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Reach Weight Loss Goal Before Tummy Tuck Surgery?
asked 4 years ago by anon
Latest answer by Douglas J. Raskin, MD
Question viewed 61,231 times
Tags: weight loss, goal
I have lost 100 pounds so far and am planning on a tummy tuck. I have 30 pounds to go until I reach my goal weight of 135. Can I go ahead and get the tummy tuck or wait till I reach my goal? I'm very happy about the weight loss but I can't stand the loose skin.
60 answers to Reach Weight Loss Goal Before Tummy Tuck Surgery?
+12
Reach a stable plateau, then have surgery
When patients lose weight as a result of healthy changes in diet and a regular exercise program, that weight loss is real. Fad diets and pills often yield impressive results, but are too often followed by a yo-yo weight fluctuation pattern.
Having said that, healthy active patients often reach a weight plateau. This plateau weight may or may not be the "goal weight". Goal weights can be demoralizing if they are not sustainable. We all have a weight we would like to be, but that weight...
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+1
Tummy Tuck After Massive Weight Loss
When patients start to lose weight, they sometimes get so excited that they don't know when to stop! They also forget that the hanging abdominal pannus also weighs a lot by itself. Losing too much weight is not good! Becuase then, your face, buttocks, and breasts start to hang too much and you will look bad.
I usually tell my patients who are close to their optimal weight not to lose weight because I will liposuction the extra fat from around their abdomen and flanks at the time of their...
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+7
Weight loss before tummy tuck
Hello there and thank you for the great question,
If you get a tummy tuck and then proceed to lose another thirty pounds there may be a little excess skin and soft-tissue laxity that re-develops. A smaller amount of weight loss after a tummy tuck is reasonable but weight loss in the vicinity of 30lbs may be best lost before the tummy tuck.
All the best,
Dr Repta
+7
Evaluate weight loss trends before tummy tuck
I may be going against the grain on this one as most of my colleagues in the thread recommend achieving your weight loss goal (losing an additional 30 lbs) prior to considering elective cosmetic surgery. I used to do the same, as this is what we are taught. Historicaly, I saw patients who wanted to lose weight, say 30 lbs, and I told them to excercise, eat well, get a trainer, join a gym and then see me back in 3-6 months. They would do all the above, see me back in the office and say...
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John Philip Connors III, MD
Atlanta Plastic Surgeon
Atlanta Plastic Surgeon
+6
Tummy Tuck - Weight Loss
To gain the optimal results for a body contouring procedure including a tummy tuck, you should be near your target weight. If you believe that you are within your acceptable weight zone, then arrange a consultation with a board certified surgeon to benefit from his/her expertise.
+5
Weight Loss Before Tummy Tuck
Virtually every patient I see for Tummy Tuck consultation after a massive weight loss still wants to lose more weight, even though they may have been at a plateau for some time. I think what they don't realize is there is a certain amount of fat weight still attached to the extra skin and it just is not possible to lose that until the skin is gone. The only way to know for sure is have a consultation with a plastic surgeon that is experienced in body contouring after a major weight loss,...
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+5
Reaching goal weight for tummy tuck surgery
Congrats on the weigh loss. Regarding goal weight.... It is important with any body contouring procedure that you are at a stable weight that is relatively easy to maintain. If you reached your goal weight, had surgery and then rebounded to your current weight, you may not be happy with the outcome. At your current weight, you might lose some weight with tummy tuck and you can lose some additional weight without adversely affecting your tummy tuck result....
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+4
Two schools of thought regarding preop weight loss
The conventional concept is that you should be as close as possible to your ideal weight prior to undergoing body contouring surgery. This approach results in the optimal aesthetic outcome and avoids the need for touch up surgery if you were to continue to lose significant amounts of weight after the surgery.
Having said that, it may be very difficult to lose that last 30 lb, and, in your efforts to do so, would be delaying the rewards of body contouring surgery, maybe for years. Having...
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Jeffrey Horowitz, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+4
Patience will pay off
Hi there-
I know that after your tremendous accomplishment, you must be eager to pursue a tummy tuck to reward yourself- and you do deserve to look your best for the effort.
