3 kids via c-section - Lipo 360 or will a tummy tuck be enough for good results? (Photos)

Question

After having 3 kids via csection, I’m looking to get my body back I am willing to travel but need advice on which procedures I need. Do I need lipo 360 or will a tummy tuck and lipo of the flanks be enough to give me a good hourglass shape and flat abdomen? I know combining both theres a limit of removing much less fat. Also terrified of doing a bbl but want to avoid looking “rectangle” is avoiding one possible?

Luis A. Mejia, MD · Answer

Hello, thank you for your question, first of all congratulation on your weight loss, after evaluating your case, if you have good Hemoglobin levels... a Vaser Liposuction Technique, witch will help with the skin retraction, a Ultrasound guided butt fat transfer to improve projection and volume of the area, and a Tummy Tuck with muscle repair will definitely improve your self steam, Safety first

J. Timothy Katzen, MD, FACS · Answer

Hi Dream chaser92, thank you for your question regarding 3 kids via c-section and whether lipo 360 or a tummy tuck will be enough for good results? Thank you for your history and your pictures. First, we should analyze your pictures to determine the best procedures. You have mild to moderate cutis pleonasmus (excess skin), mild dermatocholosis (loose skin), moderate rectus abdominis diastasis (stretched midline muscle), and mild stria (stretch marks). Your most significant tissue issue is rectus abdominis diastasis. The Rectus abdominis diastasis is best seen in your profile. Rectus abdominis diastasis can only be corrected with an abdominoplasty (tummy tuck). No form of liposuction, whether VASER, laser, or traditional, will correct rectus abdominis diastasis. Therefore, most experienced plastic surgeons would suggest a tummy tuck. During your tummy tuck, additional liposuction can be performed to correct isolated areas of fat deposition. Good luck. I hope that I have answered your question regarding 3 kids via c-section and whether lipo 360 or a tummy tuck will be enough for good results. If you have any more questions regarding tummy tucks, abdominoplasties, or abdominal liposuction, contact an experienced plastic surgeon. Since a tummy tuck is a major procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing tummy tucks. Do your research. If you cannot find an experienced tummy tuck plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. ( Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

I hope that I have answered your question regarding 3 kids via c-section - Lipo 360, or will a tummy tuck be enough for good results?

To get an accurate assessment of your needs, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations.

I hope that I have answered your question regarding 3 kids via c-section - Lipo 360, or will a tummy tuck be enough for good results?

To get an accurate assessment of your needs, schedule a free virtual consultation.  Most plastic surgeons offer free virtual consultations.

Sedat Tatar, MD, FACS, FEBOPRAS · Answer

Hello, I’m Dr. Sedat Tatar, a double board-certified plastic surgeon from Istanbul.
After three C-sections, there is often abdominal muscle separation (diastasis recti) in addition to skin laxity. Liposuction alone cannot correct muscle problems, it only removes fat. In these cases, a tummy tuck is usually the better option because it allows muscle repair and skin tightening, leading to a flatter and more stable abdomen. Liposuction can be added as a complement, but it should not replace a tummy tuck when muscle laxity is present.

Mehmet Ozdemir, MD · Answer

Hi and thank you for your question.We recommend 360-degree liposuction combined with a tummy tuck to address post-pregnancy changes.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your height and weight. It does not appear you have much extra skin. I do not think you are a good candidate for a tummy tuck at this time. I recommend liposuction and 10 lbs. can safely be removed during one session. This can be repeated if needed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Providing that you are not in rush, first step would be a weight loss in the range of 20 or so lbs.  That will allow for good skin retraction; some resilient areas can be addressed with liposuction. In the case of any residual skin sagging and laxity, abdominoplasty would be an additional option. However, if you prefer a fast track solution you should see a board certified plastic surgeon and consider liposuction and abdominoplasty. Good luck. .

Jacob Carlson, MD · Answer

I think you would achieve a fantastic result with Liposuction 360 and an Extended abdominoplasty. You stated that you wanted to achieve an hourglass shape and a flat abdomen. With a history of three previous pregnancies, you likely have some degree of abdominal wall laxity or rectus diastasis. With a tummy tuck, the muscles of the abdomen are "repaired" or plicated. That would help you achieve the 'flat abdomen' appearance from a profile view. By performing an extended abdominoplasty, all of the skin from above the belly button to your C-section scar would be removed, and the tissue on the back flanks would be removed to achieve the hourglass shape. That would be defined even more by doing liposuction 360. You already have a nice shape to the buttocks, but doing liposuction would also give your surgeon a supply of fat to use for fat transfer (BBL), if you wanted to do that as well.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on the photos, you’re an excellent candidate for 360 Lipo. If possible, a tummy tuck may be avoided but a formal examination of skin laxity to adiposity ratio would help determine this. A BBL is not needed to give you the desired hourglass shape but the 360 Lipo will be very important to achieve this look.

Francesco Campanile, MD · Answer

After three C-sections, it is very common to have both excess skin and abdominal muscle separation (diastasis recti). Liposuction 360 addresses fat around the abdomen and flanks, but it does not tighten muscles or remove stretched skin.

If there is lower abdominal overhang, loose skin or muscle laxity, which is especially common after multiple pregnancies, a tummy tuck is typically the more appropriate procedure. It removes excess skin and tightens the abdominal wall, directly addressing the core structural changes caused by pregnancy.

In some patients, combining a tummy tuck with targeted liposuction of the flanks provides the most balanced result. The decision depends on your skin quality, muscle separation and where fat is distributed.

An in-person examination is essential to determine whether liposuction alone would under-treat the issue or whether a tummy tuck (with or without lipo) would deliver the contour you’re seeking.

Camille Cash, MD · Answer

When considering a Mommy Makeover you want to get as close to your goal weight as possible and maintain it to optimize results.  From your photos it appears you would have the best results from a tummy tuck with liposuction for contouring.  The tummy tuck would remove excess subcutaneous fat and skin as well as correct abdominal wall laxity.  It does not address visceral fat which must be accomplished through weight loss.  Liposuction could be used to define your curves and remove stubborn pockets of fat.  The next step is to visit with a board certified plastic surgeon near you to learn more.

3 kids via c-section - Lipo 360 or will a tummy tuck be enough for good results? (Photos)

Answers (11)

More Mommy Makeover Questions

Mommy makeover with hypermobile Ehlers-danlos syndrome - expectations for healing and scars?

Is a breast lift, 360 tummy tuck/body lift, lipo, and bbl all in one surgery too much? (Photo)

Breast lift with augmentation, Lipo 360 circular tummy tuck & BBL, lower bleph & rhinoplasty. Are these procedures ok at once?

Beta thalassemia minor - how can I increase my hemoglobin for a mommy makeover?

Is it reasonable to combine a mommy makeover with full vaginal rejuvenation (vaginoplasty + labiaplasty + fat transfer)?

100 pound weight loss - Tummy tuck or lower body lift? Lipo or no lipo? (Photos)

WE SEND PRETTY
EMAILS