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Is Lower Body Lift the Only Option?

I am 25 years old. I gained about 45lbs during pregnancy. I was left with tons of stretch marks and loose skin. I went for a consultation with a surgeon in my area, and he told me that he could not perform a Tummy Tuck, and I would need a full lower body lift.

He said a regular Tummy Tuck would leave me with "dog ears" over my hips because I stretched so far onto my sides. Recently, I decided that major surgery just is not an option for me. My question is, do you think I could benefit at all from any laser treatments or liposuction?

Doctor Answers (32)

Lower body lift versus tummy tuck


A circumferential tummy tuck is actually different than a lower body lift. However, I think, the former is what your surgeon was referring to. It is probably an over kill (without seeing your back pictures it is difficult to say). However, an extended tummy tuck with liposuction should do the job. An extended tummy tuck has a longer incision that a full tummy tuck. The incision extendes over the waist area and removes tissue form this area as well.

Orange County Plastic Surgeon
4.5 out of 5 stars 59 reviews

Plastic Surgery For Post Partum Body Changes


If you read Realsef with any regularity you will see that there are many possible ways to approach a given problem.  Finding the solution that suits you best may take some consideration.  Your stretch marks willl fade with time, but will not go away on their own.  Laser for stretch marks does not have a lot to offer.  Liposuction can improve your abdominal contour but will not take away stretch marks.  A tummy tuck might remove the majority of your stretch marks and improve contour.  A lower body lift might be more than you need.  Have your plastic surgeon help you think about what your personal goals are before arriving at a choice to improve post pregnancy body changes.

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 94 reviews

There are always options....



You could opt for an extended tummy tuck in which the incision goes toward the back but not all the way around. There are always options. You just would not be as tight around the back. This can be acceptable to some patients.


Best Regards,


John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 24 reviews

Can liposuction tighten skin?


when you have stretch marks and loose skin, I personally feel excision is the only predictable option. There is a lot of hype surrounding skin tightening technologies particularly laser liposuction. If you look at the data / studies critically, there simply isn't good science to support this, particularly in light of significant stretch marks. I personally believe we will be making some advancements in this area in the future, but we simply aren't there. 

Jeffrey Kenkel, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 5 reviews



Before you undergo significant surgery, do get a consultation with a liposuction expert. Granted, the stretch marks will remain, but often, loose skin retracts better than expected. The volume can be reduced and you may be pleased with the reshaping. You need a consultation because the surgeon should examine you to determine the laxity of the muscle wall of the abdomen and make sure you have no hernias prior to performing any of these treatments.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 32 reviews

Lower body lift not only option


Lower body lift addresses the buttock, lateral thigh, love handles, and abdomen. Tummy tuck addresses the abdomen only. If you only want to address the tummy, it is all you need. If your surgeon can't do a tummy tuck without leaving you with "dog ears", you should consult with another surgeon. If you have persistent fat collections in the love handle areas, liposuction can decrease them, but it won't remove stretch marks or loose skin in these areas. There are always options. 

Robert J. Carpenter, MD
Cumberland Plastic Surgeon
5.0 out of 5 stars 2 reviews

Body Lift vs. Abdominoplasty


I would recommend an abdominoplasty with a secondary revision of dog ear scars and liposuction of the hips. This would allow you to minimize scars and acheive significant improvement in your body contour. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 53 reviews

You should be able to obtain an excellent result with an abdominoplasty


From your pictures and history, it is hard to believe someone recommended a lower body lift.  This would be extreme and probably leave scarring which would be unacceptable to you.  I would recommend having another consulatation with a plastic surgeon.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 48 reviews

What is the "right" procedure


During a consultation for body contouring your plastic surgeon should be able to describe to you what your problems are and offer you several options. He/she should also give you some idea as to what each option will take care of and how effective each option is. In addition he/she should describe the realtives risks, complications, consequences and recovery times.

At the end of the consultation you should have some idea as to what you want to do. Your surgeon should also ster you away from procedures that really would not be worthwhile for you. You should also be aware that even though you may not choose the "right " procedure according to generally accepted opinions you can still do the procedure as long as you know what results to expect and feel you will be happy with those results.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 18 reviews

Benefiting from laser treatments or liposuction


I agree with Dr. Rand - A lower Body lift is "over kill".

If you are done having children, I think you will do GREAT with Liposuction of the hips and an Abdominoplasty (Tummy Tuck). Although it will NOT remove all the stretch marks, a tummy tuck WILL narrow your waist, flatten your tummy and remove the stretch marks between your privates and your belly button.

You will be wasting your money on any lasers, the improvement IF ANY, will NOT be worth it.

Good Luck.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 67 reviews

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.