Tummy tuck, mini tummy tuck or lipo - Which procedure is more recommended with a skinny BBL? (Photos)

Thanks for the photos. I see excess skin going from hip to hip, and would avoid a mini tummy tuck and go with a regular tummy tuck to get the most sculpted, tight result. If the pubic fullness bothers you, I'd probably add a bit of lipo and a lift to that area too.

The only excess fat you have in the waist/love handle area so a full, round backside will be harder to obtain. Active, fit individuals tend to melt the fat grafts, so I like to be upfront about what you can realistically expect.

Hi, thank you for sharing your question. Any one of these options can achieve your desired result. An in person evaluation is always best to assess for skin laxity when considering possible skin removal procedures but based on your photos, a mini TT with 360 Lipo and BBL would be my recommendation.

Your photos suggest a mini tummy tuck or liposuction alone would be inadequate. A more standard tummy appears indicated. This can be confirmed during a consultation with a board-certified plastic surgeon.

It is difficult to give you an exact answer without examining you. You have excess fat and the skin quality appears very good. Since you are worried about the scars, a good option is to perform liposuction of the abdomen, flanks, and back. The skin should contract well.

There are several factors that go into whether a mini or full abdominoplasty skin removal is recommended. The best way to determine which is best for you is to have an examination by a board certified plastic surgeon. This will show where the belly button is relative to aesthetic ideals, how much skin laxity and skin excess there is both above and below the belly button, as well as whether there is muscle separation. Either abdominoplasty technique will replace your c section scar with a longer scar hidden in the bikini line. A mini will remove less skin, and can potentially place your belly button too low. A circumferential abdominoplasty will place a scar around the front and back of your lower torso, and can provide a modest buttocks lift, which can help with mild skin laxity in the buttocks but involves more recovery. I usually will recommend separating the front and back skin removals into separate surgeries because of this. A full abdominoplasty may be the best option based on your photographs, but this does depend on your examination. The benefit of skin removal is that all of the fat that attached to that skin removal can be harvested and used for transfer, in addition to liposuction of the flanks, lower back and upper abdomen at the time of an abdominoplasty.

Thank you for your question and photos. As a Total Definer plastic surgeon, I would recommend VASER Hi Def Lipo 360 of your torso including the large pubic area, VASER lipo of your arms and fat transfer to the buttocks to fill out the collapsed lateral areas. The need for a tummy tuck is hard to determine from these photos without an in person examination. This certainly can be done with abdominal etching at the same time. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Hello,
Thank you for the question. From the photos, the two best options are a full extended TT or a body list (360 tuck).
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

which operation you are best suited for is really dependent on physical examination. This allows your surgeon to assess the degree of skin laxity, how far this laxity extends, and how severe of a diastasis (if any) is present. These are going to be critical in deciding the right operation. Based on photos alone, I would caution away from trying to achieve a result you are happy with liposuction only. If you are approaching 50 and have had several children- performing liposuction alone is asking a lot of your skin in terms of contraction needed. I would also caution away from a mini tummy tuck based on photos, but this would need to be confirmed with an exam.
Sean Fisher, MD Aesthetic Plastic SurgeonSeattle, WA

Based on your series of post photos, though they could be better viewed, I recommend a virtual consultation from the viewing. I would guess an extended mini tummy tuck with Lipo 360 and lip of other areas for skinny BBL and combination. Expect fee to arrange from $8000-$12,000 best to virtual consult with.