What is a Tummy Tuck with plication, and do I need one? (Photo)

Based on your photos, you need a tummy tuck with plication of the muscle.  There is no other surgery that will be appropriate in your situation.

A
tummy tuck (abdominoplasty) is the operative procedure that reverses the
changes caused by childbearing, weight loss or aging by contouring excess fat,
removing the loose wrinkled skin, and usually tightening the stretched underlying
muscles of the abdomen by suturing (plicating) the layer of tissue over the muscle called
the fascia resulting in a flatter stomach and an improved waist. It can be
performed with or without liposuction of selected areas. Based on your photo but without examining you, a tummy tuck with muscle plication has the potential of producing a significant cosmetic improvement of your abdomen.Find
a plastic surgeon that you are comfortable with and one that you trust and
listen to his or her advice. The surgeon should be certified by the American
Board of Plastic Surgery and ideally a member of the American Society for
Aesthetic Plastic Surgery (ASAPS). If you live outside of the United States, the surgeon should
ideally be a member of the International Society of Aesthetic Plastic Surgery
(ISAPS). You should discuss your concerns with that
surgeon in person.Robert
Singer, MD FACSLa
Jolla, California

Tummy tucks combine the removal of extra skin, fat and tighten the weakened abdominal muscles. The tightening of the muscles is called "plication". Nearly all women who have had children can benefit from the muscle plication. It will tighten and firm up the bulge. This can be better explained whenyou go for your consultations. Good luck.