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.

Doctor Answers 35

Abominoplasty or tummy tuck is what you would need at this stage.

 Unfortunately some people's skin doesn't have enough elasticity to recoil after weight loss.  It doesn't look like you need to lose any more weight.  All you have now is loose skin that needs to be surgically removed. 

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Liposuction vs Abdominoplasty for Male Who Had Massive Weight Loss?

Great question and congratulations on your weight loss! Many patients notice that after they lose a significant amount of weight they develop areas of excess skin. During weight gain the skin is stretched. Ideally, during weight loss the skin shrinks again and is able to fully contract. Unfortunately this does not always happen, and many patients are left with hanging skin.

Liposuction does not improve body shape in patients with loose skin. In fact removing the underlying fat can make the skin appear more loose and saggy. An abdominoplasty procedure can help however. During an abdominoplasty an incision is made low on the abdomen, the skin and fat are elevated off of the abdominal wall, the skin is pulled taught, and the excess skin is trimmed.

Consultation with a plastic surgeon will help determine how best to obtain your goals. Good luck with the process!

Austin Hayes, MD
Portland Plastic Surgeon
5.0 out of 5 stars 4 reviews

Body After Massive Weight Loss.

Congratulations on your weight loss! You've done a terrific job! Your picture shows a lot of lose skin in your abdominal area without excess fat. Your skin may have lost its elasticity and not be able to shrink down again without surgical help. I would recommend consulting with a board certified plastic surgeon about having some of the skin removed. This is different from liposuction, which removes fat. You may be a candidate for abdominoplasty, or surgery on the skin and muscles of abdomen to give your midsection to a stronger, flatter appearance. Best Wishes!.

Circumferential Body Lift

The most suitable treatment would be determined by a consultation with a board certified plastic surgeon, however based on the info you've provided, you will probably benefit most from a circumferential body lift. This surgery involves removing the excess skin and fat in your midsection, and is most often performed on individuals who have lost a lot of weight, like you have. 

Congratulations on losing all that weight, by the way!

Abdominoplasty Is Normally Required to Optimally Restore Contour Following Massive Weight Loss

Massive weight loss often results in a significant amount of loose skin.  Normally, this loose skin has a significant amount of associated stretch marks.  Stretch marks tell us that the skin has been damaged in the deeper layers.  This type of damage prevents the skin from retracting back to its normal state after underlying fat has been removed.  When considering the abdomen, if an overhang of skin is present, even in the absence of stretch marks, one would expect the overhang to persist after any type of liposuction.  In general, abdominoplasty is normally required to optimally restore the contour of the abdomen in a patient who has had massive weight loss.

John J. Edney, MD
Omaha Plastic Surgeon
4.5 out of 5 stars 66 reviews

Liposuction vs tummy tuck for people after major weight loss!

after major weight loss people are left with basically loose skin. The only practical answer for this is tummy tuck or body lift and not liposuction.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 33 reviews

Liposuction vs. Tummy Tuck after weight loss - Los Angeles

With large volume weight loss, I would opt for a tummy tuck to reduce the skin excess. Rafy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

Male abdominoplasty

There is no question that you are not a candidate for liposuction.  You have loose skin that can only be improved with skin removal.  YOU would be a candidate for a skin only abdominoplasty or possibly lower body lift. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Liposuction vs. Abdominoplasty for Male After Massive Weight Loss

First, congratulations on your weight loss.  Liposuction is very good at removing fat.  It looks by your description and photos that you have extra skin.  The Abdominoplasty is the recommended operation to address that situation.  Best to see a board certified plastic surgeon.  They will guide you through the process.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Abdominoplasty is necessary to remove excess skin

Congratulations on your weightloss and your continued healthy lifestyle.  Unfortunately, it is common to be left with a significant amount of extra skin with fluctuations in weight like those that you have experienced.  The amount of extra skin that you demonstrate in your photo will not go away on its own and will not be adequately addressed by a minimally invasive procedure like liposuction.  Abdominoplasty will remove the excess skin and will give you a tight, flat contour to your abdomen that improved condition of the muscles under the skin. 

I do not prescribe a specific weight for my patients prior to abdominoplasty, but I do find that the best results are achieved when a person is at a stable weight and level of fitness.  I encourage my patients to maintain a weight at which they are comfortable for at least 3-6 months prior to surgery.  Significant changes in fitness in the future could compromise your results and should be avoided, if possible.

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.