Mommy Makeover: Q&A

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Should I Get a Mommy Makeover or the Lap Band? Any Opinions Will Help!

My weight is 230-240 im 5'4, im okay with my body is just my stomach area and back rolls that i hate...I have 3 children all c-sections and im done with kids. I have lost weight in the past but i just keep gaining it back. I really dont know what to do!

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15 Doctor Answers | Asked by Mom of three

Doctor Answers (15)
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Tummy tuck is not a good choice for patients with high BMI

Providing your hight and weight along with the pictures helps a lot. Your BMI ( body mass index ) is currently around 39 or 40. Usually I prefer to perform a tummy tuck on patients with BMI of 29 or less. That means that your weight should be around 170 to put you in a safe range and to provide a better outcome. You can try to loose 60 to 70 lbs with the help of a nutritionist and personal trainer. A visit to one of the local bariatric surgery seminars may be beneficial.

Weight loss needs to be pursued

Your photos are very helpful in being able to more accurately discuss your situation. Clearly, you are overweight and in what is known as the morbidly obese category. This places you at significantly higher risk for surgical complications. Cosmetic surgery would not be a prudent choice at this juncture. You need to lose weight - and a lot of it. In order for this to be effective you need to be committed - and it isn't easy. It would be beneficial for you to find a multi-pronged... more

Mommy makeover or lap band?

A mommy makeover, specifically the tummy tuck part, is not primarily a weight loss operation. In terms of getting the best ultimate result, you would certainly benefit from weight loss prior to a tummy tuck. Ideally this would be accomplished through diet and exercise. Otherwise, a consultation with a bariatric surgeon could help to determine whether a lap band is appropriate for you.

Diet and tummy tuck

Before undergoing tummy tuck, it is a good idea to lose some weight first. Whether that is done through diet and exercise or by gastric bypass surgery is up to you. Either way, you will have to stick to some lifestyle modifications in order to have a result that is long lasting. It is also good for your health and well being. Best of luck.

Tummy tuck - abdominoplasty results

You are too overweight to undergo a cosmetic abdominoplasty. The complication rate is sufficiently high to make the risk benefit ratio of the surgery unfavorable. You could undergo a panniculectomy, which is just a removal of the apron of skin and fat below the belly button. That however does not yield a very aesthetic result and is better reserved for individuals suffering from recurrent skin breakdown and/or infections under the hanging apron. To be an ideal candidate for an... more

Weight loss before surgery

Based on your description and photos, I would say that I would not recommend cosmetic surgery or a lap band at this time. If you have been able to lose weight in the past, there is no reason you can't do so again. You would be best served by improving your diet and starting on an exercise program. Your primary care physician may be able to assist you with a diet plan and referral to a nutritionist if needed. Once you get closer to your ideal body weight you may... more

Get serious about weight before cosmetic surgery

Lap band or tummy tuck? Neither is a realistic option. In order to get a handle on your weight and your life you may need professional help. Cosmetic surgery certainly is not your answer, and a lap band will not keep you from eating yourself into poor health. Time to get serious. Best of luck, peterejohnsonmd.com

Plastic surgery vs. Weight Loss

The best thing for you to do is to get closer to an ideal weight, and if you can do that through diet and exercise that would be great. You can also meet with a bariatric surgeon to see if you are a good candidate for lap band. Either way, you need to dig your heels in and work on making either weight loss approach successful. Much of your abdominal appearance is related to fat inside your abdomen that is not treatable with plastic surgery - the only way to diminish this fat is through... more

BMI too high for cosmetic surgery

BMI of 40 or above are a contraindication to cosmetic surgery. BMI of 40 or above illustrates morbid obesity, that requires immediate behavioral and medical changes to avoid long term complications like diabetes, arthritis, high blood pressure, heart disease, just to mention a few.

Get your weight under control

Your BMI is over 40. You need to control your weight and get on a diet. You are making a mistake and hoping someone else will make your body look better. Control your life, go on a diet, when your bmi is below 30 (for your height about 170lbs ) then surgery may be appropriate.

Mommy makeover vs lap band

You ask an interesting question because I do not think the two should be considered as competing options. A lap band would be perfromed as way to loose weight and the tummy tuck is to improve contour. Ultimately you should be looking for good health and well as good physique. I would speak to your primary care doctor about your overall health goals first and the decision for the right procedures will follow accordingly. Good luck

Lap band vs tummy tuck

You do a lap band to lose weight and a tummy tuck to remove excess skin and tighten the muscles. Certainly at the moment, your main problem is the weight and natural weight loss with proper food and exercise (not a fad diet) would always be the best plan because it represents a real life style change for your health. Also, at the moment you are too heavy for a TT.

Weight Loss Before Plastic Surgery

Good question. Plastic surgery is a poor choice to achieve lasting weight loss, and will not do much for you unless you also make lifestyle changes. If losing weight is a problem for you, there are many supervised programs available that may help. Not diets, but rather a combination of activity and food choices that can make a lasting difference. I see many lap band patients, and not all are successful. A lap band, or any other surgery to... more

Mommy Makeover vs Lap Band

These are two different procedures. A Lap Band is a weight loss operation while a Mommy Makeover changes the shape of the abdomen and breasts. You should discuss this with a Board Certified plastic surgeon.

Mommy Makeover Or Lap Band?

Thank you for the question and picture. It is generally much better to give “patients” advice after direct examination and a full discussion of their goals. Based on the information you have provided I think you will be better off with neither the mommy makeover or the lap band surgery at this time. I would suggest consultation with your internist ( to rule out any medical reasons you have not been able to lose weight), a nutritionist and a personal trainer... more