We're discussing the differences between a tummy tuck - or an abdominoplasty and a liposuction. These are two very different procedures. However, patients frequently come into my office and will say "I want a liposuction" because I don't like the appearance of my stomach. As soon as I look at them, I actually realize that they need a tummy tuck. The reason for this is the skin.
So if there is a lot of excess skin in the lower part of the abdomen or stomach, then a tummy tuck needs to be performed in order to remove this excess skin.Liposuction only removes fat. It's very good at removing fat, but it only removes fat. Some people say that liposuction can tighten the skin, but the amount of skin tightening varies and does not compare at all to the amount of skin tightening you get by removing a large amount of skin surgically. So, in patients who have a large amount of excess skin, we perform a tummy tuck and we very commonly perform liposuction usually on the sides of the patient as well. However, we could not perform just liposuction alone because if we were to remove only the fat and leave all of the excess skin, the results would not look aesthetically pleasing because there would be a lot of excess skin and very little fat.
So in an abdominoplasty, or a tummy tuck we remove skin and fat. In liposuction we only remove fat. So it depends on the patient and by examining the patient, a surgeon is able to tell whether someone is a candidate for liposuction alone, or liposuction in combination with a tummy tuck.