Ask a doctor

Why Would a Dr Not Do Muscle Tightening in a Woman Who Has Had 3 Kids? (photo)

I had a full TT done mar 2011. After I healed my stomach was still large. I moved from the state where my tt was done. I kept calling my dr explaining to him that my stomach was not flat, he seemed concerned. I came back and he thought I looked amazing! I told him crying that i was unhappy and Im embaressed to even show ppl I had a tt done. He offered to fix it with lipo for a fee of 3600!and admitted he didnt do muscle repair.Can i do a muscle repair only now? will it help?Scared to go back!!!

Doctor Answers 17

Have a question? Ask a doctor

The 3 key elements of Abdominoplasty are.....

The 3 key elements of abdominoplasty are liposuction, skin removal, and muscle tightening. Muscle tightening is as important an element to get the final result to acheive a flat abdomen and a highly enhanced waistline. We recommend muscle plication in almost all patients to get the best outcome. I'm unsure why your doctor was unwilling to do this and without speaking to him I cannot give an answer but it is a routine component to a successful abdominoplasty.

Dr. Joseph Hunstad.

Charlotte Plastic Surgeon
5.0 out of 5 stars 35 reviews

Tummy tuck without muscle repair

We don't really know what was done here or not but you would have needed a muscle repair in my practice.  At this point, liposuction will not fix your problem because the muscles are the issue not fat.  Get your op notes and show them to a second opinion doctor.

Why Would a Dr Not Do Muscle Tightening in a Woman Who Has Had 3 Kids?

Thanks for the posted photo album it helps. The issue is your word vs the surgeon's. I bet if I asked him/her if a muscle repair "was attempted" the answer would be YES!. I agree you need muscle repair, so another full TT is needed with out skin excision, sorry. Seek other opinions in person. Follow up would be nice. Regards 

No muscle repair

Thanks for your question.  A muscle repair would have improved your contour.  I do not know the conversation you had before surgery with your surgeon to know why no muscle repair was done. 

Liposuction is not a treatment for loose abdominal musculature

WIthout an examination, it is impossible to tell whether your abdominal bulging is muscular or if you need liposuction.  If the muscles are weak, then liposuction is not the answer.  I suggest that you see another plastic surgeon, since you have concerns and determine whether there is muscular weakness.  Having three children does not automatically imply that you would have a diastasis or hernia.  Muscle repair can be performed as a stand-alone procedure.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 14 reviews

Abdominal muscle tightening after 3 pregnancies

It seems that muscle tightening might have improved your result, and it is possible to do if you can find it in your interest to go through such an extensive revision. Liposuction is probably not an answer, even without additional cost. Perhaps step back for a year of exercise and good living and then see what you think.

Best of luck,

Peter Johnson, MD

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 33 reviews

Revision tummy tuck works well.


My impression is that you can definitely have a much flatter stomach with muscle repair and some liposuction.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Rare not to repair fascial laxity (muscle repair) when doing a tummy tuck after pregnancy.

Pregnancy stretches the fascia (investing layer supporting the muscles) of the abdominal wall as well as the skin.  ometimes the fascia is spared buy in my experience this is rare.  The photos suggest you would benefit from fascia repair. 

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

Muscle repair with a tummy tuck

From your photos, it does appear that a muscle repair/tightening of the muscles will make your abdomen flatter.

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.