5'7, 145lbs, is tummy tuck plus liposuction enough? Is extended necessary? (Photos)

Thank you for your question and for sharing your details. Based on your history of weight fluctuations and the presence of loose skin and abdominal separation, you are an excellent candidate for a tummy tuck. Given the amount of stretch marks and excess skin you have, a tummy tuck will provide the most effective and lasting results.

No type of BodyTite or radiofrequency treatment combined with liposuction will fully address your skin concerns. These treatments can help tighten skin to a degree, but they won’t be enough to resolve the level of skin laxity you’re describing. If you were to proceed with just liposuction, you would likely be left with more excess skin, as liposuction only removes fat. This could make the loose skin even more noticeable.

A tummy tuck with liposuction would be sufficient to remove the excess fat and skin, tighten the abdominal muscles, and give you a smoother contour. Whether you need an extended tummy tuck depends on how much excess skin extends beyond the abdomen and around the sides. Your plastic surgeon can assess that closer to the time of surgery.

I hope this helps clarify the best approach for your goals!

Sincerely,
Dr. Katzen

Dear helloworld845,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! Because of the amount of skin laxity you have, I absolutely think a tummy tuck is in your future. I do think a standard or full tummy tuck would be sufficient. Good luck!