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Can I Have a Safe, Long Lasting Tummy Tuck Done if I Have Visceral Fat? (photo)

I'm 49 yrs old, 5'0" 128-130 lbs. & non-insulin diabetic. I've been told I have visceral fat by 2 different PS's. My mid-section is rather hard and i have no lose skin. 1 PS said he could make me flat, hard as a wooden table. 2nd PS told me he did NOT recommend the surgery-Not a good candidate. Said my stomach would look the same as before.His alternative was breast enlargement-may help me with my appearance. Is it feasible & possible to have a successful TT or should I quit trying?

Doctor Answers (10)

Visceral fat and tummy tuck

+2

Something that is important to know:  studies have shown that people with fat that is distributed internally around the intestines (visceral fat) are more prone to heart disease, heart attacks, dementia, and insulin resistance than people without that type of fatty distribution.  So, someone who is 49, has diabetes, and has intra-abdominal fat is going to be at more risk for heart problems in the coming years than someone who is 49 without diabetes and with fat in areas other than internally around the intestines.  In my experience, people with intra-abdominal fat who have firm, protruding abdomens are not likely to achieve a nice result from an abdominoplasty, and they will be at a fairly high risk for major cardiac complications.  From what you have described and from your pictures, I would have a hard time recommending that you undergo a tummy tuck.  However, your best option really is to visit with one or two more plastic surgeons who do a lot of this type of surgery.  Listen to, and more importantly hear, what they have to say.  Do your homework, and don't rush into this.  The stakes, the cost, and the frustration level (ie, not getting the result you were hoping for) may be pretty high.


Fort Worth Plastic Surgeon
5.0 out of 5 stars 4 reviews

Source of abdominal bulge - fascial laxity vs. intra-abdominal fat

+2

You overall body shape appears thin.  Your abdominal protrusion may be due to fascial laxity.  An examination by a plastic surgeon will help determine if your condition is repairable by an abdominoplasty.   You may consider losing 10 pounds and see if this reduces your abdominal bulge.   

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

Tummy tuck question.

+2

If you lay on your back and have a flat lower abdominal area then you may be a candidate for surgery. I would say to interview a few more board certified plastic surgeons to get more information. Good Luck!

Gregory Lynam, MD
Richmond Plastic Surgeon
5.0 out of 5 stars 24 reviews

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Tummy tuck will not help visceral fat.

+2

Hi.

I know you don't need me to tell you this, and I know how hard it is to do, but it is the only useful advice I can think of.  Lose ten pounds and you will look so much better (and so good for your diabetes).

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Lose weight to lessen visceral fat before tummy tuck

+1

Thank you for your question and photograph. The surgeon who spoke of visceral fat sounds like an honest and knowledgeable plastic surgeon.

If you have a tummy tuck with fat on the inside wrapping around the intestines your tummy will still protrude and without a lot of loose skin you will not see her result.

Although your not overweight, visceral fat which is wrapped around the intestines can be decreased with weight loss. If by dieting you can reduce the protrusion of your abdomen, then a tummy tuck might be of help. However my suspicion is that you will not need or want a tummy tuck if the visceral fat is reduced.

A surgeons suggesting breast augmentation when you came in for a tummy tuck raises a red flag in my opinion.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

Can I Have a Safe, Long Lasting Tummy Tuck Done if I Have Visceral Fat?

+1

You need to lost the visceral fat first, and after that  to think in surgery.

 

Spanish translation provided by doctor:

Usted necesita perder la grasa intraabdominal primero, y despues pensar en cirugia.

Maria Cristina Picon, MD
Argentina Plastic Surgeon

Cosmetic Surgery is an Art and a Science

+1

Without an exam it is hard to answer your question. In my experience, tightening the abs helps patients get their profile back with a TT. Your inside fat (visceral) cannot be addresed with surgery. Diet and weight loss will help that.Consult a board certified plastic surgeon in your area.

Thomas A. Narsete, MD (retired)
Austin Plastic Surgeon

Great Question

+1

You have a very interesting question and dilemna.  It does appear that you have a significant amount of intra-abominal fat.  What is not clear is how much fascial laxity.  You do not have any skin laxity evident.  What is clear is that your case will be challenging. It is unlikely that you will get a washboard abdomen, but some improvement is possible. I would recommend another consultation and physical exam.  All the best.

Robert F. Centeno, MD, FACS
Fairfax Plastic Surgeon
5.0 out of 5 stars 25 reviews

Visceral Fat & Tummy Tuck

+1

Although you have a normal BMI, it appears from your pictures that you have significant visceral fat. You do not have excess skin, one of the prerequisites for an abdominoplasty. Therefore, you do not need a tummy tuck. What you need to do is lose the intraabdominal fat by changing your diet. This may not only correct your abdominal problem but your diabetes also. You may be a normal weight Class II Diabetic that genetically puts the extra fat around the intraabdominal organs instead of elsewhere. If so, a change in diet may well control the diabetes.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 4 reviews

No tummy tuck for your anatomy

+1

There's absolutely no way any surgery can give you a flat tummy because of your visceral fat and the outward pressure it puts on any attempted muscle repair. Just today another patient posted about why she wasn't flat after a TT and subsequent lipo. She has visceral fat. Don't repeat her mistake, forget surgery for your case.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 47 reviews

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.