Three possibilties for huge upper belly afer Tummy Tuck

Jeffrey Horowitz, MD answers: Huge upper belly after Tummy Tuck?

I had 2 C-sections. I weighed 220lbs on day of surgery, height 5’2” after loosing 70lbs with a gastricband. I had a huge apron. I got a tummy tuck + Muscle repair + lipo + love handles removed before 7 weeks. I have a nice lower tummy but my upper belly is huge unlike before surgery.

As I have a gastricband, my surgeon said he worked his best on the upper belly but had to be careful about the band. They took 13lbs off me in surgery but weigh the same before surgery. Worried about my weight and my upperbelly.


Jeffrey Horowitz, MD
1 month ago

Your abdominal contour can be explained by three things, or some combination thereof:

1. Persistent subcutaneous fat

2. Persistent muscular wall laxity

3. Intraabdominal fat

Your surgeon's ability to tighten the muscular wall and perform lipo may have been compromised by the presence of the lap band.  Sometimes, relatively greater tightening of the lower abdominal muscles may make the upper abdomen appear proturberant by comparison.

Intrabdominal fat can only be addressed with weight loss.

If you are disappointed, discuss this with your surgeon who can tell you if additonal surgery can provide any additional benefit.

Good Luck!

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