What Would You Recommend After Weight Loss? (photo)

Me: 26, used to weigh 300lbs 10yrs ago, now at 200lbs. My questions: 1. What do you recommend based on the pics? 2. I will not be getting Muscle Repair-- I'm 100% firm on this decision. Whats the diff. in recovery time, honestly. And is this cheaper? 3. How can I best prepare post and pre-op? 4. With such a sharp upper abdomen 'fat cliff' as mine, and the tissue being noticeably thicker there, can I expect that it will, po, not protrude? 5. Does liposuction 'come with' or is it more (flanks)? :)

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7 Doctor Answers | Asked by melving

Doctor Answers (7)
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What surgery is best for me?

You have a lot of extra skin after your weight loss and I think a tummy tuck alone is not going to make you happy. I think you probably need to discuss with your surgeon the pros and cons of a circumferential abdominoplasty and liposuction. This will get rid of a lot of the loose skin in the front but also the loose skin that you have out in the love handles. Not having the muscle repair is unlikely to change the cost in your case. The upper abdominal area that... more

No muscle repair with a tummy tuck may limit your result

Thank you for your question and photographs. Congratulations on your weight loss. If you are planning to lose more, it would be best if you did that before your surgery. Not having the muscle repaired at the time of your tummy tuck will likely reduce your pain and speed your recovery but may reduce how flat your stomach will be after surgery. The muscle repair only takes a few minutes so there isn't much difference in cost. Some liposuction of the abdomen may be done as part of the... more

What Would You Recommend After Weight Loss?

Many thanks for the question. I think if you have been successful in losing 100 lbs then perhaps continue to lose some more. If you loose weight after any of the surgeires the results achieved will be lost.A good Breast lift then and Liposuction with circumferential tummy tuck may the answer for you. In my practice I do Breast and the tummy in two stages to reduce the risk of postoperative complications. Circumferential Tummy tuck with Liposuction is a big procedure by itself .Wish you all... more

Options in body contouring surgery

Congratulations on loosing 100 pounds. The first question is this your ultimate goal weight or do you plan on loosing more weigh as this will effect your final result. If you are planning a skin only abdominoplasty without repair of the underlying fascia you may not get a totally flat result but it may be all you are looking for. It appears that you would be a candidate for an extended abdominoplasty with liposuction of the upper back and posterior hips. There will be... more

Tummy tuck without muscle repair

You could certainly have a tummy tuck without the muscle repair and add some liposuction. The real question is which operation is right for you. If you do have loose muscles, then the tummy tuck result will be compromised and potentially aesthetically unacceptable if you don't have the muscle tightened. I would hate to see you go through the expense and the pain of surgery only to be dissatisfied because you opted out of what could be an essential element of the procedure... more

What surgery after weight loss

You could go a couple of ways. one would be a tummy tuck with liposuction of the hips and flank region. I personally do not like the vertical scar approach to the abdomen. I do not like the scars, or the result. the other alternative is a lower body lift with circumferential tightening. you may need an upper body lift in the future to tighten under the bra line if it bothers you. a mastopexy or uplift would complete the torso improvement. that could be done at the same time as the... more

Rick Rosen, MD

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Norwalk Plastic Surgeon

What Would You Recommend After Weight Loss?

I see two good options. Vertical abdominoplasty. Here there would be a horizontal incision in the lower abdomen, and a vertical incision from upper abdomen to lower abdomen. This will result in removing the excess tissue in both vertical and horzontal directions, and will do some tightening part way around the back. The amount of protrusion will depend more upon the intraabdominal contents and the non-tightened abdominal wall. "Belt lipectomy, with a tummy tuck incision... more