Tummy tuck and liposuction are two very different operations, but they may help to achieve the same goal as both may be necessary. Liposuction is used to decrease localized areas of fat excess. A tummy tuck is used to remove skin excess of the abdomen, and also to tighten the muscle wall underneath the abdominal skin. In my practice, when there is too much fat excess over the abdomen, which can cause significant problems at the time of a tummy tuck, I like to liposuction the abdomen first, and follow that by the tummy tuck a few months later. There are some plastic surgeons who will do liposuction at the same time as a tummy tuck over the abdominal area. However, there are two problems with this. The first is that it can compromise the blood supply to the skin of the lower abdomen, and can cause some serious wound healing problems. Also, when liposuction is done at the same time as the tummy tuck, not as much fat can be suctioned, and therefore more has to be left behind, which can give a less adequate result with a tummy tuck. What I like doing if liposuction is necessary, is to liposuction very aggressively first and get the fat much thinner, so that by the time the tummy tuck is done the results are much better. Patients that have had this sequence of surgeries are very happy with the results, because they get the maximum flattening of the abdomen possible. Those are some of the main issues in deciding if you need liposuction or a tummy tuck, or possibly both. And further information can be received at the time of your consultation.