Comparing Liposuction vs. Tummy Tuck: Key Differences Explained
Originally Published March 12, 2014. Updated August 26, 2024 with additional information
Quick Answer: Tummy tuck surgery (adominoplasty) is best at addressing excess skin and loose muscles. Liposuction targets isolated fat pockets that are resistant to diet and exercise. Tummy tuck procedures are more invasive, requiring general anesthesia and an extensive recovery period. In contracts, liposuction can be done under twilight anesthesia and features relatively little downtime. Continue reading to learn the differences between liposuction and tummy tuck surgery.
When it comes to achieving a flatter, more contoured abdomen, two of the most common surgical options are liposuction and tummy tuck (abdominoplasty). While both procedures aim to enhance body shape and confidence, they serve different purposes and are suited to different patient needs. Understanding the key differences between liposuction and tummy tuck surgery can help individuals make informed decisions about which procedure is right for them.
Liposuction
Procedural overview: Liposuction, also known as lipoplasty or suction-assisted lipectomy, is a cosmetic procedure designed to remove localized pockets of fat from various areas of the body. It is performed by inserting a thin tube called a cannula under the skin to break up fat cells, which are then suctioned out using a vacuum-like device. The procedure can be performed under general anesthesia, twilight anesthesia, or local anesthesia, depending on the extent of the treatment and the patient’s comfort.
Liposuction is highly versatile and can be performed on multiple body areas, including the abdomen, thighs, hips, buttocks, arms, neck, and back. The procedure typically results in a smoother, more contoured appearance, though it is not intended as a weight-loss solution. Instead, it targets stubborn fat deposits that do not respond to diet and exercise.
Target: The primary goal of liposuction is to remove isolated pockets of fat that are resistant to traditional weight-loss methods. These fat deposits often accumulate in areas where they are difficult to lose, even with a healthy lifestyle. Liposuction allows for targeted fat reduction, helping patients achieve a more proportionate body shape. However, it is important to note that liposuction does not address issues related to skin laxity or muscle tone.
Before and After Liposuction
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After 
Before 
After View Liposuction Photo Gallery
Tummy Tuck
Procedural overview: A tummy tuck, or abdominoplasty, is a surgical procedure designed to remove excess skin and fat from the abdomen, as well as tighten weakened or separated abdominal muscles. This procedure is particularly popular among individuals who have experienced significant weight loss or pregnancy, as these events can lead to loose or sagging skin and stretched abdominal muscles.
During a tummy tuck, an incision is made across the lower abdomen, typically from hip to hip. The surgeon then removes excess skin and fat, tightens the underlying muscles, and repositions the remaining skin to create a smoother, firmer abdominal profile. The procedure is typically performed under general anesthesia and requires a more extensive recovery period compared to liposuction.
Target: The main target of a tummy tuck is to address excess skin and loose abdominal muscles. While the procedure can also remove some fat, its primary purpose is to restore the appearance and function of the abdominal area by tightening the muscles and eliminating loose, sagging skin. A tummy tuck is particularly beneficial for individuals who have lost a significant amount of weight or women who have experienced pregnancy-related changes to their abdomen.
Before and After Tummy Tuck
Before 
After 
Before 
After View Tummy Tuck Photo Gallery
The Key Indicator: Isolated Belly Fat or Excess Skin and/or lax muscles?
Liposuction is commonly the best treatment for those with good skin tone and a relatively flat abdominal wall. Patients who do not have excess skin or lax muscles and just require the removal of isolated pockets of excess fat are ideal candidates for liposuction. Liposuction removes excess fat between the skin and abdominal wall through tiny incisions. A skilled surgeon won’t simply remove fat, but will sculpt an aesthetically pleasing contour.
The best candidates for liposuction generally fit the following profile:
- Within 20 pounds of their ideal body weight
- Have no history of pregnancy or significant weight loss
- Do not exhibit issues related to loose muscles or excess (sagging) skin
- Seek only the removal of isolated (diet and exercise resistant) pockets of fat
Patients with excess skin or abdominal muscles which have become loose or stretched may need a tummy tuck procedure. In this case, a liposuction procedure could actually result in even more loose, sagging skin.
Otherwise known as abdominoplasty, tummy tucks can be performed instead of or in addition to liposuction. A tummy tuck involves surgical excision (removal) of fat or excess skin as well as the tightening of underlying muscle tissue. Tummy tuck results are often dramatic, transforming the entire abdominal area into a tighter and tone silhouette.
