to tighten on its own. Additionally, only a tummy tuck will address the weakened muscles, which are a key factor in achieving a flatter, more contoured abdomen.

Therefore, most plastic surgeons would recommend a tummy tuck for your situation. This procedure will remove excess skin, tighten the abdominal muscles, and give you a more defined waistline.

I hope this helps to answer your question.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Dear 3ladybug,
it is hard to tell for sure without an examination. Based on your photos and history, it is most likely muscle separation so liposuction won't help much. 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

Hi from Istanbul!Thank You for your question.You are a good candidate for liposuction surgery because you don't have saggy skin in your abdomen so liposuction (VASER) will be probably enough for you. Best Luck!

Thank you for your photos. You appear to have some loosening and possible a diastasis of your rectus muscle below your umbilicus. This is common after pregnancy and in order for you to achieve the flattest abdomen, the diastasis should be repaired. Your overall skin looks to be good quality, and therefore, I believe your best result would come from a small amount of liposuction of your waist and abdomen followed by a mini tummy tuck and repair of your diastasis. Discuss all these options with your plastic surgeon during your consultation. Best wishes.

Great question! From your photos, it looks like you might have either some separation of the lower abdominal muscles or some excess fatty tissue in the lower abdomen, or possibly a combination of both. A tummy tuck would address any muscle separation, while liposuction would be suitable if there's no muscle separation and only excess fat. An in-person examination would provide definitive answers to these questions and help you and your surgeon decide on the best course of action.

Dr. B.

It is difficult to assess the quality of your skin based on the photos provided. Generally speaking, however, women who’ve had multiple pregnancies tend to develop loose skin in their mid-section. This loose skin cannot be tightened with liposuction alone. A tummy tuck may be more suitable for you for this reason.

Hi. Based on your pics, you would likely be a good candidate for a mini tummy tuck with umbilical float. This allows rectus plication (tightening of the stomach muscles) to help flatten the contour and also remove the slight amount of excess skin. Liposuction alone is also an option, but it would not be expected to provide as much contour improvement. But this all depends on your actual physical examination. I would recommend consulting with a board certified plastic surgeon with good experience with body contouring to help go over all of these options with you.
Good luck and take care,
Dr. Howell