It is important to understand what happens to skin after weight loss however. When you lose weight, the skin will contract, or shrink a variable degree- obviously after a large weight loss the skin's elasticity (or capacity to shrink) will have diminished due to the stretching of the weight gain that came before, but...
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+4
Weight loss before a tummy tuck
First of all congratulations on your weight loss. There are several factors to consider when contemplating when to have your tummy tuck procedure.
First, are you still actively losing weight or have you plateaued for several months? If you are still losing weight, I would try to get as close to your goal as you can (as long as your think it it realistically obtainable) and then do your procedure. If your weight has stabilized, then it's probably okay to proceed.
One thing with massive...
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Vishal Kapoor, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+4
Do the "Tighten-Up" to Find Your Inner Self
In general, patients should be within 5-10 pounds of their ideal "goal" weight before having a tummy-tuck, liposuction, body lift, or other combined procedure, but there are always exceptions.
In some cases, patients will experience a much greater capacity for, and desire to, exercise and maintain or improve upon their weight loss efforts if the surgery is done sooner rather than later. These patients are stuck at a plateau of their weight loss efforts, because they see no...
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Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+4
Tummy Tuck and my goal weight
You should be proud of yourself for losing so much weight!
I tell my patients that they should be within 10 to 15 pounds of their goal weight before they have a tummy tuck, for the simple reason that the more weight that you lose, the tighter that you can pull the muscles towards the center and the more skin that can be removed. If you reward yourself with the surgery when you make that goal, you will feel even better knowing that you are as tight as you will want to be. Remember that...
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+4
As long as your weight loss goal is realistic, you are...
As long as your weight loss goal is realistic, you are best to have your surgery when you are closer to the goal weight. Additionally, it helps to be stable at the new weight for 6 months.
When you lose additional weight after a tummy tuck, you may diminish the nice tight appearance attained at the time of surgery with your skin becoming loose again.
One other thing to consider if you are losing large amounts of weight (massive weight loss >100 lbs), then a tummy tuck alone may not...
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Kent V. Hasen, MD
Naples Plastic Surgeon
Naples Plastic Surgeon
+4
In general, a patient should ideally be within 10-20...
In general, a patient should ideally be within 10-20 pounds of their goal weight and maintain that for a few months before proceeding with surgery. The risk of losing more than 25 or 30 pounds after surgery is that you will develop loose skin again and need a revision done. It is nice to have lost all of the weight but it isn't necessary as long as you are close.
+3
Go ahead and get your tummy tuck
I have found that many patients have these ideal goals as far as preoperative weight loss and many can hit a plateau and never get to their goals. These patients get frustrated and "stuck in a rut" and need something to "put them over the top" towards their goal. Carrying around extra loose skin of the abdomen can also affect one's ability to properly and efficiently exercise. I have found that by doing the surgery now, even it if is prior to your perfect ideal weight...
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+3
If you are planning to lose more weight, then the tummy...
If you are planning to lose more weight, then the tummy tuck results will more than likely be that much better. I would wait if you plan on reaching your goal weight. Good luck!
+3
Congratulations on your weight loss - that is quite an...
Congratulations on your weight loss - that is quite an accomplishment.
Here is how I approach this:
Although I have a goal weight, how long will it take me to achieve it?
How realistic is the goal weight I have chosen?
If you will get there in a reasonable amount of time and it is a weight you will maintain, then wait. You wouldn't buy a new wardrobe and then lose 30 lbs. Your skin is your wardrobe. If you contour the skin to your weight and lose 30lbs you will lose some of the cosmetic...
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+2
Dr. S’s 4 tips to know about weight goals before tummy tuck
1. Within 15% of your goal weight there will not be a significant difference in your result.
2. In many cases I have found that patients who wait to lose the last pound may get frustrated and boomerang back to their original wait.
3. I advise people to lock in a surgery and commit to it as a goal to stimulate losing the last bit of weight...
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+2
Reach goal weight before tummy tuck.
Hello. I recommend patients to reach their goal weight prior to having a tummy tuck for best results. Congradulations on your weight loss so far that is a tremendous achievement and not easy to do. Consult with a board certified plastic surgeon to be examined. I always recommend you find a few surgeons who are experienced and be sure to review their before and after pictures. Best of luck to you.
