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.

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!

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 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