Tummy Tuck after Weight Loss

S. Sean Younai, MD, FACS

Article by
Beverly Hills Plastic Surgeon

Massive weight loss of more than 50 lbs carries many unwanted consequences. In Beverly Hills and Los Angeles many who have lost weight are undergoing tummy tuck or Abdominoplasty in order to regain their normal figure.  

The incidence of body contouring procedures such as tummy tuck, body lift, arm lift/brachioplasty, and thigh lift are rapidly rising as more and more people are losing their unwanted weight with diet, exercise, and Bariatric surgery (gastric bypass, lap band).

Obesity not only causes accumulation of fat in the subcutaneous tissue around the torso, but also intra-abdominally. This gut fat pushes out against the abdominal wall and makes it stretch.  Therefore, after weight loss a person is not only left with loose and hanging abdominal skin, but also with a weakened and protruding abdominal wall. Unfortunately, exercise cannot adequately strengthen the abdominal wall and people and left with a hanging belly.

Abdominoplasty or Tummy tuck after weight loss enables men and women of Beverly Hills and Los Angeles to restore their body to its normal shape and form. Beverly Hills abdominoplasty or tummy tuck accomplishes several goals:

1.       Removal of excess hanging abdominal skin.

2.       Removal of all or most of lower abdominal stretch marks.

3.       Tightening the abdominal wall and restoring its original integrity, firmness, and function.

A High Tension Abdominoplasty as developed by Dr. Younai, also helps to pull up the loss skin of the upper thighs and buttocks, while liposuctioning excess flank fat in order to create a more hour-glass waist. The result is not only a tight and smooth abdomen but also a curvaceous body.

While some men and women with massive weight loss after gastric bypass or lap band surgery only need a tummy tuck, the majority would need a different type of body contouring procedure which address the excess skin folds around the torso, chest, and thighs.

Panniculectomy, which only removes the abdominal pannus, is best for those that haven’t lost all their excess fat and still have a heavy and large tummy fold. For those who are close to their ideal body weight or Body Mass Index, and only have excess torso skin a body lift is more appropriate. In Beverly Hills a body lift, belt lipectomy, Circumferential Torsoplasty, or lower body lift, basically removes the excess mid-torso skin. During a body lift a plastic surgeon lifts the buttocks in the back, pulls up and smoothens the loose outer thigh skin, as well as removes the hanging abdominal skin and tightens the abdominal wall.  Because of its complexity a body lift is best performed by a board certified plastic surgeon that specializes in post-bariatric body contouring surgery.