Ideal candidates for abdominoplasty generally fit the following profile:
- Have a history of pregnancy or significant weight loss
- Have excess, loose, or droopy skin
- Have issues related to lax or loose muscles
- Require both fat removal and skin tightening for an improved contour
Liposuction vs Tummy Tuck: What’s the Difference?
Results
Both liposuction and tummy tuck surgery can produce significant aesthetic improvements, but they offer different results. Liposuction effectively reduces fat deposits, resulting in a more contoured and proportionate body shape. However, it does not address skin laxity or muscle separation. On the other hand, a tummy tuck provides a firmer, flatter abdomen by removing excess skin and tightening the abdominal muscles, in addition to removing some fat.
Result Duration
The results of both liposuction and tummy tuck surgery are considered permanent, provided the patient maintains a stable weight. Fat cells removed during liposuction do not regenerate, and the tightened muscles and skin from a tummy tuck will remain in place unless significant weight gain or pregnancy occurs. To maintain the results of either procedure, patients should adopt a healthy lifestyle that includes regular exercise and a balanced diet.
Procedure Invasiveness
Invasiveness is a significant factor when comparing liposuction and tummy tuck surgery. Liposuction is generally less invasive, involving small incisions and minimal disruption to the body’s tissues. As a result, liposuction recovery is typically shorter and less postoperative discomfort.
In contrast, a tummy tuck is a more invasive procedure that requires larger incisions, muscle tightening, and more extensive tissue manipulation. This means tummy tuck recovery is more extensive (longer) and greater potential for postoperative pain. However, a mini tummy tuck, which targets only the lower abdomen, is less invasive than a full tummy tuck and may be an option for some patients.
Ideal Candidates
The ideal candidate for liposuction is someone who has localized fat deposits that are resistant to diet and exercise but still has good skin elasticity and muscle tone. These patients do not require significant skin removal or muscle tightening, making liposuction an appropriate choice.
Tummy tuck candidates, on the other hand, are typically individuals who have loose or sagging skin, weakened or separated abdominal muscles (called diastasis recti), and possibly some excess fat. This procedure is especially beneficial for those who have undergone significant weight loss or women who have had multiple pregnancies.
Anesthesia Required
Liposuction can be performed under various types of anesthesia, depending on the extent of the procedure and patient preference. Some liposuction procedures can be done using local anesthesia with sedation (twilight anesthesia), which reduces recovery time and associated risks. In contrast, a tummy tuck almost always requires general anesthesia due to the extensive nature of the surgery, which involves deeper tissue manipulation.
Pain
The level of pain experienced after liposuction and tummy tuck surgery can vary depending on the individual’s pain tolerance and the extent of the procedure. Generally, liposuction is associated with less postoperative pain because it is less invasive. Pain can be managed with over-the-counter pain relievers or prescribed medication.
A tummy tuck is considered more painful due to the extensive nature of the surgery, which involves muscle tightening and larger incisions. Patients may require stronger pain medication during the initial recovery period, and mild discomfort can persist for several weeks. Most people can manage their pain with Tylenol after 7-10 days.
Recovery
Recovery time is another important consideration when choosing between liposuction and a tummy tuck. Liposuction typically has a shorter recovery period, with most patients returning to normal activities within a week or two. Swelling, bruising, and soreness are common, but these symptoms usually subside within a few weeks.
Tummy tuck recovery is more extensive, with patients needing to take about 2 weeks off from work and other activities. Full recovery can take several months, and patients are advised to avoid strenuous activity during this time. The initial recovery phase involves significant swelling, and discomfort, particularly in the first couple of weeks. Tummy tuck patients must also maintain a bent posture at all times during the first week or so in order to avoid wound healing problems.
Scarring
Both liposuction and tummy tuck surgery can result in scarring, but the visibility and extent of the scars differ. Liposuction scars are typically small and strategically placed in inconspicuous areas, making them less noticeable. Additionally, advances in surgical techniques and scar-minimizing treatments can further reduce the appearance of these scars over time.
In contrast, tummy tuck scars can be more prominent due to the larger incision required. The scar typically runs horizontally across the lower abdomen, just above the pubic area. While skilled surgeons aim to place the incision low enough to be hidden by underwear or swimwear, the scar may still be more visible than those from liposuction. However, with proper care and scar treatments, the appearance of a tummy tuck scar can be minimized.
Procedure Cost
The cost of liposuction and tummy tuck surgery can vary depending on factors such as the surgeon’s experience, geographic location, and the extent of the procedure.
