Tummy Tuck for Skin, Fat, and Stretch Marks After Pregnancy?

I'm 5'11 and 249 lbs. After pregnancy, I have a hanging mass of skin, fat, and stretch marks. I went from 186 lbs to 277 lbs. I have zero elasticity, and 1 week after I had my daughter, I had dropped from 277 lbs to 231 lbs. I am still overweight and currently trying to lose the weight, but I have this hanging mass on my stomach of stretch marks and fat. It's horrific.

I want a tummy tuck and have done a lot of research, but how much will it cost me? How much do I need to lose before I should have the surgery? I don't accept blood at all, is that a concern?

Doctor Answers 26

Tummy Tuck in D.C.

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Several things will determine the best timing for your tummy tuck surgery. If you only recently delivered, then the welfare of you baby needs to come first whether that involved breast feeding or just being physically able to care for her. During this time you should try to lose weight hopefully returning to near your pre-pregnancy weight. Sometimes this is unrealistic in which case you want to return to a stable weight. Once your weight has stabilized and you are sure you want no more children, then it is time to consider tummy tuck surgery.

While weight loss won't change the amount of excess skin that you have, and may actually worsen it, you will be a better candidate for surgery and can expect better outcomes. Costs for this type of surgery vary depending upon the region in which you live. In the Washington DC area expect costs of $7500-10000. As for blood transfusions, this is a very rare thing to be required with routine tummy tuck surgery. Good luck to you.

Fairfax Plastic Surgeon

Tummy tuck for skin, fat, and stretch marks

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Hi, a tummy tuck will remove all of the skin, fat, and stretch marks below your belly button. This will also tighten your muscles and flatten your abdomen. The stretch marks above your belly button will not be removed, but they may appear less prominent after surgery since the skin will be pulled tight. You will have a much better result and an easier recovery if you are able to get closer to your target weight prior to surgery. Good luck, /nsn.

Look at your BMI - you are34

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Right now, your weight and height put you in the obese category. If you want a good result from a tummy tuck you must loose weight and get below 200 lbs. Then we can remove the excess skin and fat and you will look great. The price of this depends on where you live, In the NY region it is in the $10,000 range.

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Tummy tuck for a "Mommy Makeover"

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It appears as though you are a fantastic candidate for a tummy tuck! The cost is around $7,000 and blood transfusions are extremely rare for a tummy tuck. Concerning weight loss, if you're planning on losing a lot more wait for any procedure as you may get more hanging skin after the weight loss. Therefore, make sure your weight is stable for 3 months and then consider a tummy tuck. Check out some before and after pictures to get an idea of what you can expect from the procedure.

You are a very good candidate for tummy tuck surgery

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I would recommend to you that you get as close to your "ideal" body weight as you can prior to surgery. This will give you a better long term result. Your stretch marks cannot be removed completely but you will have significant fat removal and tightening of the muscles. Prices vary by physician and region and you should get multiple consultations to determine price and to meet your proposed physician. Not accepting blood is concerning as your chances of needing blood are far below 1%, but if you do develop a bleeding problem you could run into trouble. Good luck!

Removal of stretch marks with a tummy tuck

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You should always try to lose weight before a tummy tuck as the results will most likely change with weight loss. Usually the skin will loosen as the patient loses weight. Consider losing abour 40 Lbs given your height.

You will lose some of your stretch marks with a tummy tuck but not all. The stretch marks below the belly button will be removed. with an additional incision the stretch marks in the middle abdomen will also be removed. The stretch marks that are on the upper abdominal sides will not be removed.

Usually tummy tuck patient do not require blood transfusions but do realize there is a risk of bleeding with any surgery. Taking a supplement with iron before surgery can help boost your blood counts.

The cost of a tummy tuck will vary depending on location of surgery. Figure $7000 and up.

Sharon Theresa McLaughlin MD
Long Island City Plastic Surgeon

Tummy Tuck Cost

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Congrats on your weight loss!

It is important to be stable in weight before undergoing a tummy tuck. 

The cost of Tummy tucks vary significantly for a number of good reasons:

Prices vary greatly because the surgery itself encompasses a wide range of techniques that can be performed to different extents. My recommendation is to first find the most qualified surgeons where you want the surgery performed that are board certified by the American Board of Plastic Surgery you trust, then compare prices between them.

See the below link on suggestions on how to find the most qualified plastic surgeon for your procedure.

General Factors that influence the price of plastic surgery include:

1. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctor’s office? Geographical location also has a significant influence. RealSelf has average charges for most areas of the USA.

2. Type of Anesthesia - IV sedation or General Anesthesia? Will a board certified anesthesiologist, nurse anesthetist, or an RN be used?

3. Experience and training of your surgeon. The best and longest trained is most often a plastic surgeon board certified by the American Board of Plastic Surgery

4. Length and Complexity of Surgery - how difficult will your surgery be and how long it will take, etc. Will other complementary procedures also be also performed during the same surgery?


Tummy tuck for skin, fat, and stretch marks after pregnancy?

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Your photographs and description suggest that you would be an excellent candidate for an abdominoplasty if you lose weight. Ideally you should be within 10 pounds of your ideal weight before performing this procedure. Many patients desire to lose weight but just cannot. The more you lose however, the better recontouring you can expect. In the performance of a full abdominoplasty, an incision is made from one hip to the other. The incision is carried through the skin and fat layer and stops at the muscle layer. At this level the skin and fat layer is elevated off of the underlying muscle layer. This elevation is continued up to the belly button. An incision is then made around the belly button to keep it in it's normal location allowing the skin and fat layer to continue to be elevated up to the rib margin. Very often tightening of the muscle layer is then accomplished before removing the excess skin. The loose skin and fat layer is then pulled down snugly and the excess skin and fat is then removed. The belly button has not been moved or removed. It is still in it's normal location underneath the skin and fat layer. An incision is made over the belly button and it is pulled up to the surface and re-stitched in it's original location.
Losing her excess weight and having this procedure performed could be a life changing event. Good luck

Within 10% of ideal body weight is best...

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There’s no question that being close to your ideal body weight improves the results from tummy tuck surgery.It also decreases the potential for complications with this type of surgical procedure.For these reasons, we prefer that patients be within 10% of their ideal body weight at the time of surgery.
Unfortunately, reaching an ideal weight is easier said than done.The vast majority of patients are unsuccessful at losing this additional weight.It’s also important to realize that even when patients are overweight, they can potentially benefit from abdominoplasty.We therefore evaluate every patient on an individual basis.
Although bleeding can ocassionally be seen in post-operative abdominoplasty patients, this complication is fortunately rare.For this reason, it’s unusual for patients undergoing this procedure to require transfusions.
The cost of abdominoplasty is variable and depends on several factors, including the surgeon’s fee, facility fee, and anesthesia charges.Fees in the Midwestern United States typically range between $5,000 and $8,000.

Tummy Tuck

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Patient selection is one of the keys to safety in a tummy tuck or any other plastic surgery procedure. I regularly perform survey on people who do not accept blood. However, it is very important that patients are healthy, including being at a healthy weight prior to surgery in order to have the safest experience and best results.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 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.