I scheduled my full tt. I suffered from severe vomiting during my both pregnancies, with my last baby 11 months ago only gain 12 pounds. Gave birth natural. My weight now is 112 and my height is 5'2. I don't have any stretch marks but if I bend or eat I get a huge bulge . my concern is that since My pre op I lost 17 pounds and it looks to me like I don't have enough skin to pull down and most of it is locate in my lower abdomen. I'm concern I won't be able t get a full TT. Any advise please.
I'm a 32 Year Old, Mother of Two Girls. I Been Dreaming of a Flat Tummy Since I Was a Teen?
Doctor Answers (15)
Promoted Local Answer
Can I have a tummy tuck if my skin is not a loose?
Thank you for your question. What you are describing is a situation in which the abdominal wall muscles have separated but the skin has rebounded nicely. The muscle separation is known as diastasis rectus. It is generally repaired by sewing the muscles together in the midline during a full tummy tuck.
Even with muscular separation there are some women who do not have enough loose skin to perform full tummy tuck. In this situation there are still some options.
The upper abdominal skin can be elevated, the muscle repair performed, and then the upper abdominal skin placed back in its original position while taking out only a small amount of skin like a mini tummy tuck.
In a tall patient with a high riding belly button the skin can be elevated, the muscles repaired and then the skin can be pulled down pulling down the belly button at the same time. This only works well in a patient with a high belly button, otherwise the belly button will be too low. This is known as an umbilical float.
Lastly, endoscopic tummy tuck has been described where the muscle alone is repaired, but no skin at all is removed. While this certainly sounds interesting I have truly never met a postpartum mother that could not benefit from at least some degree of skin tightening.
Ultimately you should see a board certified plastic surgeon in order to help you navigate which option would be best in your specific case.
Pre -Op Anxiety
It sounds like you are a good candidate for an abdominoplasty;- although losing 17 pounds since your pre-op evaluation is a remarkable feat. I 'm sure that you have discussed this weight loss as well as your contouring concerns with your surgeon. If not , please do so. If you were a candidate for a full abdominoplasty before the weight loss, you should still be a good candidate now. But remember the objective is to give you the best results not the biggest surgery. ...and congrats on the weight loss! It's always best to loose excess weight pre-op (if you can). This will be a benefit to both you and your surgeon. Your anesthesia risks are lowered and surgical contouring is technically easier. You might ask your anesthetist about a scopolamine patch which might deminish post op nausea and vomiting.
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If you have had children, chances are that you can have a full tummy tuck
There is a saying among plastic surgeons that any woman who has had children can have a tummy tuck (a full one). You likely have sufficient skin laxity to allow redraping of your upper abdominal skin and elimination of the loose skin of your lower tummy. Experienced plastic surgeons flex the patient's hips in surgery to help with this, and at the same time keep the incision low, within the bikini line. It sounds like you have a very weak abdominal wall, which is why it protrudes so much if you bend over. The muscle repair will correct this. My best advice is that you go to a very experienced plastic surgeon, and also be sure to look at plenty of before and after photos provided by your surgeon. If you like what you see (and the photos should show the incision), chances are you will like your result. I've attached a link to this part of my website in case you want to read more. Also, you are small and the anesthetist needs to use the appropriate anesthetic so you are not vomitting after your surgery. Be sure to mention your history of vomitting.
Am I a candidate for a full Tummy Tuck?
It is difficult to give an impression without photos. But with your history of 2 pregnancies and your doctor's decision to proceed with a full TT( assuming your doctor is a Board Certified Plastic Surgeon) it would seem that the chosen procedure ia a correct one. However, if you still have doubt about your upcoming procedure you shoud seek a second opinion, just to be fully convinced. Good luck!
Weight Loss Enhances Tummy Tuck Results
Tummy Tuck and Loose Skin
Your question is excellent. In my opinion, most patients who have had babies have enough skin for a classic tummy tuck. Even thou you think you might not, most people do. Tummy tucks can be modified, however, for those with lesser amounts of skin. This includes moving the umbilicus down as part of a mini tuck. Another option is having a small vertical incision at the bottom of the abdominal skin flap. This would be where the belly button used to be. It is small and not a big deal for most patients, as it is covered by underwear and bathing suits.
The muscle weakness or rectus diastasis is repaired at the same time as part of the tummy tuck. It sounds like you will really benefit from this operation.
Full tummy tuck for abdominal bulge
If you have significant abdominal muscle weakness or separate of the muscles from the midline (rectus diastasis) then you need to have the muscles repaired during your tummy tuck. If you have enough skin laxity from upper abdomen alone then you should be a great candidate for full tummy tuck. If you only have minimal skin excess at upper part of your abdomen, then you really have two options left. First, mini tummy tuck with possible umbilicoplasty or full tummy with small vertical closure of original umbilicus opening which will result in a short vertical scar at lower part of your abdomen. Find a great plastic surgeon that you trust and discuss the options. Make sure you understand the limitation and scars for each options.
Stewart Wang, MD FACS, Wang Plastic Surgery
Do you trust your DR
I would assume that your doctor would not have scheduled you for a full tummy tuck without examining you and deciding that you had enough skin. If not, see another doctor.
Tummy tuck candidate?
If you have lost weight, I would expect your lower abdominal skin to sag more rather than less. Losing weight is a great way to lead into a tummy tuck. Remember that abdominoplasties are individualized operations. Even if you don't have a huge bulge, you may benefit from the procedure. However, without photos and an exam, one can only conjecture whether you are a candidate for the operation. If you have concerns, see another plastic surgeon for a second opinion. Best of luck!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.