Tummy Tuck vs. Lipo - thoughts? (Photo)

A tummy tuck combined with flank liposuction is often considered the best option for individuals looking to achieve a more sculpted and toned midsection. The tummy tuck addresses excess skin, particularly in the lower abdomen, which liposuction alone cannot resolve. It also tightens and strengthens the abdominal muscles, especially if there has been muscle separation (diastasis recti) due to pregnancy or weight changes. Flank liposuction helps to remove stubborn fat deposits from the sides and back, which often create the appearance of "love handles." When combined, these two procedures provide comprehensive abdominal contouring, as the tummy tuck smooths out the abdominal area, while liposuction refines the waist and back. This combination ensures a more balanced, hourglass shape, with both the skin and fat addressed for a dramatic, long-lasting transformation. Additionally, this dual approach minimizes the risk of loose skin after fat removal, which can sometimes occur with liposuction alone.
It is important to consult with an experienced plastic surgeon who can customize your surgical plan and determine the best technique for you based on your individual anatomy and goals.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Hello littlebopeepboob, thank you for your question regarding whether a tummy tuck or liposuction would be best for you.

Based on your photo and the information you provided, I recommend an extended tummy tuck with muscle plication. Here’s why:

1. Excess Skin and Stomach Overhang:
You currently have an overhang of skin on your stomach. Liposuction alone will only exacerbate this issue, as it removes fat but does not address the excess skin. This will leave you with even more sagging skin, which can be aesthetically unpleasing and uncomfortable.

2. Muscle Plication:
An extended tummy tuck includes muscle plication, which tightens the abdominal muscles. This is particularly beneficial if you have diastasis recti (separation of abdominal muscles), which is common after significant weight changes or pregnancy. Tightening these muscles will provide a firmer, flatter abdominal profile.

3. Extended Tummy Tuck:
An extended tummy tuck will remove excess skin and fat from both the upper and lower abdomen, as well as the flanks, providing a more comprehensive contouring of your midsection. This procedure will help you achieve a smoother, more toned appearance.

4. Liposuction of the Flanks:
While liposuction alone is not recommended for your abdomen, it can be effectively combined with an extended tummy tuck to contour your flanks. This combination will enhance the overall results, giving you a more sculpted waistline.

Conclusion:
In summary, liposuction will likely result in more excess skin and worsen the stomach overhang. An extended tummy tuck with muscle plication, possibly combined with liposuction of the flanks, will provide you with the best results. It will address the excess skin, tighten your muscles, and contour your midsection effectively.

Good luck with your consultations, and I hope this helps you make an informed decision.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Dear littlebopeepboob,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery