Are there any procedures to tighten excess skin? (Photos)

It is possible that you may benefit from a mini tummy tuck. Most of your excess is midline and low below the umbilicus.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question regarding procedures to tighten excess skin. Thank you for your history and pictures. Regarding your abdomen, you have excess skin and, perhaps more importantly, a weak anterior abdominal wall. This can be seen on your profile view because the abdomen distends, significantly below the belly button. If you have liposuction performed, the abdomen will still distend. Because this is weakened muscle, the best treatment for your abdomen would be a tummy tuck or abdominoplasty. During a tummy tuck or abdominoplasty, an incision is placed low, and dissection is done up to the sternum. The rectus abdominis, or six, pack muscles, are sutured together, and the anterior abdominal wall is flattened. Then the excess skin and fat from typically the pubic region to the top of the belly button is removed, and the belly button is relocated. I believe anything short of this procedure; you will still have a protuberant belly from underneath the belly button to the pubic region. Liposuction will probably make it worse because you will eliminate only the fat. Good luck with your tummy tuck. I hope I helped to answer your question about what can be done to help tighten excess skin.
Sincerely,
Dr. Katzen

Based on your pictures, you may get significant improvement in your profile abdominal contour by having a mini tummy tuck performed. A mini tummy tuck addresses skin laxity below the belly button and if done correctly, results in a flatter abdomen and a well concealed scar. Alternatively, you may get some improvement with Renuvion technology that uses Radiofrequency energy to have a “shrink wrap” effect on the skin.
An in person or virtual consultation with a tummytuck specialist will provide you an accurate recommendation and pricing.
Respectfully,Brandon Richland, MD

The most reliable way to address excess skin is to remove it. You can consider J Plasma, but the results will depend on the elasticity of the skin. I've included a video that I hope you find helpful.

A mini tummy tuck can remove the loose skin, however the tradeoff would be the surgical experience and a horizontal scar. Depending on your goal, the result may also not be satisfactory for you, since some skin may remain to allow for movement.

Your problem has a very straightforward solution. A skin only mini tummy tuck should give you a very nice result. Your scar would be hidden under your underwear. I am surprised your plastic surgeons did not give you this option. Good luck.

Dear peter87,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I would need to pinch the area to see if there is much superficial fat that would be accessible to liposuction but it seems like there’s not much. However definitely would not do a tummy tuck. I don’t think it would help at all and not worth the scar

Hello. If the accumulation in the lower abdomen is primarily skin and not fat, liposuction alone would not be effective. However, to determine if that area can be flattened, an in-person evaluation is necessary, as this is the only way to accurately assess the degree of sagging and skin quality, and recommend the most appropriate procedure. You can contact us at 829-554-6062 for a quote.

You might do very well with minimally invasive radiofrequency skin tightening like ThermiTight or Renuvion to tighten your skin.