Tummy tuck or Bodytite? (Photo)

Question

Hello! I am a 39 year old female that has had two pregnancies. At my consultation the doctor recommended a mini tummy tuck with lipo on the stomach and bodytite. I'm wondering, can I get away with just bodytite? I didn't think to ask at my appointment and would so appreciate an opinion. Thanks! Also, I'm happy with how I look standing, but bending over and sitting down is what really bothers me.

Jeremy Bosworth, MD · Answer

I wouldnt necessarily recommend bodytite only but you could probably get away with doing liposuction and bodytite and have some good improvement. The biggest limitation to not doing a TT is that we cant address the muscle separation. It also is not as powerful at addressing skin laxity as cutting it out and pulling it tight is. If you are willing to accept the scar (which tends to be very low and easily concealable) you would have a great result from the mini TT and some liposuction. You could always do just the lipo and bodytite and if it ends up not being enough then the miniTT would still be on the table.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding getting a tummy tuck or having BodyTite.    Thank you for your history of 100-pound weight loss five years ago.  Thank you also for your pictures.  Examining your pictures reveals that you have no visible skin or fat when standing.  However, when you are in a sitting or forward position, there is excess skin and fat on the abdomen.  You must realize that everyone, even the skinniest person, has some excess skin when they bend forward.  This allows for their ability to stand upright.  If the abdominal skin were completely flat when you were hunched over, it would be impossible for you to stand up straight.  Therefore, some skin redundancy is normal.  You should consider yourself very fortunate, as most of your skin has fully contracted after your 100-pound weight loss.  Most people who lose 100 pounds or more have significantly more abdominal skin and fat in the abdomen and love handle region than you do. In terms of treatment, most plastic surgeons would agree that you do not need a tummy tuck or abdominoplasty.  If you’re considering a treatment, consider Renuvion, J-Plasma, or BodyTite. These can contract the skin alternatively.  If you want to sculpt your abdomen and achieve a defined rectus abdominis, consider VASER high-definition ab etching liposuction.  I hope this information helps clarify whether you may need a tummy tuck or BodyTite after losing 100 pounds.  Good luck.
To get an accurate assessment of what exactly you need, schedule a free virtual consultation.  Most plastic surgeons offer free virtual consultations.  Do your research.  Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it.  Carefully examine their before-and-after pictures and check their reviews on RealSelf.   If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (President of  the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Paul Flashner, MD · Answer

Hi! Thank you for your question! First off you look amazing for having two kids! You do not need a tummy tuck. You can get amazing results with the bodytite procedure, and it has minimal downtime! Bodytite is a minimally invasive procedure using radiofrequency under the skin that will destroy stubborn fat and also stimulate your own collagen and elastin to develop. We then liposuction all of our fat we have destroyed and do a complimentary treatment Morpheus treatment as an added bonus for additional skin tightening. I would recommend doing additional 3 Morpheus treatments to help with your lax skin and giving you the look you want to achieve. I hope this helps!

Danielle Shanley, MD · Answer

Yes, Bodytite would be a great option for you! You would have a fabulous result. Bodytite is a minimally invasive procedure using a small cannula to melt stubborn fat, and also stimulate your own collagen production to help with skin tightening. I would recommend a package of Morpheus8 treatments to help with additional skin tightening post procedure. I hope this helps!

Arif Eroglu, MD · Answer

Hello; while evaluating for the abdominal area, the upper or lower abdominal skin laxity, the amount of fat and muscle laxities are checked. If there is severe muscle laxity in the abdomen area; fat removal and skin tightening treatments (such as Bodytite, Renuvion J Plasma) do not give sufficient results. Definitely, the implementation is made for the muscles; it is also necessary for strengthening the abdominal wall as well. In this case, Lipoabdominoplasty or Classic Tummy Tuck is recommended. If there is no looseness in the abdominal muscles, if there are many wrinkles on the upper abdominal skin; again, Lipoabdominoplasty or reverse abdominoplasty must be realized. Because, the sagging of the upper abdominal skin; otherwise, it can not be corrected. However, just like you; abdominal fat; when you lean forward due to looseness in the lower abdominal skin; if skin folds occur, after Vaserlipo on the abdomen; a Mini Abdominoplasty will be sufficient. If there is no looseness in the upper abdominal skin zone; it is not necessary to make any other, extra applications onto that area. Nevertheless, if there is looseness in the upper abdominal skin; after Vaserlipo is applied to the abdomen; Renuvion J Plasma or Bodytite is implemented to the upper abdomen; for the lower abdomen; it is essential to practice for Mini Abdominoplasty.

Harry T. Haramis, MD, FACS · Answer

In my experience, Vaser ultrasound liposuction (or similar) addresses areas of concern and tightens skin without a tummy tuck. You appear to be an ideal candidate.

BodyTite with liposuction should be similar.

Before and after any treatment, the belly will sag or bulge when anyone bends over or sits. This should be improved but will never be as tight as when standing.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Camille Cash, MD · Answer

From the photos you could consider liposuction with J Plasma or BodyTite to help contour the abdomen.  If you have abdominal wall laxity however that will only be addressed through a tummy tuck.  All people will have some degree of skin laxity when bending or seated, but it can be improved with these procedures.

Diego Ampudia, MD - Account Suspended · Answer

Hello,
We encouraged you to check out our profile for outcomes achieved with simply lipo and Bodytite.
To achieve the best results, I suggest getting a tummy tuck.

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