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

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!

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