Follow-up: What do you mean by "realistic expectations"? (referring to question posted from 32 yo childless F) (photo)
This question is a follow-up to: "Excess skin removal options for 32yo F 5'11" and isnt candidate 4 abdominoplasty. (photo)"
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Doctor Answers 8
Having realistic expectations?
The bottom line is spend some time with a face-to-face consultation with your chosen surgeon to make sure that you understand healing course as well as reasonable expectations of what changes can be accomplished. Best regards and good luck.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California
What do you mean by "realistic expectations"?
Thank you for the insightful question. Generally speaking, achieving realistic expectations is an important part of the preoperative "process"; this involves very careful communication between patient and plastic surgeon when it comes to what the patient wishes to achieve and what is ACTUALLY achievable. In my opinion, this is often best communicated with the help of visual aids such as photographs (for example previous patients).
Failure to achieve realistic expectations prior to surgery may be a cause of patient satisfaction, despite a well executed and complication free procedure.
I hope this, and the attached link, helps.
Abdominoplasty maybe patient
The reason you are having problems is that you are not a great candidate for this procedure. You have some fat. You have some skin. If you do the abdominoplasty, the skin may be so tight that it may not be possible to close it nicely, and it may leave excess fat behind. If you do lipo, then you may have loose skin. It's actually easier to treat patients with more of a problem, because when you have a LOT of loose skin then it easier to transpose the belly button so that the scar looks good (hard to explain quickly on RS sorry). I think you should work on dropping the fat, through lipo if there is no other way, and then see what the state of the skin is, maybe it looks great and you avoid a big tuck. You can use some of the energy derived lipos as then may do a slightly better job at the tightening, look for "high-def", VASER, slimlipo, and that type of thing, someone ideally who does this a lot. And make sure your doctor agrees with you about your problems, it's weird if they don't agree with you but treat you anyway
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Realistic expectations from a tummy tuck
Unrealistic expectations come from expecting something that surgery cannot deliver. Often it is the doctor's fault (over promising); likewise it can be the patient's fault if they are overly perfectionistic.
You should always leave a consultation with your prospective surgeon with the impression that they are honest about what you can expect from your surgery.
Follow-up: What do you mean by "realistic expectations"?
Tummy tuck realistic expectations
Mini tummy tuck
From the pics I would offer a mini tummy tuck and lipo of the upper abdomen and flanks. This is because your belly button appears very high and I wouldn't want to have a verticle component to your scar. Mini tummy with an incision hip to hip because there is a lot of skin . Another option would be to do full liposuction of the entire abdomen so you don't have a scar. You need a good exam in the office to be sure. Just my thoughts from the one pic I see. i hope this helps. Look for a board certified plastic surgeon...good luck!
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.