Too much visceral fat for Tummy tuck???? (photos)

I would recommend being seen in person to be examined and to further discuss your goals and expectations. Based on the pictures you have provided, it would seem that you would be a good candidate for a tummy tuck and a breast lift with or without implants. I am assuming your BMI which takes into account your height and weight is 30 or less and your weight has been stable for at least 3 months.   Based on your body habitus, I am quite confident that a T scar will likely NOT be required, however, an in person examination would be helpful to know for sure. In general no surgeon can absolutely guarantee that a T scar will not be present when you wake up, so it is important for you to understand that there might be a scar. Most women are accepting of the T scar rather than a high riding horizontal scar that would be more visible above your underwear etc. ,which would be the only way to make sure you did not have a T scar. I also recommend seeing a board certified plastic surgeon who perfoms many breast and body procedures.  I typically perform liposuction of the flanks and lower back as well during my tummy tuck procedures.Best wishes,Dr. Ravi Somayazula

Thank you for the question and pictures. Despite good intentions, online consultants are not in the best position to provide you with meaningful advice. Much will depend on physical examination when it comes to determining the location of  any adipose tissue present. For the benefit of other patients  wondering about "visceral fat":  the tummy tuck operation does not address visceral fat; this fatty tissue is located around the intraperitoneal organs. The tummy tuck operation serves to remove loose/redundant skin and reapproximate abdominal wall muscles that may have spread with weight gain/loss and/or pregnancies. Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight. I would suggest that you meet with well experienced board-certified plastic surgeons who can demonstrate lots of experience achieving the types of outcomes you will be pleased with.  After physical examination, and possibly with the help of visual aids such as before/after photographs, your plastic surgeon will be able to communicate what you can expect with the tummy tuck operation in your case. Best wishes.