Loose Skin & Muffin Top After ETT (photo)

I am 6 months out from having an ETT. I am not happy with my results. It seems my skin is getting very loose and I can grab alot of skin still. I still have a muffin top and my sides are really loose with extra skin still. My PS said he would be able to correct all of that. I lost 135lbs and I didnt expect to have a 18 year old tight stomach but I expected alot more then I got. I go back in June for BL/BA and I know he'll say it looks alot better then pre op but I don't want to hear that.

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4 Doctor Answers | Asked by Pam47

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Massive weight loss and revision abdominoplasty.

Massive weight patients often require a revisional procedure following an abdominoplasty. In fact, many plastic surgeons will stage the abdominoplasty first knowing that a revision will be necessary at the time of the breast or upper body procedure. The bottom line is that the elasticity and natural contraction of the skin is lost following massive weight loss. Overtightening of the abdomen can lead to numerous problems with skin necrosis, poor wound healing, and large scars. Being... more

David Bogue, MD

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Boca Raton Plastic Surgeon

www.drbogue.com

Expected more than I got (photos)

We plastic surgeons must work within limits established by nature, and our commitment to the safety of our patients. Your photos show a good result. You will never be rid of all your excess skin after a 135 lb. weight loss. If there is any criticism your plastic surgeon may be due, in my opinion, it is that he/she may not have confirmed that your expectations were appropriately adjusted before your procedure. Potential complications of major body contouring... more

Tummy tuck woes

If you lost a large amount of weight and have skin that isn't elastic, thn it is possible that the skin has not tightened as you would expect and you will need a revision. I would personally prefer to have the abdominal issues straightened away before proceeding to the breast augment/lift as it will be difficult for you to make a decision about implant size with your abdomen in its current situation. Also, this is a cautionary tale. You could experience similar sagging after breast... more

Loose skin and muffin top after extended tummy tuck

Congratulation on your weight loss. Your surgeon should have explained to you that patients who undergo massive weight loss (greater than 100lbs) have stretched out inelastic skin. This type of skin undergoes a secondary relaxation and might need further tightening later. You would've benefited from a lower body lift than an ETT. This explains the muffin top. After massive weight loss, there's looseness in the back and buttocks as well and it sounds that this was not addressed during... more