+2
No question: lose the weight first
Congratulations on a massive achievement. You have likely added years to your life, by reducing the possibilty of diabetes mellitus and high blood pressure. For massive weightloss patients like yourself, the ideal would be for you to achieve your target weight, and to be weight stable for 12 months. This is important since you need to have the healing potential to recover from a large operation. That said, it is reasonable to perform abdominoplasty when patients are...
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Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
San Diego Plastic Surgeon
+2
Tummy tuck and weight loss
I advise my patients that it is always best to achieve their goal weight and maintain it for several months prior to surgery. Every patient is different and your well trained surgeon will evaluate your body and your weight loss history to determine when it is realistic for you to schedule your surgery. The goal for any surgical procedure is for you to look your best and have long term results. Best of luck!
Christine Sullivan, MD
Columbus Plastic Surgeon
Columbus Plastic Surgeon
+2
Weight loss before a tummy tuck
Good job losing so much weight. It's always best to wait until you've reached your target weight before proceeding with a tummy tuck. If your weight has not stabilized, and your were to lose more weight after a tummy tuck, it's possible that your results could be negatively affected.
+2
Weight loss prior to tummy tuck
Congratulations on losing so much weight! I know that the excess skin that remains can be difficult to live with. The question of whether or not to lose additional weight is common. I tell patients what is important is to get to a weight they can maintain. I discourage crash diets or other "quick fixes" just to get that weight because after the diet the weight is put back on. The abdominoplasty can often accomplish that look of extra weight loss and when the patient feels...
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+2
Close to your weight loss goal is OK before tummy tuck
Weight loss goals are sometimes set so low that a person may never reach them, or if they do, they will rebound with a 20 lb weight gain after the surgery. So I don't require a hard and fast number be reached, but more importantly that you've lost as much as you think you can and your weight has been stable.
Mario Loomis, MD
Middletown Plastic Surgeon
Middletown Plastic Surgeon
+2
Lose weight before your Tummy Tuck
When one gains weight, fat is deposited both inside the abdomen and out side under the tummy skin. Expansion of fat inside the abdomen will stretch the tightened abdominal muscles while expansion of fat under the skin will stretch the tighten skin. Minimal weight gain will not have a significant detrimental effect but excessive weight gain will effect the results of a Tummy Tuck. Most patients after seeing the results of a Tummy Tuck on their body, become very motivated to change their...
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Ivan Thomas, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+2
Having a tummy tuck before reaching your ideal weight
It is common that someone who is successfully losing weight will find that the last few pounds are the toughest. As a rule of thumb, I will typically go ahead with surgery if the patient is within 15-20 pounds of their realistic goal weight. The procedure I do won't change within that weight range, so from a surgical standpoint it's not going to really make a difference whether you've arrived at your goal weight or you're 15 pounds above it. I have often seen patients get really...
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Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon
Santa Barbara Plastic Surgeon
+2
Wait until you reach desired weight loss before having tummy tuck
The cosmetic result of a
tummy tuck
will ALWAYS be better if you loose excess abdomenal fat before surgery.
Excess fat beneath the skin prevents the ability of the surgeon to maximally tighten the skin during surgery, and if excess fat is present, it can cause a roll or lump above the tummy tuck incision.
+2
Losing weight prior to tummy tuck
Personally, rather than talking pounds / stones / kilograms - it would be more accurate to consider your BMI. The closer you are to a BMI of 23-25 and remain there - the greater your results will be.
Ideally, for you to have the best possible cosmetic result you SHOULD be at your ideal weight (based on actuarial tables - not what you may feel is the goal (which could be too harsh or too lax)) for at least 4-6 months.
If a tummy tuck is done and you go one and lose more weight, you WILL have...
more
+2
Weight Loss before or after tummy tuck
I have a portfolio I have a large selection of photos of clients with lots of rolls of skin and fat and many who have just loose skin. The final result is the same. It is always healthier to lose weight if you are overweight, but this does not tighten the skin.
If you are obese, I suggest waiting until it is safe to operate and have a clearance for general anesthesia. It is often very good to lose weight afterward, and your tummy looks better.
