Surgery is in your future.

Dear Funny Girl,

Your skin stretches and forms stretch marks not because of your young age, but because of your genetics. I often thought that the younger you are, the more elasticity you have and the less chance that you will get stretch marks. My patients often complain that they did not get stretch marks until their third or fourth pregnancies.

But in short, the only way to tighten the skin and eliminate stretch marks is surgery!
Sorry.
Robert Freund, MD, FACS
New York, NY

While there are treatments that can give you mild skin tightening (ultrasound, laser, lipo etc), the degree of loose skin that you have sounds like you require a full abdominoplasty. Patients who have had several children and are now left with loose skin, benefit the most from having their muscles repaired and all of the skin between their belly button and their pubis resected and put in the trash can. The remaining skin is then elevated and sewn down at the level of your panty line. I can't tell for sure without seeing pictures, but most patients in your situation will get a fabulous result.

I hope this is helpful.

David Shafer, MD
Shafer Plastic Surgery
New York City

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There are several lasers that offer skin tightening which do not require surgery,a nd I have one. However, these lasers are not a replacement for surgery.  I tell my patients that they can offer aboiut 20-30% at most skin tightening, but if a patient nees a tummy tuck, then she needs a tummy tuck..period.

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