Do I need a Tummy Tuck or can exercise or Vaser Liposuction get rid of my excess skin? (photos)

Your question is "will VASER liposuction or exercise get rid of my excess skin?" The answer is no. The only way to really reduce the amount of excess skin is to remove it with a tummy tuck procedure. It also will be the only way to completely tighten the abdominal wall laxity that you probably have after your pregnancy. But that does not mean that you have to have a tummy tuck to improve your abdominal contour. If you get back into exercise, you will lose the excess fatty tissue and your abdominal wall muscles will improve. The skin will retract some and your overall abdominal shape will improve. If you do everything that you can to optimize your health and are still not happy with the amount of skin laxity, you will probably then need to resort to a tummy tuck to achieve the results that you want.

    From the pictures I think that liposuction may be a very good option and will obviously avoid the longer tummy tuck scar.  An exam would be necessary to confirm.Kenneth Hughes, MDLos Angeles, CA

Hi there,Well done on the weight loss.The first piece of information we need is to understand whether you are considering further pregnancies at some point.The second is to examine you to understand whether you have a rectus diastasis. That is, whether some of your appearance is due to stretching of your muscle wall and not just the skin.i suspect most of your appearance (which given your 30kg weight loss is better that you think!) is due to skin loosening, and as such you are more likely to be a tt candidate than a lipo candidate.Having said that, my advice is to do no surgery or lipo for now. I think given you have not exercised, that a year of regulare exercise in the gym, you dont have to overdo it, but focus on your core and trunk area, may very well be all you need to be happy with your appearance. Your skin will never return to your pre pregnancy elasticity though. You must be realistic about this.all the very best.

Thank you for the question. Tummy tuck and liposuction address different needs so it would help to conduct an in-person exam to give you an individualized answer. 
A tummy tuck would probably be the best option because it offers the most effective way to correct loose skin and muscle separation in addition to eliminating excess fat. Liposuction will also remove fat, but it can't address flabby, hanging skin that typically persists after weight loss. For this reason, many patients who have experienced a massive weight loss or recent pregnancy tend to opt for a tummy tuck. This procedure can also be combined with liposuction for maximum effect.  
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!  

Thank you for the pictures.According to the pictures, I do believe that a Tummy Tuck in combination with liposuction in the waist, upper and lower back and fat grafting in to buttocks will definitely enhance your body shape and give you that result you're looking for.Dr. Campos

Hello and thank you for your question.It is difficult to
say with the photos you have provided. You look like you may potentially be a
candidate for just liposuction, but usually when a woman has had a child, that
is not the case. More often a tummy tuck is necessary. Because you are potentially
a borderline case, (a woman certainly without severe skin excess) you would
really need to be seen in person in order to get an accurate assessment. I
recommend that you see a board certified plastic surgeon in consultation to get
more specific answers to your questions which can best be addressed after a
thorough history and examination is performed.
Best of luck to you!

Be very careful with your decision-making. Depending on your goals, it is very likely (in my opinion) that you will be disappointed with the outcome of liposuction surgery. Most patients with your history and abdominal wall appearance, benefit from a full tummy tuck operation ( assuming you are otherwise a good candidate).  Again, make your decisions carefully. Best wishes.

From your pictures your skin looks to be a great candidate for smart lipo. Find a board certifed plastic surgeon in your area and schedule a consultation to be sure.Thank you for your question and good luck!Melinda Lacerna, MD, FACS

Hi there, Thanks for sharing your photos, and congratulations on the weight loss.  It can be difficult to determine the degree of skin tone from photos alone.  I do recommend a consult with a board certified plastic surgeon to examine you and discuss your goals.

You can have any of theses options depending on your exam.  If there is to much excess skin then liposuction is not a good option.  If you skin doesn't have many stretch marks and good tone otherwise then liposuction may be adequate.