​1 year post op of Liposuction, my flanks are uneven. Do I need a another Liposuction or a Tummy Tuck? (photo)

I had lipo on my chest, upper and lower abdomen and flanks 1 year ago to the day, i felt a slight change in the chest and upper abs but as for the lower abs and flanks i dont see much change, in fact i think it got worse, they r uneven and still hang on the sides and lower back ,over all, i can still easily grab my belly fat in my palms and pull it away,is there a way to even them out? is it possible to get really flat abs without having to undergo another lipo or a tummy tuck again?

Doctor Answers 3

Is Additional Lipo Needed?

Thanks for your question, and I'm sorry to read you are unhappy with your results. It's difficult to tell from your photos alone, but you may benefit from a bit of additional liposuction or even a tummy tuck. If your additional time in the gym isn't paying off, I recommend scheduling a face-to-face consultation with a board-certified plastic surgeon who is experienced in body contouring. He or she can help you decide on the best course of action for your specific circumstances. Good luck.

San Francisco Plastic Surgeon
4.8 out of 5 stars 22 reviews

1 year post op of Liposuction, my flanks are uneven. Do I need a another Liposuction or a Tummy Tuck?

   As a bodybuilder, I can appreciate the results of working out. As a plastic surgeon, I also know that many patients can benefit from liposuction. You may benefit from additional liposuction or a tummy tuck.  An exam will be necessary to make that determination.

Find a plastic surgeon who performs hundreds of liposuction procedures, has great reviews, and has great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

​1 year post op of Liposuction, my flanks are uneven. Do I need a another Liposuction or a Tummy Tuck?

It's quite difficult to say using pictures alone--you really need a face to face evaluation and discussion as to options. Depending on several factors (amount of fat removed, age, skin quality, history of obesity, etc), you may or may not simply have residual excess skin leftover after your liposuction and yes sometimes this does necessitate skin excision (such as tummy tuck) for management. Occasionally, if the skin laxity is mild or moderate there are special energy devices that can be used to try to tighten up the skin. One of the newer devices we have been trying for this problem is called Thermi where small incsions are made similar to liposuction and a small probe is run against the back side of the skin to heat it in a controlled fashion. This heat helps to initiate a response where the skin tightens up, sometimes to a large degree.  You could potentially be a candidate for trying that option if you want to avoid a tummy tuck and if your laxity is not significant.  Some slight asymmetries are not uncommon after liposuction especially given we are not perfectly symmetric to start with before surgery.  Often times, small touch up procedures can be done to tweak the results and make things more symmetric.  Your best bet is to seek out a board certified plastic surgeon with experience in body contouring and skin tightening technologies to have an evaluation and recommendations for the best management.  Good luck!

Megan Jack, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.