Liposuction is not always needed with a tummy tuck. It depends on what your abdomen looks like, and from the photo you posted it is not possible to know for sure what you need. Frequently I perform liposculpting with a tummy tuck. Liposculpting involves directly shaping the deeper tissues to improve the form, which can have a much more dramatic effect than simple liposuction. On the link below are some examples of tummy tucks with liposculpting as well as a video describing the technique.