Thanks for sharing your question. I can appreciate your concern.
Exercise will be great in preparation for future surgery. Weight loss is not going to solve the skin laxity after your weight loss.
Finally, make sure that you have a consultation with a board certified plastic surgeon.
Wishing you the best in your journey
It looks like you would benefit from a full tummy tuck to address loose skin, excess fat tissue, and abdominal muscle separation.
Diet and exercise can definitely help, but if there is muscle separation a tummy tuck would be the only way to repair that separation. You may or may not achieve the toning you want to achieve through exercise alone if there is muscle separation, but you still want to attain and maintain your weight-loss goal prior to surgery to attain the best possible results following a tummy tuck.
All surgery comes with risk, and a tummy tuck is no different. Be sure to speak with a board certified plastic surgeon to discuss your goals and your specific options.
Having kids can be really hard on a gal's body. The babies can stretch out the stomach (rectus muscles) on each side of the belly button and multiple births make it worse. Of course, the goal is to get down to a good, stable weight with improvement in your strength and fitness. But sometimes my patients still have the separated muscles and no amount of core workouts can push them together that final distance. The skin can also be too stretched out and after weight loss, it can be loose and floppy. This is where the tummy tuck comes into play. It will repair the muscles and remove the excess skin. These are things that diet and exercise cannot do. Visit with a board certified plastic surgeon early to set some goals and then do a regroup visit in 6 months. Sometimes just setting the goals is helpful.
Currently you are not a candidate for a tummy tuck. You need to lose a significant amount of weight through diet, exercise, or weight loss surgery to lower your BMI to less than 30 otherwise your risks are too great.
Thank you for the question and the photo. Exercise combined with a weight loss regimen is always advisable prior to having a tummy tuck. In order to guarantee individualized medical advice, however, I would recommend scheduling a consultation with a board-certified plastic surgeon for an in-person examination. Based on the information you provided, a full tummy tuck should be most effective in correcting excessive skin, muscle separation, and bulging of the upper abdomen. As always, an in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain reliable medical advice. Best of luck! Dr. Michael Omidi.
Significant weight loss combined with exercise to strengthen the abdominal muscles will help but they will not correct the potential loose skin you would have if you were successful with the weight loss and the exercise.
Weight loss before you undergo a tummy tuck is of significant value but you will not be able to tighten the muscles and tissues that have been stretched by your pregnancies. Make every effort to get to a healthy and maintainable weight before undergoing anesthesia and surgery for the best results.
Good luck and enjoy your results,
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California
Both your husband and you are correct. Muscle toning and weight loss will help to diminish the fat not only hanging on your belly but also reduce the internal (visceral) fat that would allow you to have a flatter tummy. However, the tummy tuck is necessary after the weight loss to remove the excess hanging skin that cannot be improved through weight loss alone. Good luck.
You may not be able to achieve good muscle tone, but to get the best that tummy tuck has to offer you should try to reach a goal BMI through a weight loss program. This will make the skin laxity issue a bit worse, but after the tummy tuck you will be far better off.
Thank you for the question and the picture. I encourage you to loose some weight before surgery, however you will not be able to tighten the loose skin or repair your muscle weakness with exercise.Make an appointment with a board certified plastic surgeon for consultation. I think you are an excellent candidate for this surgeryand that you can get a dramatic correction. Good Luck