Doctor's say no for tummy tuck for plus size. But yes to panniculectomy for obesity. (photos)

Question

Why is it not okay to have a tummy tuck after losing 80 pounds. Because I'm 220 and 5'4. But a doctor would do panniculectomy for someone who was 500lbs and went down to 330 but has more weight to lose. I'm pretty sure their bmi surpass my bmi. Please if any doctor can answer this question i will greatly appreciate it. Thank you in advance

Shayne Webb, MD · Answer

You need to see additional doctors in your area.  You need in person consultations but based solely on your pics, you likely are a candidate for a full tummy tuck or with extensions of the excision into the flanks (extended tummy tuck).  Liposuction would also need to be performed, you would need clearance from your PCP, and likely an overnight stay.  However, overall you appear to be a good candidate.Good luck.

Roxanne Sylora, MD · Answer

You are a good candidate for a tummy tuck if you are reasonably healthy, don't smoke, and don't plan to lose a significant amount of additional weight.  A doctor may consider panniculectomy only if you are trying to get full coverage by insurance to pay for your procedure.  Many insurances may cover  panniculectomy, but not a full abdominoplasty.  If you have additional scars, that may increase your risks for an abdominoplasty;  this would best be evaluated by an inperson consultation with a plastic surgeon certified by The American Board of Plastic Surgery.

Ramiro Morales, Jr., MD · Answer

Thank you for your questions and pictures..  I don't know.  I would be able to do a tummy tuck with lipo on you at the current weight as long as your expectations meet my capabilities.  Seek a second opinion by a Board Certified PS.

Thomas Trevisani, MD · Answer

I would absolutely consider a full and extended Abdominoplasty for you. Although your BMI is greater than 37, with medical clearance and participation from a qualified Internist, as well as overnight stay at the Hospital- this service can be safely provided.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

For health and safety reasons, best to be at a BMI less than 30 or within 10 pounds of your goal weight and stable at that weight for 6 months prior to surgery for optimal results.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

Director-Beverly Hills Breast and Body Institute

#RealSelf100Surgeon

Doctor's say no for tummy tuck for plus size. But yes to panniculectomy for obesity. (photos)

Answers (8)