Will a Tummy Tuck Without Lipo Still Give Me the Best Results? (photo)

Liposuction is commonly used to contour the flanks at the same time as a tummy tuck.  You may want to see another plastic surgeon to get at least another opinion on the matter.  However, judging by your photo, liposuction would enhance your results.

There is a midline scar on your abdomen however; and, aggressive liposuction in various areas at the same time as a tummy tuck may jeopardize circulation to the abdomen as you heal after a tummy tuck.  So, caution is indicated as well.

Unfortunately if you have a tummy tuck without lipo you will not be satisfied with your result. It is a critical part to restoring your contour.  The rational for not doing more may be to reduce risk because multiple procedures are being combined. Combining a pelvic procedure with a tummy tuck and lipo will increase your risk of a blood clot.  It may be prudent to separate the medical and cosmetic procedures for an optimal result. Best wishes.

The underwear that you are wearing in your picture somewhat distorts the area, however, based on your picture, I would think that suctioning your hips and lateral abdomen would be a good idea.  A tummy tuck extends from hip to hip and would probably leave you with some fullness laterally (or a small pucker) if it is not addressed.  If your doctor chooses just to do the tummy tuck, you can always do little corrective procedures to address any lateral fullness at a later date.