Considering Having a Tummy Tuck with Lipo? (photo)
- Asked by kaye43 in ElDorado, AR
- 7 months ago
I am 43 years, 5'4 215 lbs. I was recently diagnose with Hypothyroidism and I have gain weight since November. I went from 190 to 215. I started taking thyroid meds in Feb.2013 and my blood work is normal now. I like the way that I am built but my stomach has gotten a little too big. I am exercising daily walking and trying to eat better but the process of losing this weight is very slow. I have put down a deposit for the TT and Lipo surgery for June 24, 2013.
Lose weight and be near your ideal weight before tummy tuck
Thank you for your question. Congratulations on your exercise program and plan to lose weight.
Your best possible result from a tummy tuck will be possible once you are closer to your ideal weight. Excess fat beneath the skin makes it difficult to tighten the tummy skin as much as possible. Keep up the good work
Tummy Tuck in Overweight Persons
You appear to be an reasonable candidate for a tummy tuck (abdominoplasty). Women and men who have excess skin and/or fat around the abdomen which does not respond to diet and exercise are candidates for abdominoplasty. Of course you would be a better candidate and have less risk with surgery if you could lose more weight prior to surgery.. As I am sure you are aware a tummy tuck is not a substitute for diet and exercise. Abdominoplasty candidates have excess abdominal skin which may sag, a disproportionate or protruding abdomen, weakened or separated abdominal muscles, or excess fat concentrated in the abdomen.
Other tummy tuck patients may recently have lost a lot of weight and need to have excess skin and tissue removed. Many women choose to have an abdominoplasty following pregnancy, since their skin usually ends up stretched out.
Tummy Tuck Candidate?
Thank you for the question and pictures. At some point, you will likely be an excellent candidate for tummy tuck surgery. Best to achieve your long-term stable weight prior to proceeding however. Doing so, will decrease risks associated with the procedure and improve the outcome achieved. Make sure, that your thyroid hormone levels are within normal as you continue on your weight loss program.
I have also attached some advice that I provide to my patients who are about to go tummy tuck surgery:
1. Make sure you are doing the procedure for the right reasons (for yourself) and that you have realistic expectations. Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life situation. You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven.
2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.
3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful.
4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary.
5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina of your caretakers.
6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.
7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.
8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).
9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience.
10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.
11. Keep in mind the end results as you go through the tougher emotional times after your surgery.
I hope this, and the attached link, helps.
Good candidate for liposuction and abdominoplasty.
I think the only set of operations that will give you a good aesthetic result will be the abdominoplasty and associated liposuction. The low thyroid will not be an issue if you want proper medication.
Web reference: http://www.zubowicz.com/subpag,21-atlanta-abdominoplast.htm
Considering Having a Tummy Tuck with Lipo?
At your height and weight your BMI is 36.9 which puts you in a high risk of Obesity classification. I would recommend losing weight or even consider gastric procedure to get down to your ideal weight (160-175). After that you can consider surgical procedures.
Web reference: http://www.drvitenas.com/abdominoplasty.html
Considering Having a Tummy Tuck with Lipo?
Best to loss the weight before having ANY surgery or even think about a lap banding first! I think you are at risks for serious complications.
TT and Lipo and weight loss
Neither an abdominoplasty nor liposuction should be considered treatment to produce weight loss.
Surgery as you are at present would provide among other things much less than optimal results.
Dietary modification and an exercise program should be employed first (weight loss is about 80% dietary change and 20% exercise) to achieve a weight loss of around 30%.
Best to lose weight prior to considering an abdominoplasty
No cosmetic surgical procedure should be considered as a method for weight loss. At your current height and weight you are in the morbidly obese range and are at significant risk for complications following an abdominoplasty. Age over 40 and your weight are the complicating factors. It would be best if you lost another 30-40 pounds before considering an abdominoplasty. It will also be important to be medically stable as far as your thyroid condition.
Weight Loss before Tummy Tuck & Liposuction
While extensive liposuction and a tummy tuck may give improvement, you will be more likely to have better results with a 35-50 lb weight loss. Like the other comments below, I suggest you give it your best shot to loose the weight over the next 6 to 12 months.
No Surgery At this Point
Thank you for your photographs. I would not perform a tummy tuck and liposuction on you at this point. The main reason is that you weight need to come down a bit . At your height and weight your BMI is 36. More predictable outcomes occur when your BMI is 30 or less. Secondly, you need to make sure your thyroid levels remain stable and with this stability your weight may come down. Lastly, you thyroid must be stable to avoid anesthesia complications.
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.