I perform liposuction under your bra area...
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John Ward, MD
Phoenix Plastic Surgeon
Phoenix Plastic Surgeon
+2
Reaching your goal weight before a tummy tuck
Dear Cheryl,
You are almost there! If at all possible, I recommend that my patients reach within 10% of their goal weight before considering body contouring. It makes sense that if we "tighten up" everything to the optimum allowable conditions, it will become somewhat lax if you loose additional weight. I've found that 10% does not make a significant difference, so it is a reasonable goal. That being said, some patients hit a plateau and cannot seem to loss further weight. If...
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Michael A. Bogdan, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+2
You may be closer than you think
My experience is that weight loss patients often mistake the large, overhanging excess skin for fat. They do not understand their weight loss plateau as a result.
So I advise an early consulation with a plastic surgeon experienced with weight loss patients. This way you can get an idea of how much further you need to go. Being close to your ideal weight is always best for any type of plastic surgery !
+2
See a plastic surgeon now and develop surgical plan specifically designed for you
Cheryl Lynn:
First of all, my sincerest congratulations are extended to you for a job well done! You should be very proud of yourself loosing a hundred pounds. My advice to you is to find a competent, board certified plastic surgeon that is experienced in body contouring surgery in major weight loss patients.
You need to engage in earnest discussions and develop surgical plan specifically designed for you. After all, the timing of surgery is all about your wants and needs!
The excessive...
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Stephen A. Goldstein, MD
Englewood Plastic Surgeon
Englewood Plastic Surgeon
+2
Before tummy tuck, weight loss should be stable
Most surgeons feel that you should be at a stable weight (within 10-15lbs) for at least six months and ideally a year. This will maximize your results.
+1
Congratulations for your weight loss.
Be patient and wait until you reach your goal weight or your weight plateaus and you can not lose any more weght with a reasonable diet and activity level. If you operate too soon and remove your excess skin; additional weight loss may just leave you with more loose tummy skin. Its better to reach your bottom sustainable weight prior to surgery rather than to require a revision later after further weight loss.
Congratulations on you life saving weight reduction!
Best...
more
Douglas J. Raskin, MD
Colorado Springs Plastic Surgeon
Colorado Springs Plastic Surgeon
+1
Best if you are closer to your ideal body weight
Congratulations on your successful weightloss! I have found that my patients get the best result if they are within 10-20 pounds of their ideal body weight. Keep up the good work - you are almost there!
+1
Lose Weight Before Tummy Tuck Not After
Congrats on the weight loss. I know you are excited about your body contouring procedure. A tummy tuck is best done when you are near your stable body weight. As long as you are less than 10-15 pounds away from your stable weight you would be ready to go. The closer you are to your final weight the more skin redundancy that can be removed and the better the results.
+1
Should I lose more weight before getting my tummy tuck?
By all means lose the weight if you can. You will look better all around. It does depend on where most of the weight is, however. If it is in your hips and not much in your abdomen and waist, losing the weight will not matter as far as the tummy tuck is concerned. Since a tummy tuck always is combined with whatever liposuction is needed for the waist, abdomen and flanks, that fat is going to be gone whether you lose weight or not
+1
Goal weight for tummy tuck
Congratulations on your impressive weight loss! If 130 is a goal weight that is maintainable for you then I would say try to be within about 15 lbs from there to get the most lasting results from surgery. In the meantime I would meet with board certified plastic surgeons in your area to see their recommendations and perhaps even set a surgery date to give you a real tangible goal to shed a few last pounds. Good luck!! Dr Kerr
Mahlon Kerr, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
It's ultimately your decision!
As long as you are healthy and your current BMI (Body Mass Index) is 30 or below you actually have two options. 1 - Have your surgery know but know that you may need some touch up or additional surgery after another 30 lbs of weight loss or 2 - Wait until you reach you goal weight and then plan your surgery. I have done things both ways for my patients. Some patients choose to have surgery now which gives them further incentive to continue towards their goal weight and some...
