Tummy Tuck To Achieve Best Results
Judging from your photos, you may need a tummy tuck as there appears to be excess loose skin, particularly noticeable in the area below your belly button.
This can only be removed with a tummy tuck. To give you a better hourglass figure, you may also want to consider getting liposuction. (Jerome Edelstein, MD, Toronto Plastic Surgeon)
Will liposuction give me an hourglass figure and flat stomach or do I need a full tummy tuck?
Congratulations not only on your weight loss, but in maintaining it so well! From your history and photos, my recommendation would likely be a tummy tuck with liposuction of the flanks.
You should wait until you reach the target weight with the additional 15 pounds. (Eric Desman, MD, Alexandria Plastic Surgeon)
Tummy Tuck is needed to remove excess abdominal skin and fat.
You have loose abdominal skin and fatty deposits on your flanks. You want a hour glass shape. Here is how to proceed:
Loose 15 lbs as you want to. Then have a tummy tuck and liposuction of flanks. Choose your plastic surgeon well and you can have the desired hour glass. (Vasdev Rai, MD, Dallas Plastic Surgeon)
Tummy tuck will give a flat abdomen
Based on your photos and weight loss history, your best choice for achieving a flat abdomen is a tummy tuck. You may also need some liposuction to the flanks (love handles) at the same time for the hourglass look, but the tummy tuck will remove the lower abdominal skin and tighten the abdominal muscles as well.
Consult with a few board certified plastic surgeons for an exam and more information. (William Bruno, MD, Beverly Hills Plastic Surgeon)
Lipo versus Tummy Tuck
Looking at your photos there is no doubt you would benefit from an aggressive liposuction. This would remove the excess fat under the skin.
There will be a degree of skin tightening after this but to get a dramatic change you would likely need a full TT to remove the extra skin and to possibly tighten you ab muscles. (Gaurav Bharti, MD, Johnson City Plastic Surgeon)
Liposuction versus Abdominoplasty
The answer lies in the goals you have, as well as your anatomy based on physical examination. Liposuction may flatten you out if it is just a fat pad that is causing your lower abdominal fullness, but it will not tighten the skin.
The best way to find out is by going on consultations with surgeons certified by the ABPS and who are members of the ASAPS. Because we are able to offer you either operation, you are more likely going to be directed toward a procedure that is most appropriate for you. (Gerald Minniti, MD, FACS, Beverly Hills Plastic Surgeon)
A full history and physical examination is really needed before making a recommendation on either procedure.