Do I need lipo 360 or extended tummy tuck? (Photo)

I would recommend just a 360. It has to be done right, will removal of all fat. That way the skin will tighten up. Can add a little tightening like J plasma. I would do that first, then tummy tuck only later if you feel like there is extra skin. You just have to know you will not be all the way flat after liposuction, because the muscles are stretched out some from pregnancy.

Thank you for your question. Based on the pictures your first recommendation is Tummy tuck with intense liposuction in your belly, waist, laterals and back to improve your body contour.

Hello! Lipo 360 is a great option for you! As for a tummy tuck, what you can experience with Lipo 360 is excess skin. Lipo is removing fat inside, so you can experience excess skin after the fat is removed. Some patients will receive Lipo 360 and then follow up with tummy tuck if needed. It is most definitely how you feel and what your end result is and what your expectations are!
Best of Luck!Dr. Julia Spears MD

Hi 2trilll4u,
This is a common question…will liposuction alone address my concerns?
Liposuction as a way to remove excess fat, from the areas in which it is not wanted. Consideration of the overlying skin is important in any liposuction procedure. In women with poor quality or stretched out skin, liposuction can create an appearance of skin excess, as the previously stretched out skin does not have the elastic capacity to recoil when the fat is removed.
While it is challenging to say from your photos, the lateral photo suggest that you have stretch marks below the bellybutton. Stretch marks skin often has poor elasticity, and would not be expected to tighten well after liposuction.
Stated differently, your surgeon is probably suggesting an extended abdominoplasty because the optimal treatment for the stretched out skin is removal, as opposed to expecting it to recoil after liposuction alone.
I would definitely suggest rediscussion with your surgeon prior to surgery.
Hope this helps.
Hope this helps.
Sincerely,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Thank you for your question. Looking at the photos you have provided I think the best procedure would be a tummy tuck. This will allow your Surgeon to tighten up the abdominal wall muscles which have been stretched out with pregnancies, remove the extra skin and give you the flattest belly. Some Surgeons will liposuction a little bit of the flank area which at that point you can use that fat for the BBL part. If you would like to liposuction the inner thigh slightly that always helps with giving some additional fat for the BBL. If you choose to just do liposuction of the abdomen and flank, you would still stick out on the abdomen area. You will get some skin retraction but it won't get rid of all the potential extra skin. I would suggest speaking to your Surgeon in depth about what your goals are and following their recommendations.

Based on limited photos and history of pregnancies- it appears that you would benefit from an Abdominoplasty with muscle tightening . Liposuction alone is only going to remove the excess fat, not skin. Hope this helps

Since you have had pregnancies and extra skin, you will need a tummy tuck. Liposuction does not remove excess skin just fat. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Dear 2trilll4u,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you so much for your question. Based on your pictures I definitely will recommend you to have a tummy tuck with muscle repair that will help you to archived your results as flat abdomen, if you only do a liposuction you can end with wrinkles in your abdomen area due to the amount of extra skin you have. The best option for you is a tummy tuck with muscle repair.

Hope this helps.
Dr. Quiroz

I would start with liposuction to remove the excess fat. Once healed, then you can see if you might need a mini tuck if you have residual lower skin.