Too Much Belly Fat? How To Pick the Best Procedure for a Flatter Stomach.

Diet, exercise, fat freezing, fat burning, liposuction, tummy tuck… When it comes to what you might do to get rid of pesky belly folds for a slimmer look, the list is long and can be confusing.

The easiest and fastest way to find the best belly fat removal option for your needs is to schedule a consultation with a board-certified plastic surgeon. At NuBody Concepts Nashville and NuBody Concepts Memphis, our cosmetic surgery teams have extensive experience with surgical and non-surgical belly fat removal.

Not ready to schedule yet? Let’s shed some light on what solution might be best for you, depending on your body type and your goals. 

When Liposuction is Ideal

If you are generally happy with your weight and just want some fat removed in targeted areas such as your abdomen, thighs, or bra bulges, liposuction is a good option. It works best for patients with a BMI of 30 or below (calculate your BMI here) who are in generally good health without any underlying conditions that might delay healing. 

Ideal liposuction candidates also have good skin elasticity. This is generally true for younger patients and women who have not undergone pregnancy and childbirth. But even if you have children or are older, you can have high enough skin elasticity for liposuction to yield good results. Your plastic surgeon will help you determine the preferred plan of action during a personal consultation.

Liposuction is a minimally-invasive procedure with a recovery of 1-2 days. It can be used for fat removal on a variety of areas such as upper abdomen, lower abdomen, waist, back, hips, male chest area, inner thighs, outer thighs, upper arms, chin, or neck.

When Adding Skin Tightening to Liposuction is Ideal

When we speak of liposuction, we mean a combination of various methods to get the best effect. This typically means using water- or power-assisted liposuction as well as radio frequency assisted liposuction. Each patient is unique and may need slightly different combinations for the best results.

You may be a generally good liposuction candidate (see above), except you have some sagging skin that will only become more pronounced once the fat is removed. This could be due to previous weight loss or pregnancy. In this case, your results can be improved by adding non-surgical tissue contracture (such as BodyTite or Renuvion) to your procedure to help tighten the skin, rather than relying on liposuction alone. 

BodyTite and Renuvion have been shown to achieve anywhere from 35% to 60% of the skin contraction you could otherwise only get with a surgical procedure like a tummy tuck, with a much lower level of invasiveness and thereby a faster recovery. It is combined with liposuction to achieve both fat removal and tighter skin.

When Combining Skin Tightening with Glandular Excision is Ideal

While skin tightening, like liposuction, can be used on virtually any area of the body, it is particularly well suited to reduce male breasts. However, most male breast reductions yield the best results by not only extracting fat and tightening the skin, but by also excising some glandular tissue. This is a small surgical procedure that can easily be added on to a liposuction with skin tightening treatment. 

Obviously a male breast reduction does not target belly fat. However, most men combine it with liposuction (with or without skin tightening) on their abdomen in a single one-time procedure. 

When a Tummy Tuck is Ideal

A tummy tuck yields beautiful results in women and men. Most patients will easily go down multiple pant sizes, and your flat post-op tummy is something you’ll never stop admiring. You’ll even be able to rock that bikini again without a problem, since your surgeon will have made sure to artfully put the incision under your bikini line

However, the downside of a tummy tuck is its higher degree of invasiveness. It is a surgical procedure under IV sedation, and the recovery requires several weeks of much-reduced activity. 

Tummy tucks are ideal for patients with a large amount of sagging belly skin that is surgically removed along with the excess fat. If your BMI is between 30 and 40, a tummy tuck might be a better solution than liposuction. Both procedures can also be combined for improved results.

When a Weight-Loss Balloon is Ideal

When it’s more than just belly fat and your weight is the real culprit, removing belly fat isn’t going to work – or if you try, the results aren’t going to leave you satisfied. For such patients we typically advise a weight loss regimen before undergoing any skin tightening or fat removal treatments.

But as many of us know, losing weight is not an easy feat. Diet and exercise is often not enough to achieve our target weight. What if there was a way to lose 30, 50, or even more pounds in a set timeframe and not gain it back? 

With Orbera, there is. It’s a simple, minimally-invasive procedure to place an inflatable, saline-filled balloon in the stomach. Over the course of 6 months, it reduces the feeling of hunger and helps the patient learn better (and lasting) eating habits, so that the weight loss achieved in 6 months is sustained permanently.

Orbera works best for BMIs between 30 and 40. Whether a tummy tuck or Orbera is better is something you should discuss with a plastic surgeon in a personal consultation. Orbera may even work for BMIs up to 41 or 42, depending on your situation. If your BMI is above that, however, we advise to enroll in a traditional weight loss program before undergoing any cosmetic surgery.

Where Non-Invasive Skin Tightening is Ideal

The above procedures vary in their degrees of invasiveness, with all of them requiring some amount of downtime and recovery. There are also entirely non-invasive alternatives for those who don’t feel ready for more.

Exilis. This is a procedure that use external radio frequency controlled heat to shrink tissue and tighten skin (vs. a wand that is inserted under the skin for the minimally-invasive procedures described above).

Morpheus Body. This is a microneedling technique similar to what an aesthetician might use for facial resurfacing, but it can be used on the entire body to contract tissues.

If you just have small pockets of belly fat that don’t seem to warrant any of the above cosmetic procedures, you might want to start with a Morpheus or Exilis treatment to tighten up those folds. Both technologies are non-invasive and are pleasant and pain-free.

How About Fat Freezing or Fat Burning?

CoolSculpting™ (the official name is cryolipolysis) and SculpSure are recurring treatments that promise to either freeze or burn your fat away with the dying fat cells eliminated from your body over time, leaving you with a slimmer figure. Sounds easy, right?

Without going into much detail, we believe that when comparing liposuction and CoolSculpting, liposuction simply yields better results, and the results are more or less immediate vs months of recurring treatment. There are also indications that CoolSculpting, a relatively new technology, can have adverse outcomes that need to be studied some more.

We hope we’ve helped you gain an understanding of your options for belly fat removal. When it comes to unwanted and hard to shed fat on our bodies, belly fat is usually the biggest offender. Even diet, intermittent fasting, and exercise often reach their limits and leave us with that pesky pouch we all loathe.

If this is true for you, contact us today to schedule a consultation with a board-certified plastic surgeon to discuss options for belly fat removal or simply click the pink button to self-schedule from our calendar!


Each patient is unique. What your treatment will look like is determined by you and the plastic surgeon who you will meet with in a personal consultation.