I had a pituitary adenoma and gained weight very quickly. I have been exercising-- and am 5'6 at 220. it seems the bulk of everything is on my ab! Is it stupid to get a tuck at this weight-- or should I just continue to hit the gym?
Tummy Tuck or Exercise More?
Doctor Answers (11)
Tummy tuck vs. weight loss
For a patient who has gained a great deal of weight, unquestionably it is better to get their health back through exercise and good diet, plus good medical management. Abdominal fat is particularly dangerous for diabetes and heart attacks. Even weight loss surgery may be a consideration for patients with morbid obesity.
A tummy tuck will have a poor result in a patient who then loses 60-80 pounds.
Tummy tucks are notoriously bad at flattening a tummy that has a great deal of fat inside it (intraabdominal fat).
A pituitary adenoma and rapid weight gain: not the time for a tummy tuck yet
I would strongly advise you to continue your exercise program until you are closer to your ideal body weight. This is in your best interests for your overall health. AT 5'6", a female's ideal body weight is roughly 135lbs plus an allowance of 15%. You may want to seek the advice of a nutritionist.
Tummy Tuck is NOT a solution for Obesity
At 5'6 at 220 you are obese and while a Tummy Tuck MAY be done on you the results would not be ideal. The best Tummy Tuck results are obtained in women who have a BMI below 30 and whose weight has been stable for 6 months.
You mentioned having a Pituitary Adenoma. If it has not been operated on and if it happens to be Cushing's Disease, you really should postpone your surgery until your metabolic condition has been corrected.
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Tummy Tuck versus exercise
Tummy tucks are a very popular and effective way to contour the abdomen. The best candidates are patients who perform regular exercise and are on a balanced low-fat diet. Once you have established your target weight and have remained stable on that weight for 4 to 6 months is then safe to proceed with a tummy tuck. The more weight you lose before your surgery, the better your results will be.
To learn more about tummy tucks, see photos, and help you decide which one is best for you, please visit us at the link below:
Tummy Tuck not an answer for weight loss
I think that at your height and weight, you are better off hitting the gym losing some weight and then possible going for a tummy tuck.. A tummy tuck is not the answer for weight loss. It is best for removing excess skin and tightening the abdomen. You will always look better if the weight is off first.
Large volume Liposuction an option for localized fat areas
Although it is a very good idea to continue exercising and losing weight, some patients have localized area of fat in the upper abdomen and the flanks that are stuborn. In these patients, an option may be large volume liposuction of the abdomen, followed by a tummy tuck at a later date. I have had patients who with this approached went from size 26 to 14.
Stabilize weight if possible, then look into surgical options
A tummy tuck works best for loose skin and loosened muscle. You should always try to stabilize your weight before surgery. The question is what is the problem - skin, fat, and/or muscle. Once you have done what you can in the gym looking at surgical options becomes reasonable.
Ideal weight is not always ideal or possible
In general we like to see patients near their ideal weight prior to plastic surgery procedures, in particular body contouring procedures. Having said that, there are patients that come to me saying that they have tried everything they could short of weight loss surgery, which they dont want to do, and they are stable at their current weight. In such cases, I feel that it is okay to perform body contouring procedure.
The one thing to remember is that body contouring procedures including liposuction are not used for weight loss and should not be expected to help you lose weight.
Hope that helps.
Liposuction for fat, Tummy Tuck for loose skin and muscles
You might need both if you're not able to achieve your desired appearance through diet and exercise. Of course, it is important for you to work closely with your endocrinologist to make certain that your hormonal issues are well controlled and that your weight has stabilized before any surgical treatments.
In order to determine the best treatment for you, provided you are a surgical candidate, you'll need to be assessed by a plastic surgeon who is experienced with body contouring. That way, he or she can tell you if you have excessive subcutaneous fat, substantial loose skin, and/or a separation of your abdominal muscles. This is important because the best treatment differs depending upon the particular problem you're having.
If you only have excessive subcutaneous fat, then liposuction is the best answer. If there is significant loose skin (with or without a separation of the abdominal muscles), then the only effective method of treatment is surgical excision using some form of tummy tuck (abdominoplasty). When you have both excess fat and skin, then a combination of a tummy tuck and liposuction may be recommended.
Rest assurred, the decision as to the best course of treatment will be a relatively straightforward decision for an experienced plastic surgeon, so go ahead and make that call for a consultation!!
Hit the gym!
You should be down to within 10-20 pounds of yout ideal body weight before taking on any body contouring surgery. If you do it now, your risk of complications is higher and if you lose weight later, you will have loose skin develop and might need to redo the surgery which would be unfortunate.
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.