I'm 5'3, 180 lbs. Is it possible to achieve a completely flat stomach with lipo 360 if 4 liters of fat are removed? (photos)

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Just based on your photos, you may not have 4 liters of fat to be removed, and liposuction will not tighten your abdominal wall muscles and give you a flat abdomen. However, you can get good improvement with liposuction.

if you have tight skin you may get retraction. but if you have looseness you will need a tummy tuck.

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert. IF you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Best, Dr. Emer

You likely need weight loss and a tummy tuck . based on your decription,  but I suggest posting photos. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert.  If you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Sometimes noninvasive options like vanquish and coolsculpting can be done to also help contour, and reduce fat, and tighten skin.  Best, Dr. Emer.

Sometimes the full scar needs to be revised and this just entails surgically removing and restitching the scar.  Sometimes the scar plus skin . needs to be removed and that is a revision tummy tuck.  I suggest posting photos and seeing an expert in revision procedures that combine liposuction/fat removal, skin tightening, body shaping/definition, fat grafting and cellulite improvement.   Best, Dr. Emer.

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.