It is possible to perform a tummy tuck as well as lipo at the same time. In almost every case of tummy tuck it is a routine in my practice to use adjunctive lipo at the same time to improve the shape and contour of the tummy tuck. Mostly, the lipo is used around the waist, and in the upper abdomen.
It’s important to be health and a non smoker, but if you are both these things it should be possible to reshape your tummy area as best as possible using both techniques. (Howard Webster, MBBS, FRACS, Melbourne Plastic Surgeon)
I would consider doing a tummy tuck. In addition I would do some touch up Lipo in the areas that you still have ongoing concerns. If you’re wanting to add more volume to the buttock, then I would do this first before proceeding with the tummy tuck (Young R. Cho, MD, PhD)
You may be an excellent candidate for tummy tuck surgery. Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight. Lipo surgery is simply a tool used during tummy tuck surgery in some cases.
For example, it can be used to help contour the abdominal wall, flank areas, and/or pubic area. Some plastic surgeons may choose to use this tool; some won’t. When the time is right, seek consultation with board-certified plastic surgeons to discuss your concerns/goals. Make sure that you see lots of examples of their work and plan enough recovery time/support around the time of your operation. (Tom J. Pousti, MD, FACS, Beverly Hills Plastic Surgeon)
The best next approach would be a tummy tuck. A consultation in person will help you make this decision. (Justin Yovino, MD, FACS, Boston Plastic Surgeon)
Any excess fat lift beneath the skin will prevent the best tummy tuck result. Therefore I would favor having lipo first recover for 3-4 months to allow the skin to sag and then undergo your tummy tuck (Brooke R. Seckel, MD, FACS, Los Angeles Plastic Surgeon)
You appear to be a candidate for a tummy tuck with possibly lipo of the flanks at the same time. Once you have recovered, about six to nine months later, you could do further liposuction of your abdomen if needed. There is a risk of decreased blood supply if you combine upper abdominal lipo with a tummy tuck. (William Bruno, MD, Scottsdale Plastic Surgeon)
You are a great candidate for a tummy tuck and should be able to achieve a great result. Whether lipo should be performed during or after your tummy tuck procedure is a decision that really will depend on your plastic surgeons preferences.
I think liposuction and tummy tuck surgery can be performed safely together at the same time and often provide the best result in combination. Liposuction of the upper abdomen and of the flanks would seem beneficial for overall waist and abdominal contouring (Remus Repta, MD)
Since you’ve already had liposuction; are you saying you want more? Are you also saying that you now want a tummy tuck because the abdominal lipo didn’t work well enough for you? Many times I combine tummy tuck with trunk liposuction so the entire torso is being contoured at one setting.
One also need to look at the rectus muscle and the degree of separation. Do they need to be tightened? What is happening to the oblique muscle? Do they need tightening? Is there a hernia present? Does it need to be repaired? How thick is the belly wall skin and fat? Are there stretch marks that could be removed? All of these questions and more will help determine the need for and benefits of an abdominoplasty. Since you are only five months from your previous procedures, time is now your best friend, this will allow for tissues to mature and continued healing.
As a general rule nine months to a years allows this to happen. At that point if the belly wall didn’t shrink as much as you would like then you could pursue a tummy tuck which would tighten the excessive skin, tighten the belly wall muscles and contour your back and flanks with more lipo, if needed. The photos don’t really allow us to evaluate your buttocks to determine how well the fat grafting has done.
Do you need or want more? The secondary procedure would allow for more potential grafting if you wished. I am sure you could discuss all this with your plastic surgeon and he or she will be more than happy to help you make the correct choices for you. (Stephen M. Davis, MD, FACS, Nashville Plastic Surgeon)