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+1
Weight loss before tummy tuck surgery
This is always going to be a matter of choice for you to make. If you truly want to have the best result possible you should plan on losing the desired weight first. It does not look as good if you continue to lose another 30 pounds after the procedure is performed . This is true for tummy tucks as well as breast reductions, arm lifts, etc. If this last 30 pounds of weight loss becomes particularly difficult, I don't think you would be dissappointed with the...
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+1
Weight loss prior to tummy tuck surgery
Congratulations on your weight loss.
If you feel like you are at a plateau schedule a consultation. Most good plastic surgeons have busy schedules and it will likely be 6-12 weeks following a consultation that you can be scheduled for surgery. This will give you time and motivation to lose some additional weight. At your pre-operative visit the surgical plan might be altered slightly , but it shouldn't change dramaticallly.
+1
Weight Loss and Tummy Tuck Surgery
In general, it is a rule to be within 10-15% of your optimal body weight to do body contouring surgery as this will optimize your result. If you are a massive weight loss patient, you need to have maintained your weight for at least 1 ½ - 2 years after your gastric bypass or bariatric surgery. This will allow you to optimize the amount of skin excision and maximize your result.
+1
Weight loss before or after tummy tuck?
This is a frequently asked question. I believe you can go either way without having any detriment to your eventual result. You have already lost 100 lbs. 30 more is about 20% of the total. I would have no problem doing your surgery now and then having you lose the rest of your weight at your convenience.
All the best,
Talmage J. Raine MD FACS
Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Tummy tuck best done when weight loss is completed
If you are still in the process of losing weight, it is probably best to wait until you have lost all the weight that you are going to lose. However, since you are so close and if you find it difficult to lose the last part before your surgery, I would suggest that you can go ahead and have your surgery and still lose some more weight later. I would follow the advice of your surgeon.
+1
Weight loss before or after a tummy tuck
Congratulations on your weight loss! The question of when to have a tummy tuck depends on several factors. Ideally, you want to be as close to your goal weight as possible before having a tummy tuck to avoid the need for additional tightening if you lose more weight. On the other hand, a tummy tuck performed before you are close to your goal weight gives a psychological boost enabling you you make the healthy lifestyle changes such as diet and exercise to lose additional weight....
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Andrew Lyos, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
+1
Weight loss before Tummy Tuck
In a perfect world, you would be stable at your goal weight. Abdominoplasty is not for weight loss per se. Its is designed to help the shape of your abdomen, repair stretched muscles, and remove excess tissue. Usually patients are candidates if they are within a certain amount of their goal weight, (depending on their body habitus). The other thing is you don't really want to do the operation twice...
Continue to get healthy and lose weight. Please do not
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+1
Weight loss goal before tummy tuck not essential
Ideally, it is best to loose as much weight as possible before a tummy tuck. However, most people plateau after a significant weight loss such as yours, and it may be very difficult to get that last 30 lbs off. Don't beat yourself up if you can't loose all that you would like. If a reasonable diet and exercise fail to work, go ahead with the tummy tuck and enjoy your new body minus 100 lbs.
Kevin F. Hagan, MD
Nashville Plastic Surgeon
Nashville Plastic Surgeon
+1
Wait until you've reached a stable weight!
Congratulations on your weight loss! That's a terrific achievement!
For your health and to obtain the best results, it is best to hold off on your tummy tuck and wait until you've reached your target weight or a weight that you will be stable at.
This will give the surgeon a better idea of how your body will react and help him design a tummy tuck that will give you long lasting results.
Congrats again!
Best.
+1
Have a realistic goal weight and then proceed with the tummy tuck
I always want my patients to have a realistic and maintainable goals. If you believe you can realistically maintain a weight of 135 lbs. in the future with a combination of diet, exercise and healthy lifestyle, you should probably try to reach that goal before proceeding with the surgery. If 150 or 160 lbs. is a more realistic number for you, you'd be fine to go ahead with the surgery. In my experience, being 10 to 20 lbs. above a goal weight does not have a significant impact on the...
more
Deason Dunagan, MD
Huntsville Plastic Surgeon
Huntsville Plastic Surgeon
+1
Tummy tuck before your ideal weight
The classic teaching is to wait until you are done losing weight and remain at a stable weight before getting your tummy tuck. However, I have noticed patients often seem re-invigorated to lose weight and get fit after their tummy tucks, even if they had reached their goal weight before having surgery. They just felt so much better about themselves, and more comfortable in their clothes, that they hit the gym with more enthusiasm and changed their goals. In the end they reached a new goal...
