Liposuction vs Abdominoplasty for male who had massive weight loss?

Dear Doctors,

When I was 17, I lost 80 lbs over 8 months. Now I'm a medium (soft) kind of build, 25, 6'1", 177lbs. I go to gym 7 days a week for a hour. My stomach now sags excessively, very wobbly.

My question is, how much do I need to weight? 160lbs? I'd like a number people my size should be if possible & will the abdominal skin shrink back? If I can't lose this skin or fat, (I'm not sure what it is), do you recommend Liposuction? What kind/where? Or is a Tummy tuck more appropriate? Please Help.

Liposuction vs Abdominoplasty for male who had massive weight loss?
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15 answers to “Liposuction vs Abdominoplasty for...”

A: Stabilize weight, then tummy tuck at least

John P. Di Saia, MD

Hello, Congratulations on the weight loss! You need to get your weight in a stable range then start with an extended tummy tuck or lower body lift depending upon how much the loose tissue extends towards your back.

A: Liposuction vs Abdominoplasty

Farbod Esmailian, MD

I would recommend abdominoplasty in your case.  It appears that you have lost a lot of weight which you should be congratulated on.  What has been left behind is a lot of loose skin which can only be removed with a tummy tuck. Liposuction will remove the excess fat but would not do anything for the... more

A: Liposuction vs Abdominoplasty for male who had massive weight loss?

Peter A. Aldea, MD

Abdominoplasty (Tummy Tuck). Liposuction is a localized fat removal tool. Period. Despite whatever you may read out there, it is a very poor way to try and shrink skin. Since your fat is gone but it produced a lot more skin with poor elasticity, your best solution is to have all the extra loose skin removed... more

A: Abdominoplasty vs. Liposuction

Sharon Theresa McLaughlin MD

Abdominoplasty will help remove the excess skin. It does not look like you have any fat left to liposuction. The skin should gradually contract as you have lost the weight. At this point it is unlikely that significant skin contraction will occur. In general, I tell my patients if they have an excess roll in... more

A: Massive Weight Loss = Massive Skin Excess

John LoMonaco, MD

Congrats on your accomplishments !  A lower body lift or abdominoplasty along with a pubic lift will probably be needed to get a trim and toned-appreaing abdomen.

A: male tummy tuck vs liposuction after massive weight loss

William  Bruno, MD

Based on your photo, you have significant excess skin and would certainly qualify for a tummy tuck. There is not a role for liposuction in your particular case.  Since you are now close to your ideal weight, all you really need is removal of the redundant skin. Liposuction or exercise will not change the... more

A: Skin excess after massive weight loss

John P. Stratis, MD

You will not be helped at all by liposuctioning. You have excess skin that needs to be removed surgically.  Yes, there is some fat under your  skin but the excess skin is the primary proble. Your weight is fine.

A: Skin excess after masive weight loss

Richard P. Rand, MD

What you have is excess skin that will never shrink any more than it already has.  You do not need to lose any more weight, what you need is a tummy tuck to remove the skin.

A: Dealing with skin redundancy after massive weight loss

Barry H. Dolich, MD

This is a question that is constantly asked and is a point of considerable confusion. Liposuction  is not "dermatosuction" . It cannot remove excess stretched skin which has lost it 's intrinsic and extrinsic supports. Abdominoplasty would be the best proceedure in your situation.

A: Abdominoplasty versus Liposuction

David Shafer, MD

 Based on your picture, you are a great candidate for abdominoplasty.  Liposuction is not for you.  The degree of skin tightening that you need is just not possible with liposuction - including any of the laser or ultrasound or radiofrequency devices.  Congratulations on all your weight... more

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