Do I really need a tummy tuck? I want just 360 lipo with BBL. (photo)

Liposuction alone will give you more loose skin and a result that you will not be happy with. Once you have reached your goal weight and have maintained it for a few months, consider a tummy tuck with some liposuction for contouring. Consult with a board certified plastic surgeon to learn what options are available to you. Good luck.

You need a formal evaluation by a licensed plastic surgeon and expert in abdominal surgery to determine what is best for you and your goals.
The key to a successful tummy tuck (or abdominoplasty) is to address the multiple layers that are damaged with pregnancies or weight fluctuations. For most patients I will perform internal rectus muscle plication to flatten and tighten the abdominal wall while creating a better waistline. The excess abdominal skin and fat is then excised and tightened, leaving a low, discreet transverse scar. Keeping this scar as low as possible is important so my patients can wear normal bikinis and low-cut jeans. For many patients, I will use liposuction as an adjunctive procedure to further refine the torso.
To accelerate recovery and reduce the risk of complications, I spend extra time placing progressive tension sutures to tack the abdominal tissues down to the abdominal wall and eliminate space for fluid to collect. I also use a medication called Exparel that is a local anesthetic that releases over a 3-day period; by injecting this carefully in the surgical areas, particularly where the muscle is tightened, I am able to dramatically reduce the immediate discomfort associated with abdominoplasties.
Ideal candidates for this procedure are women who have had children or experienced extreme weight loss and were left with excess skin. During the evaluation, we will discuss your needs and identify the best abdominoplasty technique for you.
I suggest consulting with a board-certified plastic surgeon and expert in body contouring. - Dr. Cohen

Thank you for your question. Based on your photo, I would recommend a tummy tuck. This procedure will remove both excess skin and fat to the abdomen, giving you the flattest stomach possible. If you are wanting to avoid having multiple surgeries, and ultimate goal is having a flat stomach and addressing the excess skin, I would recommend performing the tummy tuck with flank and back liposuction, and fat transfer to the buttocks. I recommend discussing procedure recommendations with your plastic surgeon. Best of luck!

Thank you for your question. Based on your photos you will achieve your body goal with a full tummy tuck combined with intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area.
Kind regards,Dr. Emmanuel Mallol Cotes.-

The best aesthetic result in my opinion would come from liposuction of the back with a formal abdominoplasty. Liposuction will remove surplus fat but would leave the excess skin unaddressed. Nevertheless they were patients who opt for this and are pleased in spite of the neglected excess skin and laxity of the abdominal wall. Liposuction with abdominoplasty and gluteal augmentation is commonly done in one operation. Naturally this depends upon the overall health of that patient.

Hello, thank you for your image and question. While the image is helpful it is difficult to give a sound answer without seeing you in person for a consultation. Going off the image, it does appear that you would be a candidate for a tummy tuck. After liposuction you may be left with excess skin. The procedures can be performed at the same time if the surgeon is experienced in combination surgeries. Please discuss your concerns with your plastic surgeon.Best of luck,Dr. Germán NewallHouston Board Certified Plastic Surgeon 

Thanks for your question. Based on your information and photo you are a good camndidate for a tummyu tuck along with the BBL procedure. The closer you are to your goal weight the better your results will be. You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

I recommend weight loss prior to having any cosmetic procedures, either tummy tuck or liposuction. Based on your photo, you are a candidate for a tummy tuck due to your excess skin and stretch marks. Liposuction alone will not give you a very good result. Discuss this in more detail with your plastic surgeon.

Hello,You want it all together in one surgery now, but you probably don't want the likely complications that are almost inevitable, like seromas that won't go away or that get infected, loss of tissue and open wounds, or death from a blood clot in a deep vein that travels to your heart and lungs. Although death is unlikely, complications requiring wound care or hospitalization can be financially ruinous. 

Hello and thank you for your question and sharing your photos. Based on this picture, there is no question that you need a tummy tuck. Tummy tuck can be done simultaneously with 360 liposuction and BBL or done in staged fashion. Recovery and positioning can be a little complicated when performed at the same time. You should discuss all these options with your surgeon and come up with a plan that works best for you. Best,

If you are in good health, you appear to be a good candidate for lipo, BBL, and TT. Fat can be taken from many different areas of the body including abdomen, sides, bra rolls, thighs, arms, underarms, flanks, lower back, upper back, posterior neck, submental areas, jowls, thighs, calves, ankles, buttocks, hips, knees. You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction.  In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used. 
I perform the TT and lipo/BBL combination hundreds of times each per year, because many of my patients only want to go through surgery and recovery one time.   Recovery can be challenging and uncomfortable.  I allow patients to sleep on their sides. Lying on your stomach or on your back will create pressure on your butt or stomach.  Patients can also rest in other positions as long as the other areas do not receive pressure.  There are creative ways to manage this. For example, my patient coordinator recommends a plastic inflatable with a hole in it (called a lilo), where instead of your tummy, you place your butt, so you can sleep on your back with pillows propping up your neck and head.
You could stage the procedures and have the TT done first; then the lipo and BBL.  However, the result will not be as tight as lipo and BBL first and then TT.  Both can be performed at the same time, but the upper abdomen cannot be aggressively liposuctioned at the time of the TT due to blood supply issues. The reason for this is simple.  More skin can be removed when less fat is present.