Is it true if when you lay down your tummy goes flat you will have a better tummy tuck result? (photo)

Question

I've heard that if when you lay down on your back and your stomach goes flat, you will have better tummy tuck results, is this true? Mine goes so flat when I lay down but as soon as I stand the fat comes out and is bulgy.

Dallas Buchanan, MD · Answer

Thank you for your question. This is used as a test to gauge the amount of fat you have underneath the abdominal wall which cannot be addressed with a tummy tuck. So if your stomach is flat supine, then you have less of this type of fat which means that you stand to have a good result. But that being said, gravity works on all types of fat, so this "test" cannot guarantee a good result. You need to have a consultation with a local board certified plastic surgeon for an exam and discussion of surgical options.Best of luck!

George Marosan, MD · Answer

Thank you for your question and photo. It is true, that when your abdomen goes flat in the supine position, you will have a nice flat abdomen from an abdominoplasty, because you do not have a lot of intra-abdominal fat. The bulge you get when you are upright, is the muscle laxity or separation. You are an excellent candidate for a modified full tummy tuck with a short low pubic incision. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  If you are an appropriate candidate for a tummy tuck, this can be done through a low and short incision, all
completely below the bikini line.  The
belly button can be designed to look natural and have no scars on the
exterior.   Your muscles can also be
plicated resulting in a flat abdomen. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Gary Lawton, MD, FACS · Answer

Based on these photographs you appear to be an excellent candidate for a full tummy tuck with muscle reconstruction. This will flatten the muscles, reconstruct your core muscular corset, revise the belly button, eliminate the stretch marks from the belly button to the pubic hairline, and remove the loose skin and fat of the anterior abdomen.

Terrence Higgins, MD · Answer

Thank you for your questions and photos.

I believe that patients do have "better" post operative results with abdomens that are like yours.
however, most of us have abdominal contours that improve when we lay down.
You look as if you should have a homerun with your abdominoplasty.
Seek out a consultation with a board certified plastic surgeon who will evaluate your anatomy and review your options.
Best of luck to you!

Tom J. Pousti, MD · Answer

Although definitive assessment/advice would require more information (consider posting frontal/side views standing as well), I think that your statement does hold some truth to it. Essentially, patients who do not have excessive intra-abdominal (visceral) adipose tissue will likely have better aesthetic outcomes with tummy tuck surgery. When you stand, the presence of abdominal wall muscle laxity allows for intra-abdominal contents to "bulge" causing the appearance that you do not like (protuberance of the abdominal wall). Patients in your situation benefit from plication of the abdominal wall muscles and significant aesthetic improvement of their abdominal wall contours.

Best to seek in-person consultation with well experienced board-certified plastic surgeons for accurate assessment and advice. I hope this, and the attached link helps. Best wishes.

Best to seek in-person consultation with well experienced board-certified plastic surgeons for accurate assessment and advice. I hope this, and the attached link helps. Best wishes.

Peter Fisher, MD (retired) · Answer

Hello and thank you for your question. The answer is yes. It tells us that you have limited visceral  (intra-abdominal) fat allowing the surgeon to plicate your muscle fascia and give you a nice flat tummy. Peter Fisher M.D

Is it true if when you lay down your tummy goes flat you will have a better tummy tuck result? (photo)

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