Hello wito31, Thank you for your question regarding whether you need a TT revision or liposuction with JPlasma. Thank you for your history and your pictures. This is a tough one. I would ask if your picture on the left of the screen was taken with you leaning forward and your waist bent. I would also want to know your age. These factors will decide whether you need liposuction or a revision tummy tuck. If you are leaning over for the picture, then I would suggest an abdominoplasty or tummy tuck. If you are over 60 years old, I would suggest you have a tummy tuck. However, if you are not leaning over and are not older than 60, in examining the picture on the right, you may be able to get by with just VASER liposuction combined with Jplasma. VASER liposuction and Jplasma eliminate fat and maximally contract the skin. However, as you know, liposuction even with Jplasma does not remove any skin. Good luck. I hope I’ve answered your question regarding whether you need a tummy tuck revision or liposuction. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS