Lipo is often a useful adjunct at the time of abdominoplasty to achieve the best body contour.
It looks from the photograph as though the combination of lipo and tummy tucks will yield a good aesthetic result. (Vincent N. Zubowicz, MD, Atlanta Plastic Surgeon)
I concur with the surgical plan you have made with your plastic surgeon.
It looks like there is enough lax tissue in the upper abdomen to reach the standard Tummy tuck incision without needing a vertical incision. (Jourdan Gottlieb, MD, Seattle Plastic Surgeon)
Contouring of the abdomen and flanks with tummy tucks, muscle tightening, and lipo
Based upon your images, I think that the plan that you have mentioned for full abdominoplasty with muscle tightening and liposuction of the upper abdomen, flanks, and bra line would be the procedure to give you the best contouring of your torso.
If your extremities are proportionally smaller than your torso, you will want to undergo a more thorough contouring procedure to bring things into better proportion and not leave residual fullness.
One thing that is very important from your side is to do your best to reduce the volume of “inside fat,” that is, the fat that is inside the abdominal wall around your organs.
This is not only the fat that increases our risks of cardiovascular disease, but it also increases the volume, and hence the pressure, of the abdominal contents. It can make or break the results of a tummy tuck as it will keep your tummy looking full and put pressure on your muscle repair preventing the tightening that we want.
Diet and exercise are very important to control this, watch your alcohol intake and other hidden sources of calories, and make changes to your lifestyle that you can maintain for the long run. Based upon what I see here, I would not expect you to need a vertical scar, but at consultation with a board certified plastic surgeon, you can get a firm recommendation about this. (Joseph L. Grzeskiewicz, MD, San Diego Plastic Surgeon)
Tummy Tucks and Lipo
I think you will do well with a tummy tuck but I would liposuction your lower flanks not your upper flanks. Liposuction of your upper flanks can affect the healing of the incision. Your upper flanks can be treated at a separate procedure. (Earl Stephenson, Jr., MD, DDS, Atlanta Plastic Surgeon)
Scars and Tummy Tuck
When you go for your consultation, your surgeon will discuss all the alternatives for improving your contour and removing the skin, along with the risks, benefits and possible complications. You can then find an alternative that fits best for you. It sounds like you have done some educating already, so it is good that you are informed. Don’t draw your conclusions yet. You need to get a customized approach that takes all the factors that are unique to you into account. (Deborah Ekstrom, MD, Worcester Plastic Surgeon)
LipoAbdominoplasty
The procedure you are describing is called a lipoabdominoplasty of marriage abdominoplasty. It would be the most effective procedure for you. Please seek consultation from a surgeon with significant experience with this procedure. Best wishes. (Robert F. Centeno, MD, FACS, Fairfax Plastic Surgeon)
I assume by “Full to” you mean “Full tummy tucks”. Well, it depends what your “desirable results” are and how realistic you are. Combined Lipo and Full / Extended tummy tucks will definitely improve your figure, but it will not compensate for your excess weight which does seem to be a problem and which you will have to deal with by healthy eating and exercise. A Fleur-de-lis will give you a better result, and the additional vertical scar is a trade-off which you have to accept. (Ruben B. Abrams, MD, FACS, Beverly Hills Plastic Surgeon)
Have you seen a boarded PS IN PERSON yet? Best to be examined and explain the options for you. (Darryl J. Blinski, MD, Miami Plastic Surgeon)