Thank you for the question. Generally speaking, liposuction is a tool that is often used during the time of tummy tuck surgery. Different plastic surgeons utilize this tool differently; some are more “aggressive” than others. In my practice, I frequently utilize this tool to treat adipose tissue of the flanks and pubic areas during tummy tuck procedures. Care must be taken during tummy tuck surgery to avoid excessive "trauma" to the blood supply of the abdominal wall flap; for example, if too much liposuction surgery is performed at the time of tummy tuck surgery, it may be a cause of compromise of blood flow and resulting wound healing problems... In some cases, where I plan to perform a significant amount of abdominal wall liposuctioning, at the time of tummy tuck surgery ( "lipoabdominoplasty"), I limit the amount of undermining of the abdominal wall skin flap. Again, care must be taken to avoid excessive "insult" to abdominal wall blood flow. I would suggest you spend additional time discussing your goals, plans, and expectations directly with your plastic surgeon, in front of a full length mirror. Working together you will come up with the best plan to achieve the desired outcome. Best wishes.