Would like to do liposuction of the trunk, abdomen, flank, bra rolls do I need a tummy tuck?

Question

hi, id like to do lipo of the abdomen, flanks, and bra rolls, im 138 pounds 5'4. i have lost weight before so i do have some stretch marks on my abdomen but the skin is pretty tight. do i need a tummy tuck?

Jaime S. Schwartz, MD, FACS · Answer

Thank you for your question.

I  specialize in Vaser Hi Definition Liposuction and Body Contouring procedures.

From your photos, you appear to be an excellent candidate for Vaser Hi definition liposculpture with fat grafting to the buttocks.  You should get a great result from liposculpture, giving you a more contoured and hourglass shape with better projection to your buttocks.

Vaser Hi Definition liposuction uses the concepts of negative and positive spaces in relation to the underlying bony and muscle anatomy to define areas such as your six pack and create an athletic looking physique.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Trevor M. Born, MD · Answer

Dear GloriajeeThank you for your question and photos!  You can start with liposuction - you may get some skin retraction and not need any skin removal.  With Warm Regards,Trevor M Born MD

Jason Emer, MD · Answer

For the most contoured and flat outcome you will need liposuction with skin removal.  I suggest you see an expert in 4D body contouring.  Best, Dr. Emer.

Michael Kreidstein, MD, FRCS(C) · Answer

Your breast scars will provide a good clue as to what scars you should expect from a tummy tuck.  If you can accept the scars, a tummy tuck will give you the best shape and skin tone.  Liposuction is still a good option, but even if your skin shrinks well there will be no opportunity to improve your abdominal wall shape as could be obtained through a tummy tuck.Good Luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a
great candidate for waistline contouring liposuction of your abdomen, flanks,
and upper/lower back.  This can greatly improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Martin Jugenburg, MD · Answer

Based on your photos (which are not a real substitute for an in-person assessment), it seems that lipo360 could give you nice results however I suspect you will have some skin laxity on your abdomen that would be ideally treated with a tummy tuck.  A tummy tuck will also tighten your abdominal muscles, another reason for the slightly bulging lower abdomen.  My recommendation would be a lipo360 with a tummy tuck.Hope this helps

David R. Alfonso, MD, FACS · Answer

From your photos you appear to be s good candidate for liposuction since your skin appears tight. You should expect a good result from lipo alone

Lee B. Daniel, MD · Answer

As you do not appear to have excess skin around your abdomen, it is unlikely that a tummy tuck would be recommended in conjunction with liposuction. Tummy tucks are generally most suitable for those who have excess skin or loose abdominal muscles, neither of which appear to apply to you. However, I would recommend a consultation with an experienced, board-certified plastic surgeon who will be able to make a more accurate recommendation after meeting with you in person and discussing your specifics and desired outcome.

Maria M. LoTempio, MD, FACS · Answer

Liposuction with a laser such as HD vaser liposuction can give a very nice result. It decreases the need for a tummy tuck. However, if your skin does not shrink, than a TT would be the next step. Good luck!

Steven Wallach, MD · Answer

You would probably do best right now just getting liposuction, especially if you have not had children yet.  Best to be seen in person. Best of luck.

Would like to do liposuction of the trunk, abdomen, flank, bra rolls do I need a tummy tuck?

Answers (11)

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