Liposuction for Upper Abs After Tummy Tuck?

Most traditional techniques for abdominoplasty (tummy tuck) tighten the muscular layer over the muscles in the upper and lower abdomen (we call this plication) as well as remove the lower loose skin (below the belly button) from the abdomen. Often, some liposuction is performed on the flanks and hips, but there are safety reasons as to why too much liposuction done in the upper abdomen can possibly affect the blood supply of the skin, for this reason many surgeons don't do a lot of thinning or liposuction at the time of the tummy tuck.
I tell all my patients that undergo a tummy tuck procedure that there is a possibility of a "2 stage procedure" with a 1 hour upper abdominal liposuction that I routinely schedule 3 months after the tummy tuck to further contour the upper abdomen.
I think it's great if you can lose weight with diet and exercise but even then not every patient will get contour improvement specifically in the upper abdomen (epigastrium). The good news is that you have come through the bigger part of the procedure, the tummy tuck, and even if you decide to have further contouring in the upper abdomen with liposuction to "bring your abdomen back into balance", it would likely be an outpatient procedure with a rapid recovery.
Hope this helps!

Hi there-
I think there are really two questions here... the first is why this upper abdominal bulge is present in the first place. It may be that you are correct in your assumption that this is fatty tissue, and if this is the case, liposuction should successfully put the finishing touches on the result for you. It is important to know that this is, in fact what is causing the appearance you are noticing, though, because the other possibility is that you have a different problem that would require different management.
Of course, the only way to know for sure is to visit you surgeon for an exam. He/ she will also be able to advise you on the timing of the liposuction if needed- as the timing will depend on his/her comfort level with the blood supply to your abdomen after the tummy tuck (and he/she will be the only one with the necessary understanding of your tummy tuck to be able to answer this question).
Pay a visit to your surgeon and see what advice he/she gives you.

Diet and exercise will help a great deal. If after 3-4 months of your new regime you are still unhappy consider laser assisted liposuction.
Standard liposuction will remove unwanted fat, but no skin tightening. Compared to the firmness of your new lower abdomen, you may be disappointed after lipo alone.
The new laser assisted liposuction provides the additional benefit of skin tightening which will be important following your tummy tuck.
See before and after photos of Slim Lipo and Mini Tummy Tuck.