Do I Need Another Tummy Tuck or Will Lipo Fix This? (photo) Doctor Answers, Tips
Tummy Tuck: Q&A
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Do I Need Another Tummy Tuck or Will Lipo Fix This? (photo)

I was over 400 pounds and I loss over 200 pounds with eating right, watching DR.OZ and working my ass off to sweat everyday but sundays lol. I had massive amount of loose skin and I needed it out of the way. I was getting sores under it from working out. It was also very heavy to carry around. So my doctor said he would remove it and felt even though I wanted to lose another 50 pounds it was fine. I am not happy with the look. I still have loose skin over my scar. WHY? and would lipo fix this?

11 Doctor Answers | Asked by jessicapearman
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Will Lipo Fix This Or Another Tummy Tuck?

You have done an amazing job with your weight loss! Congratulations! From your Pre-Op photos it looked like you had quite a lot of skin that may have gotten in the way of continuing toward your goal so a Tummy Tuck was the appropriate first stage, knowing that you may need a secondary Tummy Tuck after more weight has been lost. Liposuction will not do anything for the additional loose skin and may make it worse if done alone, but may be nice for contouring with your... more
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Do I Need Another Tummy Tuck or Will Lipo Fix This? (photo)

Over the internet even with excellent posted photos very hard to tell. My guess is a secondary TT could be done. Seek IN PERSON opinions why not return too your surgeon?
+1

Options after abdominoplasty

First , congrats on your hard work. I think that your TT result is generally good but does need refinement. Unlike the other answers I feel that the problem now is Xs fat under the skin and not pure skin laxity . You would benefit from a thorough liposuction of the abdomen and flank areas , preferably with VASER to maximize skin tightening . This may not be true after 50 more lbs of wt loss . We'll have to wait and see . You may need only lipo with revision around the incision to tighten... more

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+1

Do I Need Another Tummy Tuck or Will Lipo Fix This? (photo)

This is what I say to every new patient: "Remember it's surgery, not magic." You need to keep in mind where you came from. Here's something else I often say: "You are not a one-stage patient. In an ideal world we would bring you back after six months and do more work. Since the world is not ideal I'm going to do my very best for you in one operation." But remember: it's surgery, not magic. As to your question: I'd really need to see you in person to... more
+1

Do I need a second tummy tuck?

Thank you for your question and photos. Although your results are not perfect, you have to remember where you started from. With massive weight loss patients, like yourself, there's a secondary relaxation of the skin. I discuss with all my prospective MWL patients that they will need more than one operation to achieve the desired result. You will benefit greatly from further contouring with liposuction. I would advise to have your arms done as well. The large arms are not in harmony with the... more
+1

Residual Skin After Tummy Tuck #tummytuck

First I want to congratulate you on your hard work and dedication to lose all of that weight. It is the first step towards the rest of your life. I always like for my patients to lose as much weight as possible prior to surgery because I feel the best results are obtained that way in my hands. Being that said you appear to have a great result. It is always difficult as a surgeon to remove all of the extra skin and fat to a patient's desires. There are limitations as to how far one can go.... more
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Residual skin after tummy tuck

I agree completely with Dr. Hughes. With such an enormous weight loss and excess skin apron, the result is to be expected. After you have reached tour goal weight, a secondary tuck would be beneficial. Liposuction will only exacerbate the problem. Congratulations on the amazing process you have made!
+1

Tummy Tuck with extra skin left over

Just like your weight loss, which happened progressively, surgery during the process can be staged. Looking at your result, two things seem pretty evident. 1. You benefitted dramatically from your surgery and 2. There was always going to be more work to be done when your final weight was obtained. Losing 50 pounds without some extra skin is very unlikely, and as much as one might desire to avoid a second major surgery, it is likely. At that point, you will be... more
+1

Lipo or Second TT after massive weight loss

Hello, and congratulations for all the weight you lost with out bariatric surgery. Sometimes one body contour procedure is not enough to achieve the desired results. First of all, judging just from the photos, losing another 50 lbs. seems to be too much , I can adventure in my opinion, but trying to lose more weight is valid, though. A second Tummy Tuck, on the other hand is not uncommon in patients who have lost so much weight... more
+1

Another Tummy Tuck

After you lose your remaining 50 lbs, another tummy tuck could be performed. I think you did the right thing by getting all of the excess removed. I think your first tummy tuck was well done and the residual skin is common in massive weight loss patients and will be unavoidable with continued weight loss. Keep up the good work. Kenneth Hughes, MD Los Angeles, CA
+1

Liposuction is NOT the answer here!

Congratulations on your massive weight loss! Your result after tummy tuck is really good, but there is still excess skin and fat, and there will be even more laxity as you continue to lose wieght. Keep up your weight loss program until you have reached your goal weight and are stable there and healthy enough to undergo and heal another major surgery, for what you will likely need is a circumferential beltlift, also known as lower body lift, torsoplasty, dermolipectomy, or Lockwood type 2... more
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Comments (4)

jessicapearman 25 Feb 2013
Today I weigh in at 201 pounds i want to drop 26 more pounds. I want to be at 175 I have big bones and a large frame for a women. I am 5"7. I would be very happy at 175 :-)
jessicapearman 25 Feb 2013
I am going to be getting my arms done. Lipo on my back and a breast reduction at the end of April. It will be 4 1/2 months after my tummy tuck. My doctor also wants to do some lipo with my tummy.
jessicapearman 22 Feb 2013
I had to have the full tummy tuck done, just to help me move around better. :-) my doctor also fixed my ab mussels.
jessicapearman 22 Feb 2013
I will not be doing anything until I reach my weight goal. I am hunting around for info to see what my next step would be.Thanks for all the info :-) everything helps

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