Will liposuction get rid of the baby belly I've never lost? (photos)

Concerns about the appearance of the abdomen are very common among patients consulting with a plastic surgeon. Just like every patient is different…so too is every abdomen. Different problems require different solutions. Your board certified plastic surgeon is uniquely trained to identify the problems as well as the appropriate solution.
The abdomen is commonly addressed via liposuction or abdominoplasty (“tummy – tuck”). Which procedure is best is dependent upon the source of the problem. 
Excess fat deposits underneath the skin can be addressed via liposuction. Liposuction will not address any other issues and may worsen the situation if there are other factors at play (such as skin excess and muscle laxity, see below)
Commonly patients concerns are centered around issues of excess skin as well as fat. A third factor, which is often overlooked by most patients is abdominal wall muscle laxity (typically seen in post partum mommies).  The tummy tuck, also known as abdominoplasty is a surgical procedure designed to eliminate excess skin and fat and tighten the muscles in the abdominal wall to create a smoother and slimmer contour. The tummy tuck is designed to target areas of the abdomen that have not responded to diet and exercise, making it particularly popular among people that have a lot of loose or sagging skin around the abdominal area due to significant weight loss, as well as women with excess skin and stretched abdominal muscles following pregnancy and childbirth. 
Candidates for tummy tuck should be already at or near their ideal weight for optimal results. It is recommended to women that are planning on becoming pregnant to postpone the procedure until they are finished having children. 
Based upon your photos alone, you would do best with an abdominoplasty. Liposuction alone, while an option, would not address all of the issues common in a "mommy tummy" i.e. skin excess, muscle laxity and excess fat. There are alternatives including lipo with BodyTite which uses RF heating to address skin laxity as well as subcutaneous fat excess. There are also non-invasive means of addressing muscle laxity such as EMSculpt which uses HiFEM (high frequency electromagnetic waves) to induce muscle contractions and strengthen and tighten your core in a non-invasive fashion. These are all options, however, the abdominoplasty is the gold standard in your particular case for rehabilitation of the abdominal area.With regards to your specific questions, these procedures are contouring procedures and not a means for weight loss. They are not likely to have any effect of varicosities or blood pressure.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you very much for your question and photographs. Based on your pictures, it does appear that you would make a good candidate for liposuction. While the liposuction will eliminate the unwanted fatty tissue along your abdomen, the stretched skin may not bounce back. For this reason, you will find that a tummy tuck with liposuction can provide the best results, eliminating the lax tissue to create a flat, tight, smooth stomach. To determine the best technique(s) for your situation, I suggest scheduling an in-person consultation with a board-certified plastic surgeon, experienced in body contouring procedures.

In your side view photo, your abdomen protrudes as if you are still pregnant.  This occurs because the pregnancy stretched and irreversibly damaged the fascia (the support layer).  The technique I recommend is abdominoplasty with mesh reinforcement, if you are not planning future pregnancies.  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. 
 

Thanks for your question. It is hard to tell from the photos provided, although based on your information it seems that you'd get best results from a tummy tuck procedure. Tummy tuck, also know as abdominoplasty, is a procedure to remove excess skin and fat from the lower abdomen and to restore the weakened abdominal wall, giving a firmer and smoother appearance.  We nearly always add liposuction to our tummy tucks to sculpt the body 360 degrees to achieve an ideal feminine figure.  Tummy tuck is a very powerful technique in the right hands, and can have dramatic results if done correctly.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Recommend that you work with your PCP physician to get your weight and blood pressure under control first.  Then have the hysterectomy; once healed and cleared by your gynecologist, have the tummy tuck with liposuction.