I Have No Kids, Do I Need Muscle Repair? (photo)

I have never heard that one before!  If you have not had children, you may not have muscle laxity---or you could.  This could easily be ascertained in a physical exam.  You definitely need at least a panniculectomy and some liposuction but the only way to determine the extent of the surgery would be in a consultation.  If your weight is unstable, then it is reasonable and potentially worthwhile to try to reach a stable weight prior to surgery.

Thank you for your interesting question and photographs. There are a few issues that you need to address before surgery: 

1)  Usually, most 24 women, who have not had children, do not require abdominal muscle repair. See a Board Certified Plastic Surgeon who can determine whether you have abdominal muscle laxity or a hernia.

2) After some weight loss you may become a candidate for abdominal liposuction or abdominal liposuction with a mini tummy tuck. The mini tummy tuck can remove any excess lower abdominal skin, has a shorter scar, and an easier recovery than a full tummy tuck.

3)  I recommend that you lose some weight first by joining an inexpensive  proven healthy weight loss program such as Weight Watchers or Jennie Craig. They are effective at giving you guidelines and  eating plans to help reach your goal. 

4) Increasing your physical activity with walking, the gym, dancing, swimming etc., which will boost your metabolism and help you reach your ideal weight faster. Downsizing before surgery is the best option.

5) Your Body Mass Index (BMI) is elevated and should be between 25-30 before you have surgery to minimize complications and have the optimal long term results. You only need your height and weight (225 pounds) and you can easily calculate it by using a BMI chart found on line.

Don't be discouraged. I am sure you can accomplish your goals with a sensible plan. Best wishes.