How different is the final look if I decide to forego the muscle tightening with a full tummy tuck? My biggest concern is loose skin and post pregnancy stretchmarks. I'm 47, 5'7" and weigh 154 lbs.
Expected Outcome Without Muscle Tighting
Doctor Answers (15)
Don't buy a car without the engine...
I concur with my colleagues. You are not getting the maximal benefits of a tummy tuck if you opt against the muscle tightening. Sure, you will get some degree of benefit from just removing the excess skin and fat. However, the muscle tightening is the internal power of your tummy tuck procedure - it helps to really flattening out the bulging of your abdomen. So if you are going to accept the waist line scar, my suggestion would be to opt for a full tummy tuck and include the muscle tightening as well. Best of luck.
Web reference: http://www.basuplasticsurgery.com
What is the reason for wanting to skip the muscle tightening?
One important point to realize is that for many patients, the muscle tightening is a critical component to making the abdomen flat, and even patients without significant laxity can benefit greatly from it. The plication itself only takes a few minutes, and is a routine portion of standard abdominoplasty. Yes, you will have increased discomfort, and a slightly longer recovery period, but the benefits significantly outweigh these concerns. So an important question is why you are contemplating foregoing the plication?
To answer your specific question, the degree of difference is impossible to tell without an in-person evaluation. It largely depends on how much muscle laxity (looseness) you have before surgery. A rough estimate of the improvement through plication is to inhale deeply and observe how much the tummy 'moves in'. Note that this 'test' has limitations; some patients who have extremely lax abdominal muscles do not see much improvement but they may be great candidates for plication.
Bottom line: in many patients, plication will give significant improvement with few drawbacks; not doing the plication may or may not affect your specific case significantly, a consultation should be able to provide you with the answer. Good luck.
Lawrence Tong MD FACS FRCSC
Tummy tuck should always include muscle tightening!
I am sure you have some degree of rectus diastasis or "muscle laxity" that needs to be "fixed" as part of your tummy tuck, or abdominoplasty. It is not really the muscle that is tightened per se, but rather the fascia or "covering of the muscle" that is tightened. This does not interfere with abdominal muscle function, in fact, most of the time, rectus muscle function is more efficient and improved. The loose skin can be removed but the result - most notably in clothing will be markedly worsened without the muscle tightening. From the side, you wont have the "straight line" appearance, and will still have a gentle outward curve that almost all women have to some degree after pregnancy. I hope this helps!
James F. Boynton, M.D., F.A.C.S.
Web reference: http://www.BoyntonMD.com
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Tummy Tuck without Muscle Tightening
Based on your photo, I would recommend a full tummy tuck with muscle tightening. If you are going to undergo this procedure and take time off to recover, you deserve the best result to meet your goals. It seems that you have obvious muscle laxity above and below your abdomen in this picture that will benefit from tightening. Muscle Plication is a critical component in obtaining a flat abdomen and hour glass figure. From a side view, I believe there will a large difference in your final result. I wish you a safe and happy result.
Paul S. Gill, M.D.
Gill Plastic Surgery
Houston Double Board Certified Plastic Surgeon
Tummy tuck without muscle tightening
Thanks for the question.
Its difficult to be precise without examining you in person. Depending on the amount of diastasis or "muscle laxity" you have, your result still could be good although I think you're cutting yourself short by not having the musculature approximated. If your only goal is to remove excess skin and stretch marks and you are well informed of how the outcome would look as compared to a traditional tummy tuck with plication then I think you're fine. My recommendation is to consult with a plastic surgeon in your region and discuss these issues in length with her/him.
Best of luck,
Glenn Vallecillos, MD, FACS
Tough to tell from your photos, but it is very helpful nonetheless. There are appreciable stretch marks so skin removal should be extremely helpful. The muscles being pulled together will help your pot belly, unless there isn't much of one. If not, then you could possibly get away with it. Consult your board certified plastic surgeon.
Web reference: http://www.doctormeade.com
Result of a tummy tuck without muscle tightening
In our practice, we feel that no two patients are alike and so note to tummy tucks should be the same either. During the initial consultation, we spent a great deal of time working with the patients, talking to the patients so that we can understand what their concerns are and what their aesthetic goals will be. By combining an in-depth discussion with a thorough examination, we can create a surgical plan that will address their concerns and help them meet their goals. We commonly see patients that have extra skin and extra fat but that their muscles do not require tightening. For these patients, we can create a mini tummy tuck or a limited tummy tuck that does not involve tightening the muscle layer. In the patient that would benefit from muscle tightening but chooses not to receive the tightening, they can expect some improvement in their overall appearance but not the beautiful tight waist that we can create with a muscle corset. To get the best results, your best bet is to only work with a plastic surgeon that is board-certified by the American Board of Plastic Surgery. Such a specialist will be able to carefully evaluate you and present to you the options that will best help you meet your aesthetic goals.
To achieve the most optimal outcome, a tummy tuck and (of course muscle tightening) is the procedure of choice for you, based on your photo.
Outcome Without Muscle Tighting
My guess from the one photo provided is less loose skin, less infra umbilical stretch marks (but not more than 40% gone), and still a slight pouchy of lower abdomen. But in person an examination can offer better insight if a rsti tightening is indicate. Again my guess is yes. From MIAMI Dr. Darryl j. Blinski
Skin will not reduce like shrink wrap.
Unfortunately, there are no magic ways to make skin shrink, If we had these we could eliminate face lifts, thigh lifts, breasts lifts, etc. We would love to have a tool for this but it doesn't exist. Lasers, etc may provide slight improvement, but you need more than that. A tummy tuck, possibly without the muscle repair can be done (skin only tummy tuck) but my guess is that you would not be pleased with the result.
Web reference: http://www.bodysculptor.com/body-surgery-chicago/tummy-tuck/
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.
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