Liposuction is generally less expensive, with costs ranging from $2,000 to $8,000. The price can vary based on the size and number of treatment areas, as well as the type of anesthesia used.
A tummy tuck is typically more expensive, with costs ranging from $6,000 to $20,000. The price can vary depending on the type of abdominoplasty performed (full tummy tuck vs. mini tummy tuck), the extent of skin and muscle tightening required, as well as any concomitant liposuction that may be done.
Which Procedure is better for you?
Both liposuction and tummy tuck surgery offer effective solutions for individuals looking to improve the appearance of their abdomen. However, they target different concerns and provide different results. Liposuction is ideal for those with stubborn fat deposits but good skin elasticity, while a tummy tuck is better suited for individuals with excess skin and loose or separated abdominal muscles. By understanding the differences between these procedures, patients can make informed decisions about which option is best for achieving their aesthetic goals. Always consult with a Board Certified Plastic Surgeon or Dermatologist to determine the most appropriate treatment plan based on your specific needs and desired outcomes.
Still unsure which procedure would be best for you? Contact us today for a free no-obligation consultation.
Cameron Craven MD, FACS is board certified by the American Board of Plastic Surgery. Dr. Craven specializes in the full spectrum of cosmetic surgery including breast augmentation, liposuction and body contouring, facial rejuvenation, laser surgery, eyelid surgery, and rhinoplasty, as well as reconstructive surgery for skin cancers.
I underwent both lipo and a tummy tuck and I look amazing!
Hi my name is Jacqueline and I just wanted to drop you a quick note here instead of calling you. I came to your Liposuction vs. Tummy Tuck Surgery – Which Is Best? post and just wanted to thank you for such great information. I’m out of state but you helped me out so I just wanted to say thanks!
What’s the difference between lipo and smartlipo?
Hi Mela, thanks for your question and for reading our blog! We actually just published a good post covering how traditional liposuction differs from SmartLipo: https://www.westlakedermatology.com/blog/smartlipo-versus-traditional-liposuction/. Please give it a read!
Also feel free to give us a call or email if you have additional questions!
Thanks,
–WD Staff
Very helpful post! So am I correct in thinking that liposuction will not address lose skin where as tummy tuck can take care of that?
Hi Ella, You are correct. Individuals with moderate loose abdominal skin would require some variation of tummy tuck (abdominoplasty). However, there are some skin tightening benefits to laser liposuction (i.e. SmartLipo). You can read more about that here: https://www.westlakedermatology.com/cosmetic-procedures/plastic-surgery/smartlipo-austin-tx/
Thanks,
WD Staff
Is it alright to have a tummy tuck after having 3 c-sections? The last one was done 26 years ago!
Hi Debbie, that’s a great question! Basically it all depends on the specifics of the patient; particularly how they healed after their procedures. If, for example, extensive scar tissue exists that could complicate the procedure.
Your best bet would be to schedule an in-person consultation with a provider. They will be able to asses your candidicacy and discuss any applicable considerations that must be made. If you are in the Austin-area please feel free to contact us for a free consultation!
Thanks again for reading and submitting a great question!
–WD Staff
I have fibroids that make abdominal weight loss unsuccessful. I am otherwise healthy and would like to get the Physician’s recommendation on liposuction v. Tummy tuck in my case. Thank you
Hi Chrishuna, Thanks for taking the time to read our post and submitting your question. Unfortunately it will be very hard to recommend a treatment plan without assessing you in person. Are you in the Austin area? If so, please feel free to give us a call to setup a free assessment! Otherwise we would encourage you to seek a consultation with a board certified plastic surgeon in your area.
It all comes down to specific characteristics of your body. Do you have excess loose skin? Or is the issue fat pockets isolated to specific body areas. This can only be determined with an in-person consultation.
Thanks,
WD Staff
What I liked the most was when you said that liposuction was not only helpful in removing the excessive stubborn fat but also far less invasive than the tummy tuck surgery. I think my sister will settle for a liposuction over a tummy tuck because she does not want to undergo painful surgeries that take months to heal. She wants to look beautiful on her wedding day, so I’m helping her out, otherwise, I wouldn’t agree with it. Thanks. I’ll discuss this again with her.
What is the general range of cost for a tummy tuck or Lipo?
Hi Ashley,
Thanks for reading our post and submitting your question. In general, it’s very difficult to quote prices as each patient may require a different treatment plan. For both lipo and Tummy Tuck procedures there are numerous different techniques, each with different costs.
