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Best Way to Get Rid of Lower Belly Pouch

asked 2 years ago by athleticgal in California
Latest answer by Amy T. Bandy, DO
Question viewed 5,494 times
Tags: age 35-44, 130-149 lbs, 5 ft 8 in to 6 ft 0 in, lower abdomen, pouch

I am 36 yrs old, 5'9", 130lb, and work out intensely 5 days a week. I eat healthy and consider myself in excellent health BUT for the life of me I cannot get rid of my lower belly pooch!! I have strong abdominal muscles but always have a pooch, especially after eating - I tend to bloat easily.

I have read about the different methods to flatten the tummy and I know that I want the method with the least amount of scarring. Please let me know which method you would recommend and what kind of scars I can expect. Thanks!

19 answers to Best Way to Get Rid of Lower Belly Pouch

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Best procedure for lower abdominal pouch

Without an examination, it is difficult to say for certain, but from the photos, I would guess that you have some excess fat in your lower abdomen, and would likely get a great result with liposuction alone, without any skin removal. You do not appear to have loose skin from the photos, so an abdominoplasty would not be necessary, unless your rectus abdominus muscles are seperated. Only an exam would be able to clarify this. GOod luck!
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Liposuction vs mini-tuck

The procedure with the least scars is obviously liposuction and based on the pictures alone you might be a candidate for that. Upon physical examination a mini-tuck can be required depending on the amount and degree of skin laxity in the lower abdomen. Commonly a combination of mini-tuck and liposuction is performed to address both the upper and lower abdomen and in your case maybe the flanks as well, which will give you a more uniform result. I agree that without an actual physical... more
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That all depends what is causing the pooch

From the picture, it appears to me to be just a small amount of excess fat. If this is the case, then I would recommend liposuction. This would require just one tiny scar in your pubic hair. If however, there is no excess fat, and the pooch is due to prominence (rounding) of your abdominal muscles, then muscle tightening would likely be the only way to flatten your belly further. This would require a mini tummy tuck scar about as long as the width of your pubic hair.
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Lower abdominal pouch

The lower abdominal pouch can be a difficult area for people to lose without surgery. First you need to be examined to make sure that there are no other causes for it.  Most likely you will need some sort of lower abdominal wall tightening.
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Picture is not worth a thousand words sometimes

You have gotten the best advice: schedule a consult with a board certified plastic surgeon. You have a difficult case to give an opinion based on a photo. The surgeon will have to physically touch and feel to see if you have abdominal wall weakness and/or loose skin or predominantly fat. Based on your exam you could be an candidate for liposuction only or a limited abdominoplasty. Schedule a consult.
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Treatment for lower abdominal bulge

Looking at your photos and assuming you have normal abdominal muscle tone, as you have described, I recommend liposuction for you lower abdomen. You do not have any loose skin or stretch marks and, based on the photos, have normal skin tone. This is the perfect scenario for liposuction. It also has the least amount of scarring, compared to other surgical procedures. You may want to consider liposuction of the upper abdomen as well, so that the upper and lower abdomen have better harmony... more
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How to improve the appearance of your abdomen

It used to be that a tuck was the only option for a woman with a bulging tummy. Then liposuction came along, and we could do a smaller procedure with virtually no scarring. It would help if we knew if you have been pregnant before because pregnancy causes the abdominal muscles to separate and the skin to hang. Liposuction works best on patients who are of relatively average weight, but who need help with a problem area, or with shedding the ten pounds they regain between diets. Liposuction... more
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Get rid of lower belly pouch

For me the easiest way if doing a minor surgery is the SmartLipo at 35 watts MPX unit. I love the skin tightening and final results. From MIAMI
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Diastsis repair with or without mini tuck

In all probability, you probably have a diastasis, which is a separation of the abdominal recti muscles. They run up and down in the abdomen and help contribute to the so called 6 pack. As far as scarring, this can be done endoscopically, but if you have extra tissue, skin or fat in the lower abdomen, which is hard to tell by the picture, then you may benefit from a mini-tuck.
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Lower abdominal pooch treatments

If you have not had children, and if this is extra fat - liposuction is your answer. If you have had children and we are seeing muscle laxity, a tummy tuck is your answer. If you develop intra-abdominal bloating and gas that distends your abdomen as the day goes by, you need to modify your diet. Best plan is to see a plastic surgeon and determine which of these fits your situation best.
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Getting rid of a lower abdominal pooch

While it is important to have a face-to-face examination, you would appear to be an ideal candidate for liposuction of this area. In fact, I have always advised patients who work out a lot to speak to a plastic surgeon if they are trying to rid themselves of a specific localized area of fat. This is because as you have learned, you can work out to the extreme and become more frustrated with the inability to sculpt a stubborn area. A simple, safe procedure can safe you a lot of grief and... more
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Liposuction with micro canulas get rid of lower belly pouches with almost no scars.

Tumescent liposuction under local anesthesia with the use of the micro canulas reduces belly pouches so nice and easy and almost no scars at all since the holes are just needle sticks which heal beautifully. Cost is roughly $5000.
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Lower belly pouch

As you state you exercise and eat healthy but you can't lose your lower belly, you might be a candidate for liposuction, but an examination may discover that you have what's called a diastasis, or weakening, of the tight connective tissue envelope that surrounds the muscle. The musc le may be strong, but it can bow forward because the connective tissue fascia has weakened. This is not uncommon after pregnancy or a history in the past of being overweight with a stretched stomach wall. If the... more
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Getting rid of the belly fulness.

You probably only need liposuction which has a tiny scar. You need to see a surgeon to make sure it is not a muscle separation which requires different surgery.
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Mini-abdominoplasty vs lipo for lower abdomen pooch

I am sure you are aware that without personally seeing you it is inappropriate to offer specific advice, but based on the photos it would apprear that a mini-abdominoplasty or liposuction are the main options to consider. Both will remove the excess localized fat that is unresponsive to diet and exercise, but the mini tummy tuck will tighten skin and offer the opportunity to re-align the muscles if they have been separated. Since these muscles (he ones you work when doing situps) do not... more
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Lower belly pouch

It is hard to give you specific advice without examining you. Lower belly pouches are due to two factors: First, you may have extra skin and fat. Second, you may have diastasis or separation of your muscle fascia which leads to the roundness of the your belly. The best treatment for both of these is abdominoplasty to remove the skin and tighten the muscles. I hope this is helpful. see video
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Lower abdominal fullness

The cause of your fullness needs to be determined in order to suggest the right procedure. A physical examination is very important in assessing the quality of your abdominal wall as well. I suggest seeing a plastic surgeon in your area who could assist you with this. /nsn
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Causes of lower abdominal bloating and bulge and possible treatments

You need an examination by a medical professional. There are multiple causes of lower abdominal bloating some of which are treated with oral medications. This commonly happens after hysterectomy procedures or multiple births. An examination will determine if you have a muscle separation that may need repair as well.  I would encourage a core strengthening regimen of abdominal exercises such as pilates or yoga

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