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Anita Patel, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+1
Best to be at ideal weight before surgery
It's always better to be at your ideal weight before having body contouring surgery. You've already loss a tremendous amount of weight, congratulations!
If you have a significant amount of loose skin it would be reasonable to have the skin resected. This will help with the weight loss and allow you to feel better in clothing and likely help motivate you to get those last couple of pounds off!
Irvin M. Wiesman, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Weght loss before Tummy Tuck
Ideally you want to be at or around your ideal body weight before a Tummy Tuck.
30lb is a lot.
I think you should loose the weight first then do the Tummy Tuck, you will have a better result. After losing all the weight then you and your Plastic Surgeon can evaluate what you need to achieve the body immage you desire
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+1
Weight loss before a tummy tuck
FIrst of all, congratulations for the weight loss. I would recommend losing as much weight as possible before having the procedure done. Wait till your weight stabilizes to ensure the best result. If you have the procedure done before you reach yourgoal you may end up with lose skin and may require more surgery in the long run. In order to avoid that, consult with your plastic surgeon before you proceed with the surgery. Good luck to your future goals.
+1
Weight loss and timing for tummy tuck
Congratulations on your weight loss! So when is the best time for you to consider a tummy tuck. I generally recommend that you reach your ideal body weight before considering abdominal contouring procedures. I recommend that weight loss be stablized for at least six months. If you proceed with the tummy tuck too soon, and then you lose another 30+ lbs, you may need some revision surgery in the future (to tighten up new loose skin). Once your weight loss has been stablized for at...
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+1
Get to your "dry fighting weight" before getting a tummy tuck.
Congratulations on your accomplishments! I usually recommend patients get to their "dry fighting weight", the lowest that they can achieve and maintain, without reliance on diet pills and/or fad diets. Remember a tummy tuck is a fairly big undertaking and a patient should be prepared mentally, emotionally and physically for it. If you are chronically malnourished, wound healing may be slow and you may feel thoroughly exhausted.
Another advantage of loosing the last pounds is the...
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Lavinia Chong, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
Tummy Tuck when closer to ideal body weight
SEE VIDEO BELOW:
I would strongly encourage you to lose all your weight prior to undergoing the tummy tuck, To be frank, it is most likely that you will require an extended tummy tuck or even a full body lift (circufrerential belt lipectomy).
A tummy tuck will likely leave you with "dog-ears" that require revision.
see video
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
It is always best to reach your goal weight before surgery, if possible
In every case, it is always best to reach your goal weight first, if at all possible. At the very least, get down to a weight that you know you can maintain easily. This will only make things better for you, as you will reduce the amount of revisions that may be necessary. If you lose weight after everything is tightened then things might loosen a bit more, creating the possible need for additional surgery.
If you are actively trying to lose weight still, then keep up the good work until...
more
Scott W. Mosser, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+1
Weight loss before tummy tuck
Thanks for the question. When you describe "torn stomach muscles", what comes to mind to me is a tear in the muscle belly or possibly a muscle strain, generally brought on by excessive strain, either from exercise or some other strenuous force. While a tummy tuck or abdominoplasty will address several areas of interest in the abdomen, including diastasis or separation of the rectus abdominus muscles in the midline or linea alba, soft-tissue redundancy, and excessive lower...
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Jack Gelman, MD
Frankfort Plastic Surgeon
Frankfort Plastic Surgeon
+1
It is best to do tummy tuck surgery at your stable weight
Hello,
Try to get to the weight you feel you can maintain before surgery. This reduces the tendency toward revisions. If your weight changes much after surgery, then the result may change. This isn't common but it does happen.
+1
Target weight loss then have surgery for best result
The surgeons below have given good advice. Target weight loss will allow you the best chance to achieve the best result.
You've gone this far, keep up the good work.
Michael J. Brown, MD
Leesburg Plastic Surgeon
Leesburg Plastic Surgeon
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