When considering contouring surgery to improve the aesthetics of your belly, several factors must be considered. The typical question I get during my virtual consultations is, “Do I need a liposuction or tummy tuck?” Whether you will benefit from liposuction or tummy tuck is based on several factors including extent of fat excess, degree of skin redundancy, and state of muscle integrity.
Fat excess can be best appreciated by pinching the abdominal skin. If the fat is moderate to severe, then it will be best treated with liposuction. If the belly has loose and moderate to severe skin redudancy, it will be best treated with excision of abdominal skin, called a tummy tuck. Finally, if the underlying abdominal muscles have been stretched out by pregnancy or excessive weight gain, then a full tummy tuck with muscle repair will be necessary.
The decision as to undergo liposuction or tummy tuck becomes more complicated when there is a combination of redundant skin and excess fat. In general, if there is laxity of the skin, then some form of a tucking procedure should be considered. For patients with minimal to moderate skin, a mini tummy tuck may be needed. the advantage of this procedure is that simultaneous liposuction and minimal to moderate skin can be excised. The disadvantage is that only a limited amount of skin can be excised and muscle repair is not possible. When there is a larger degree of skin redundancy, then a full tummy tuck must be considered in order to maximize removal of skin. In addition, the full tummy tuck will allow for repair of the loosened abdominal muscles. However, the traditional tummy tuck will not allow for simultaneous abdominal etching using high definition liposuction. Fortunately, Dr. Mowlavi has recently developed the High Definition Tummy tuck that allows for maximal removal of skin while also accommodating abdominal etching.
If you are considering abdominal contouring and are wondering which procedure, liposuction or tummy tuck, is best for you, we urge you to make a consultation with Dr. Mowlavi. Please see this 51 year old female who saw Dr. Mowlavi in consultation and decided to have hd liposuction of her back and flanks, but a tummy tuck in the front to create a beautiful 360 transformation.