Mommy makeover needed. Do I have too much skin to get tummy tuck & do I need to lose more weight before it can be done? (Photos)
Doctor Answers 11
A combination of procedures, including a lower body lift, may offer the best results.
Congratulations on your weight loss success! After extensive weight loss, it’s common to have excess abdominal skin. A lower body lift, which combines a tummy tuck with an outer thigh and buttock lift, can eliminate loose, hanging skin, improving your contours and resolving your discomfort. Good plastic surgery candidates have a BMI of 30 or lower. Given your current weight, you’d need to lose about 15 pounds to put you on the safe side of the BMI scale. I’d recommend a breast lift as a separate surgery from your lower body lift. The cost for these procedures varies according to the plastic surgeon you choose and the amount of time it takes for the surgeon to complete the procedures. Consult with a board-certified plastic surgeon who specializes in post-weight loss plastic surgery.
Mommy makeover needed. Do I have too much skin to get tummy tuck & do I need to lose more weight before it can be done?
If you anticipate staying round this weight then have your abdominoplasty now. If you think you are going to loose more weight then wait to do it then.
Dr. Jaime Campos-Leon
Board Certified Plastic Surgeon
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Abdominoplasty and Liposuction
Nice job on the weight loss! Honestly you appear to be getting pretty close to a goal weight. The main thing is, are you there, and has your weight been stable? Ideally, we want it stable for a minimum of 6 months. With all of your issues related to skin care, you should also try to get insurance to cover the panniculectomy part. That won't cover everything you need but will help. Essentially, you need a circumferential lift, or body lift, and a breast reduction/lift. Sometimes other things are needed as well - I'm sure your PS will let you know how he/she can help you best. Keep up the good work!
Safety as first priority
Thank you for the question and congratulations on the weight loss! The decision on whether to proceed with body contouring after weight loss can depend on how you lost the weight (diet/exercise, surgery), how long you've been at a stable weight, your current nutrition, etc. Also, after massive weight loss, many patients have excess skin/tissue that goes around to the back, and so may be better treated with a body lift (like a tummy tuck that goes all the way around). The options are very patient-specific depending on your wishes as well as based on your body. I recommend that you consult with a Plastic Surgeon so that you can have an examination and opportunity to ask questions about your options. Have a blessed day!
Candidate for a tummy tuck
Congratulations on your weight loss. It is best to be at your goal weight before undergoing surgery. Your current BMI is ~31. Most surgeons prefer you to be under 30. You mention lifting the butt which is more than a tummy tuck. That usually requires a circumferential body lift to lift the buttock and outer thighs. This includes a tummy tuck but goes completely around the back. Cost tend to vary greatly based on where you live. Best to be evaluated in person. Good luck and again congratulations on your weight loss.
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