Other Than a Full Tt, Can Any Other Type of Lipo (smart, Vaser, Tumescent) Help? (photo)

I would rather not get a TT as the costs and recovery is more than I want to do. I've seen some pics on docs websites about liposculpture, vaser, and smartlipo. Can any of these help to tighten/flatten,/smooth my abdomen area. I realize that a TT get a result of super flat look, however, not sold on the idea of recovery time and costs at this point. Also any comments on Tipollar Apollo for skin tightening? I am 47, 115 lbs 4'11" and had 3 children.

Doctor Answers 13

It is hard to tell from your single photo

you are a great weight for your height. if you just have a bit of extra fat and only a small amount of skin laxity, then Smartlipo may be a very good choice for you. If you have a considerable amount of loose skin, then a TT would be a better choice. 

you really need to be seen live or at least provide a few more photos with more skin showing from the front and side view. it is very hard to assess your skin laxity with the photo you have submitted.

make sure you see a board certified PS

Sterling Plastic Surgeon
5.0 out of 5 stars 47 reviews

Other Than a Full Tt, Can Any Other Type of Lipo (smart, Vaser, Tumescent) Help

Dear momx3, Thank you for submitting your question. Based on your photo, you are a good candidate for an Tummy tuck. The tummy tuck result will tighten your skin and the results will last a long time unless you have fluctuations in weight or have child. There is no other type non surgical way to tighten your skin. I encourage you to make an appointment with a Board Certified Plastic Surgeon to further discuss

Can smart lipo help?

After three children, I would think there is more loose skin than I can see in the photo. Smart liposuction will help with the fat and some mild skin tightening, but what I see more often is patients wishing they would have done at least the mini tuck and smart liposuction because there is no short cut to getting the results you are looking for. This would best be answered by a board certified plastic surgeon that does both smart liposuction and tummy tucks as they are the best doctors to explain the best options for you.

W. John Bull, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 14 reviews

Looking for something other than TT

  • looking at your picture I see skin laxity and no excessive fat
  • there is not a non invasive procedure than will get you the results you are looking for
  • schedule a tummy tuck or nothing at all
  • dont waste you time and money on anything else

David J. Goodkind, MD
New Haven Plastic Surgeon
3.5 out of 5 stars 11 reviews

Partial treatment partial results

My mantra is to make the right diagnosis and then do the right operation.

Based on the photo and info given, you have had three children, you exercise and are not overweight.  

Many women after pregnancies have three different issues with their abdomen. 
  1. Loose skin and stretch marks.
  2. Some change in fat distribution.
  3. Muscle separation (aka diastasis rectii = Latin for separation of the rectus (six-pack) muscles).
Liposuction, regardless of brand or type, will only remove fat. The laser may help, but laser lipo is a fat removal procedure, not a skin-tightening procedure. I have yet to see an impressive technique for tightening skin other than skin removal.

To me, you look better than most patients. You appear to have a little bit of all three of the above concerns. As such, if you treat one out of three, you will get a partial improvement.

Tummy tucks aren't for everyone. It's a big procedure with a tough recovery that can leave a significant scar.

Find an honest plastic surgeon who can perform BOTH procedures well. He or she can help you make the best decision.

Best of luck,

Mats Hagstrom, M.D.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 13 reviews

Smartlipo vs. Tummy Tuck

It's difficult to tell from the photo if liposuction of any type will correct the problem that bothers you. If you have good thick skin elasticity in the area and the area is just fat then SmartLipo should definitely address the problem. If there are stretch marks and loose skin, or separation of the underlying muscles that are causing the problem, SmartLipo or any other form of liposuction are unlikely to help. See a board certified plastic with an expertise in body contouring in your area for a detailed consultation. They should be able to answer your concerns more specifically. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck! Dean Vistnes.

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 38 reviews

SmartLipo Versus Tummy Tuck

You have some stretch marks and loose skin.  In your case, a tummy tuck will give you the best results.  SmartLipo is a reasonable second alternative as long as you understand that you will still have those stretch marks and some loose skin.  SmartLipo does add skin tightening that regular liposuction does not but it will not be enough to tighten it as well as a tummy tuck can do.


From you picture, you look like a good smart lipo candidate. You will not get the complete result you would from a tummy tuck but also you won't have to deal with the scar. Consult you doctor

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

Liposuction can help but tummy tuck is best.

Liposuction can help. It will remove any excess fatty deposits, but it will not remove stretch marks or tighten the loose layer between your muscles. You can obtain some contracture of skin using SmartLipo, but this varies by patient.

Tummy Tuck vs. Liposuction

I would recommend you get a tummy tuck. it is a better option for you given that you have had 4 kids and that not only you have loose skin but also muscle weakness which will certainly not get better with anything besides surgery

Misbah Khan MD, FAAD, FACMS
New York Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.