Unfortunately without a examination or photos I can only advise you in general terms, however I hope you will find them helpful.
Liposuction is often incorporated/included but not always necessary with a abdominoplasty to enhance the results.
Based on my experience I always offer complimentary liposuction of the flanks to better create a optimal contour of your tummy.
However it is not advised to perform liposuction of the upper abdomen at the time of abdominoplasty for fear of injuring the blood vessels that supply the lower abdominal tissue. This liposuction can often be completed under local anesthesia several months after healing of the abdominal incision.
Every Plastic Surgeon will perform a abdominoplasty a little differently depending on the patients anatomy and desires.
There are four types of abdominoplasties.
A-C All have horizontal
incisions and D has a significant vertical compotent.
A) mini- muscle tightened below umbilicus to pubic bone
B) standard- muscle tightened from breast bone to pubic bone
C) extended as in standard but incision longer to excise excess skin/fat in outer thigh area
D) fleur de lis- same as standard but in addition excess skin/fat excised in a vertical direction.
Please make a follow up a appt. with your Plastic Surgeon to address any and all of your questions.
I trust your Plastic Surgeons is Certified by the American Board of Plastic Surgery and is ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).