5'0", loose and lumpy after weight loss - Is a tummy tuck the only option for me? (Photos)

Question

I’m 5’0” and went from 152 lbs to 119 lbs with a GLP-1. Really wasn’t expecting everything to be so loose and lumpy, but here we are :/ I feel like I’m stuck between a rock and a hard place where, if I lose anymore belly fat, I could be left with more skin laxity. I’m especially frustrated with the fat/skin/whatever they are pockets beneath my breasts. I’m also looking at getting a breast lift/aug to address the deflated appearance I’m left with and want to make sure I have the best “foundation” possible to put the new breasts on. Just wondering what I might be a candidate for and/or if anyone has any thoughts on if attempts at further fat shedding will just make the situation worse

Harry T. Haramis, MD, FACS · Answer

Unfortunately, after large weight loss your abdomen and breasts may appear different.

Breast implants with lift will restore fullness and perkiness.

Many of our patients will also combine Vaser ultrasound liposuction to address the full belly (under breasts to pubic areas) for flatter, smoother abdomen without a tummy tuck. This will remove stubborn, lumpy fat and tighten skin.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Gary M. Horndeski, MD · Answer

I would begin with your breasts using a breast lift technique called the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The horizontal crease in your upper abdomen may be resolved using this technique as this also pulls up the upper abdominal skin acting like an upside down tummy tuck. You may not need a full tummy tuck and only need a mini tummy tuck or liposuction.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From the submitted photos it appears you would have a great result from a tummy tuck with liposuction for contouring. This would address excess subcutaneous fat, skin, and correct abdominal wall laxity.  The liposuction would accentuate your natural hourglass shape.  The result would be a tighter, flatter tummy.  With liposuction alone you are likely to be left with more skin laxity.  The next step is to schedule a consultation with a board certified plastic surgeon near you.

5'0", loose and lumpy after weight loss - Is a tummy tuck the only option for me? (Photos)

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