Flat and firm tummy: liposuction or tummy tuck? - Hourglass Tummy Tuck
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Flat and firm tummy: liposuction or tummy tuck?

Flat and firm tummy: liposuction or tummy tuck?



Liposuction and tummy tuck have been performed for quite some time now, and they have a history delivering impressive results in terms of the aesthetic appearance of the tummy. However, there are still people who wonder what the best solution is for getting a flat stomach. Is it liposuction or the tummy tuck? 

Nowadays, many people choose cosmetic surgery to improve their figure and have a flat stomach. They consult a plastic surgeon after an abdominal relaxation secondary to pregnancy, weight loss or aging. When they come for the first time to the plastic surgeon’s office, most patients will tend to believe they need either liposuction or the tummy tuck, and just very few of them understand that a combination is also possible.

In this article, we will discuss how to get a flat and firm tummy using plastic surgery, namely via the tummy tuck or liposuction.


Liposuction and tummy tuck 

Liposuction performed on the abdominal area is probably the most common type of liposuction performed over the last few decades. The procedure delivers impressive results, has a short recovery period, and entails minimal risks, hence more and more patients are choosing to undergo it to get a firm and flat tummy. Liposuction is used to get rid of unwanted fat deposits on the tummy.

The tummy tuck is a more complex and invasive plastic surgery that needs a longer incision on the suprapubic area that can go from one hip bone to the other. The plastic surgeon can address the abdominal muscles and strengthen them with sutures and also eliminate the excess of skin that is present on the inferior part of the tummy.


Similarities between the two procedures

Abdominal liposuction and the tummy tuck have certain similarities that tend to get patients confused about what procedure can help them achieve their aesthetic goals. What both procedures aim to do is deliver a flat and firm tummy and enhance the appearance of this body feature. The unsightly appearance of the tummy can be caused by different factors and manifest in different ways. Some patients might be discontent with the appearance of the tummy as they are dealing with unwanted fat deposits while others have a thin tummy but with an excess of skin saggy on the inferior part of it. The goals of the procedures are the same: a firm and flat tummy; however, the surgical means to achieve the goals are different depending on the initial characteristics of the patient. 


Main differences between the two procedures

During the consultation for the procedure that will give you a flat and firm tummy, the plastic surgeon will perform a medical examination to assess the quality of the skin, the level of the abdominal muscle relaxation, and the excess of fat present on the abdominal wall. These three elements can vary considerably depending on genetics, age, diet, and physical activity. Because of your excess abdominal skin and/or muscle relaxation of the abdominal wall, a tummy tuck can be recommended. The reality is that liposuction is an efficient method to enhance the appearance of the tummy area only if we are dealing with an excess of fat and the patient has strong abdominal muscles and good skin tonus. Otherwise, the procedure can result in more sagginess and an unpleasant appearance of the tummy. 

After significant weight loss or pregnancy, abdominal muscles that are previously firm and well positioned in the center of the abdominal wall may become loosened and weakened; sometimes to the point of separating from each other. This condition is known as diastasis recti. Unfortunately, even the most intense physical workouts will not restore their position, and they can even make it more accentuated. As a result, in addition to contributing to the protruding appearance of the abdomen, diastasis recti compromises abdominal muscle support and can lead to daily problems such as lower back pain, constipation, urinary leakage or even incontinence. A tummy tuck will tighten the abdominal wall muscles and strengthen the abdominal wall, hence improving the support the body gets. The elimination of excess skin is also performed during the tummy tuck to ensure a beautiful appearance of the tummy.


Combining procedures

Liposuction is an appropriate procedure for patients who wish to treat excess abdominal fat or other fatty deposits localized on the body, with the condition for the patients to have a good skin condition that ensures skin retractability after the procedure. It is important to understand that liposuction does not treat saggy skin or loose abdominal muscles.

We should also emphasize the fact that liposuction is not a procedure that allows you to lose a lot of weight. This is not a weight loss method. It is a great surgical procedure to re-sculpt silhouette, but only when we are talking about an excessive layer of subcutaneous fat.

For patients confronted with an excess of the unwanted adipose layer under the skin on the tummy, as well as loose abdominal muscles and an excess of saggy skin, combining liposuction with the tummy tuck might be the recommendation given by the plastic surgeon. Only a consultation with a board-certified plastic surgeon can really confirm which of the procedures would be right for you and would best achieve your goals. Generally speaking, if the patient is not very young, the tummy tuck will probably be recommended as for more mature patients we are talking about a decrease in skin elasticity that often translates into reduced retractability after liposuction.


Flat and firm tummy with liposuction and tummy tuck

Combined procedures are performed more and more often nowadays as they deliver improved results and a more considerable change in the physical appearance of the body. The tummy tuck only addresses the muscles and the skin on the tummy, so the results might not be overly visible or impressive when the patient is wearing clothes, especially if the skin ptosis on the tummy wasn’t overly severe. However, if we combine liposuction and the tummy tuck, we can notice significant changes in the overall shape of the body. 

When performing abdominal liposuction, the plastic surgeon will also address the flanks and eliminate the stubborn fat deposits that often alter the shape of the body, transforming it into a rectangular shape. When liposuction is performed on the flanks, we can create beautiful curves and also a smaller waist. Liposuction performed on the abdominal wall can help reduce the thickness of the adipose layer in the area, and for some patients, this translates into making the six packs more visible. Keep in mind that to get this result, you should be dedicated to working out your muscles, and they should be well toned under the layer of adipose tissue. 

Flat and firm tummy with the help of liposuction and tummy tuck is possible to achieve, and the risks are no more severe than undergoing the tummy tuck separately. Liposuction has minimal risks, so its combination with the tummy tuck won’t increase the general risks of abdominoplasty. This is probably one of the reasons why this combo is so popular nowadays. Moreover, the procedure can complement each other and the results achieved are unbeatable. 

The patient only needs to go through the recovery period once if undergoing combined procedures, and also the cost of the hospitalization and the general anesthesia used will only be paid once, if the procedures are performed in combination in just one sitting.



The unsightly appearance of the tummy is a concern for both men and women nowadays. Sometimes it can occur as early as teenage years and other times after pregnancy, weight fluctuations, or due to the natural aging process. 

Plastic surgery offers two methods to get a firm and flat tummy: the tummy tuck and abdominal liposuction. The procedures provide different results and are recommended for patients confronted with different tummy imperfections. Abdominal liposuction will be very efficient in removing the stubborn fat deposits that can occur around the midline and on the abdominal wall. Liposuction can be used to get a firm and flat tummy when the patient has a good skin condition and no skin sagginess on the tummy. 

When we are talking about muscles and skin distention on the tummy, the procedure that is best suited for this case is the tummy tuck. The tummy tuck strengthens loose abdominal muscles with sutures and eliminates the excess skin on the tummy. However, it is also important to mention the fact that the tummy tuck doesn’t deal with the excess of fat that can be present on the tummy, and in this case a combination of the two procedures can be recommended.









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