Body Lift: Q&A
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Tummy Tuck or Body Lift? (photo)
I weigh 220 and was 260 at my biggest. I'm 5'10 and large boned. Doctors refused me for the lap band. I'm told muscle weighs more then fat. I have a large painful buldge when I tighten my stomach muscles. I also had a fusion of cervicle 5,6 &7, so situps are very hard to do with both. I want to have work done this year. It hurts when I'm ask'd when is the baby due. Can I have surgery without being 160lbs? Please advise.
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15 Doctor Answers |
Asked by
Kaco,e
in ny
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Tummy Tuck or Body Lift?
I would suggest an abdominoplasty. From your pictures, I see a significant amount of excess skin and fat of the central abdomen. However, the main problem is your abdominal muscle wall weakness. I would therefore suggest an abdominoplasty with a significant concentration on abdominus rectus muscle reconstruction. Your abdominal muscles should be repaired and brought together to flatten your tummy. I believe most of your "tummy" is due to muscle weakness rather than a significant amount of...
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Tummy tuck versus body lift, timing of surgery
What's the best type of surgery, and when's the best time to do it? Tough questions, lots of answers. The timing of this type of surgery depends in part on what type of result a person expects. Someone with a BMI of 32 (5'10", 220 lbs) will probably have a different result than someone with a BMI of 23 (5''10", 160 lbs). The operations may be different as well. If you wait until you weigh 160 pounds, you are likely to have more loose skin and might benefit from...
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Tummy Tuck or Body Lift?
The tummy tuck is probably a better choice for you as most of the laxity is in the front, and the abdominal wall can be repaired as well. Find the plastic surgeon with ELITE credentials who performs hundreds of tummy tucks each year. Kenneth Hughes, MD Los Angeles, CA
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Abdominal contouring
A physical exam is really needed to make any recommendations. You may benefit from a tummy tuck with liposuction of your waist. But if you have excess skin laxity in in your lateral thighs and flanks/buttocks, you may also benefit from a body lift. Additional weight loss will also help you to achieve a better result. Best of luck.
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Tummy Tuck or Body Lift
You may very well benefit from a tummy tuck but you need to understand that correcting that painful bulge requires you to lose some weight before you undergo the procedure otherwise the separation will recur, effectively rendering your operation useless. You should at least get down to 180 lbs so your BMI is 32 or less.
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Tummy tuck or body lift
I think that you need to be examined in person. If you have a true hernia, then this would have to be treated in conjunction with a general surgeon.
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Tummy TUck
A tummy tuck with flank lipo or a lipoabdominplasty would be most helpful. You do have a few unique anatomical findings. The back fusion history appears to have weakened your core muscles. A tummy tuck would help tighten the rectus muscles. You can expect improvement but not complete correction. Good luck.
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Body lift vs tummy tuck
The large painful area that you are describing is very worrisome for a hernia. I would make sure you talk to your surgeon about this. A tummy tuck alone will get rid of the extra skin on the front side but you appear to have have some skin wrapping around to the backside too. This extra skin would only be removed with a body lift. Good luck with your decision.
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Tummy Tuck or Body Lift?
Just on the info posted I would consider a TT with a general surgeon doing the ventral hernia repair with a mesh. Best to have a scan of the abdomen to see the size of the ventral defect first. Than have a team approach to your surgery.
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Not everyone is an ideal tummy tuck candidate
You appear to have some intra-abdominal fat and a lax abdominal wall. By my criteria, you are not an ideal tummy tuck candidate, but a tummy tuck would certainly rid you of the excess skin pannus that you have. Its doubtful that your abdominal wall could be made 'flat' given the issues listed above. Lose enough weight to be satisfied and stable with your body weight and then seek out a good plastic surgeon in your area. Good luck !
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Tummy tuck with liposuction of the hip area
After reviewing the photos you need a tummy tuck with liposuction of the hip area to achieve a more hour glass appearance. You have a significant diastasis of the lower to mid-abdomen due to having children. The abdomen needs significant tightening of the abdominal muscle to have a flat abdomen again. With this amount of laxity its possible the fascia of the abdomen is very attenuated and may require reinforcement with Marlex mesh. I find the use of mesh will...
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Ideal Weight for Tummy Tuck
Dear Kaco,e
Good news....YES you can have surgery without being 160lbs! That being said, you're BMI (body mass index) is close to 32 at your current weight. In my practice, I prefer to see patients have a BMI of about 30 or lower to perform big surgeries. In order for you to have a BMI around 30 you'd have to weigh approximately 205-210. The reason for this is that the incidence of complications is higher in patients with a BMI above 30.
Is there an exact science to the BMI...
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Tummy Tuck
Tummy Tuck, you do not need a lower body lift.
The bulge may be a hernia, to confirm maybe an MRI of the abdominal wall.
If confirmed, hernia, then hernia repair and abdominoplasty (abdominal wall reconstruction). No liposuction if there is a hernia.
Baltimore Plastic Surgeon
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Lipo-abdominoplasty is the ticket
Yes, a Lipo-abdominoplasty is the ticket. Based upon your photo’s significant repair of your abdominal wall diastasis or weakness most likely will be required. We perform these type of procedures quite frequently in patients just like you. Best,
Gary R Culbertson, MD, FACS
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Tummy Tuck or Body Lift?
Thanks for adding the photo.
Although you might get somewhat more improvement with a body lift, the overwhelming majority will be with the abdomen. I would suggest proceeding just with the abdominoplasty, possible adding liposuction to the flanks. This is a considerably smaller procedure and easier recovery, especially for one doing this at a higher than optimal weight.
I certainly see enough margin for improvement. You will be accepting a...
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