Would a tummy tuck or lipo 360 help target my mom pouch, back fat, and love handles? 176 lbs, 5'5 (photos)

Thank you for sharing your question and pictures. It's all about your goals and expectations.
The downside of just doing lipo 360 would be subsequent excess skin left over and not a flat stomach. Upside: no scars and a better shape overall.
The downside of the tummy tuck would be a long scar and belly button scar. Upside: flat stomach, muscle repair, and excess skin removed.

Hi, thank you for sharing your question. You are a good candidate for tummy tuck and 360 liposuction. This will allow you to achieve the best possible results.

A tummy tuck would provide a substantially better improvement for you. It would provide resection of excess skin and tightening of your muscles, in addition to the fat removal you would achieve from liposuction alone.

Thank you for your question regarding whether a tummy tuck or lipo 360 helps target your mom's pouch, back fat, and love handles. Thank you for your history and your photos. Based on the pictures you attached, you have excess skin, excess fat, weak abdominal muscle, and stretch marks. Your stretch marks indicate that liposuction would not be optimal for your tummy. Therefore, in my opinion, whatever liposuction you have, even if you have VASER liposuction, your skin will not retract. In my opinion, you will have hanging skin. I understand if you do not mind the hanging skin to avoid the tummy tuck scar. However, if you have the best results for your tummy, I would strongly suggest a tummy tuck or abdominoplasty. During a tummy tuck or abdominoplasty, an incision is made low on the abdomen, and excess skin from the pubic region to above the belly button is removed. Your muscles are repaired, a new belly button is created, and the pubic region is raised and reduced. In regards to your back and love handles, I would suggest aggressive liposuction with the use of a vaser. These can be combined with your tummy tuck. Thank you for your question regarding whether a tummy tuck or lipo 360 helps target your mom's pouch, back fat, and love handles.
If you have any more questions regarding the tummy tuck or abdominoplasty, please contact my office. Since an abdominoplasty can be a difficult procedure, please seek an experienced, board certified plastic surgeon with significant experience performing tummy tucks. Do your research. Make sure your chosen plastic surgeon has performed at least 100 abdominoplasties. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Thank you for your question. Looking at your photos I would suggest a tummy tuck. This will allow your Surgeon to tighten up your abdominal wall muscles and remove the extra skin. At the same time some Surgeons will do some bra roll/ flank liposuction. I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options. Best of luck to you.

Thanks for the question. you should get good results from a full tummy tuck with 360 degree liposuction. an extended tummy tuck will end up giving you longer scar without much benefit . the liposuction to flank and love handle areas and lower back should give a nice curve while full tummy tuck with muscle repair will address front of the tummy.

The first question I would ask you is what is your goal? expectations?

If you're looking to just reduce girth/volume/size, than liposuction alone is always an option. The only problem is that your front side will still have the pouch of loose skin over your pubic area and your abdominal wall (muscles) will still bulge forward. Your back area should do fine with just lipo.

If you would like to optimize your overall shape, maximize your waistline, take away the loose skin, flatten your front side and have your front and back look great from either side, than Extended Tummy Tuck (the incision will go around to the sides) with liposuction is your best option,

In my opinion, the scar is a very reasonable trade off. Presently you have a deep crease that extends from the front all the way around to the side. And the pouch. You would trade both of those for a fine iine which sits in the same place but is far less noticable and evenly unites your figure with a 360 curvy look.

Best to think over what you really want short and long term and plan accordingly!
Take a peek at the pics with the link below.

In good health,
Ellen Mahony, MD

In person exam is essential. Based on your limited photos and history of pregnancies, it appears that you would benefit from a full tummy tuck, muscle tightening with possible flank liposuction. I suggest that you seek an experienced Board Certified PS and review all of the details during your consultation

Thanks for your question! I would recommend a tummy tuck and liposuction. With the amount of stretch marks that you have, it is going to be the best option for you. I would anticipate an extended tummy tuck and 360 liposuction for an optimal result. Good luck!

You pose the question essentially as tummy tuck OR liposuction, but I would encourage you to discuss the possibility of tummy tuck AND liposuction with your surgeon. This is otherwise known as a lipoabdominoplasty. This technique needs to be performed taking care not to too aggressively remove fat, as the abdominal flap of tissue that is created needs to have its blood flow maintained in order to heal well. However, a well-executed lipoabdominoplasty can combine the benefit of deflation of fat along with removal of excess tissue.