That said, we did a great post to get a general idea of pricing for common cosmetic treatments. Please see this post: https://www.westlakedermatology.com/blog/cosmetic-treatments-cost-guide/. It gives price range by metro area (U.S.).
However, we would encourage you to see a provider for an in-office consultation. That’s the only way to really get the exact cost (and treatment plan) that is right for you!
If you are in the Austin area, please give us a call!
Thanks,
WD Staff
What if you have both loose muscles and excess skin (that lovely “mama apron”) resulting from pregnancy, but also excess fat to remove? Generally speaking, would you do both lipo and a tummy tuck?
Hi Violet,
Thanks for reading our post and submitting your great question! You are correct, patients with the characteristics you describe may best benefit from combining a Tummy Tuck procedure with liposuction. However, the only way to know for sure would be to see a plastic surgeon for an in-person consultation. They’ll need to determine the laxity of the skin and underlying muscles to determine the best course of treatment.
If you’re in the Austin area, please give us a call at 512.328.3376 for a free consultation!
Thanks again,
WD Staff
Does liposuction get rid of cellulite? Or is it more to get rid of just fat?
Hi ,i have done liposuction surgery but my stretch marks are not gone yet …what should i do now should i go for tummy tuck surgery ….??
Hi Ritika,
Sorry to hear about the stretch marks. Fortunately there are some great treatments to minimize their appearance! As always we suggest coming in for an in-office assessment. That way we can assess your skin and decide which treatment is right for you.
Here’s a great blog post we wrote on the topic: https://www.westlakedermatology.com/blog/stretch-mark-removal/. As you can see there are many options including laser treatments. We’re also getting great results for patients via Genius RF Microneedling (https://www.westlakedermatology.com/cosmetic-procedures/laser/genius-rf-microneedling/).
We hope that helps!
Thanks,
WD Staff
Get both 🙂
Thinking about getting a tummy tuck after loosing alot of weight. Thanks for explaining how a surgeon can removed excess skin and is best for extra skin or stretched muscle.
I had a tummy tucks 3 years ago. Is it safe to do liposuction?
Really the question is can you do liposuction after a tummy tuck
Thank you
Hi Marjoire,
In most cases it is safe to do lipo post tummy tuck. However you may need to visit a board certified plastic surgeon to ensure that you are a good candidate. There are instances where scar tissue from a previous surgery can be problematic. An in-person consultation is the best way to verify a treatment plan and see if you qualify!
Thanks,
WD Staff
Can one get both liposuction and a tummy tuck? what cases would that be good for?
Hi Mike,
There are cases that require the combination of both procedures. This is often the case for patients who need to remove both excess fat and excess skin. We would advise you to get an in-person consulation with a board certified plastic surgeon in your area to learn if you are a candiate for both procedures!
Thanks,
WD Staff
My wife is thinking about tummy tuck or lipo but we are not sure if she has loose muscles or major excess skin. How can we determine that?
Great question Adam! Sometime it can be hard to determine if the amount of loose/excess skin and/or muscles rises to the degree where tummy tuck surgery is necessary. Your best bet is to come in for an in-person consultation. A skilled plastic surgeon can assess her individual needs and goals to determine the best course of treatment.
Please give us a call at 512-328-3376 if you would like to setup a consult!
Thanks,
WD Staff
Having hard time getting rid of my lower belly, I have thyroid and it is very hard to lose and tighten up this are. Which would be best. Lipo or tummy tuck
Hi DC,
Thanks for reading our post and your great question! I think your best bet would be to get an in-person consultation to determine the best course of treatment. We would have to assess you in-office to see if your issues stem more from excess skin and laxity issues or isolated fat.
Please give us a call if you would like to setup a consult!
Thanks,
WD Staff
I had a tummy tucks 3 years ago. Is it safe to do 360 lipo to eliminate love handles?
Really the question is can you do liposuction after a tummy tuck
Thank you
Hi Kerellos,
Thanks for this great question! As always, its best for you to see a provider in person to be assessed for candidacy. That is really the only way to ensure you are a good candidate for liposuction.
With that disclaimer, it is possible to do lipo after Tummy Tuck (post surgery, when patient is fully recovered). There can be some concerns with scar tissue and such, but its definitely possible and common.
We hope that helps!
Thanks,
WD Staff
I’d like to get a tummy tuck to remove excess skin. I have lost a ton of weight. But I am still not happy with my body.
How to know if problem is excess skin or fat
Hi Irwin,
Your best bet would be to see a board certified plastic surgeon for an in-person consultation. Many providers (including us) will offer such assessment for free.
Thanks,
WD Staff