Tummy tucks address excess abdominal skin and loosening of the abdominal wall after pregnancy and weight gain. Although most people need both, not everyone does. For instance, most men do not need muscle tightening unless they have a potbelly or lost a signifcant amount of weight. I have even talked fitness competitors against muscle tightening because it takes the six pack and makes it a 3 pack. However, for the short amount of recovery time, I would not suggest talking your surgeon into not doing the muscle tightening because of pain. We have several options to decrease the pain, and in the long run you won't be happy with the result if your excess skin has been removed but you still have a loose abdominal wall. An in person consultation and examination will help you determine the best options.
Thank you for your question. Tummy tuck, also know as abdominoplasty, is a procedure to remove excess skin and fat from the lower abdomen and to restore the weakened abdominal wall, giving a firmer and smoother appearance. If you only have excess skin from wieght loss and dont have a weakened abdominal wall then you might not need to do muscle repair. An in person examination with a Board Certified Plastic Surgeon would be the best way to determine wheter you need it or not.
Tummy tuck is a very powerful technique in the right hands, and can have dramatic results if done correctly. You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety. Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.
Of course you can have a tummy tuck without tightening the muscles. Most surgeons will evaluate your muscle at the time of surgery and only tighten them if you need it done. That is standard practice. If you have loose muscle fascia and do not repair it you may still have a round appearing abdomen after the surgery. It is a decision you should discuss with your surgeon. Hope this helps.
Every surgical resident is taught to stay away from absolutes like never and always. We have all seen a small minority of cases which defy what we normally see. But these rare cases are the exception but the rule.
Ask yourself WHY do you have excess skin after pregnancy? How could a rapidly growing uterus permanently stretch the skin above the muscles but not stretch and split the muscles under the skin? That is a physical impossibility. So, by avoiding a muscle tightening and performing only a skin removal, we are leaving behind the muscle laxity which goes by the names Mommy Tummy/Muffin Top etc. Therefore, IF muscle separation exists, it should be corrected if a flat tummy is to be obtained.
A great muscle repair can be done with minimal discomfort if the area is injected with a local anesthetic.
Peter Aldea MD
Thanks for the question. As always, a full examination is always helpful. Did you have stretching to the abdomen because of previous pregnancies or was it from weight loss? Do you desire subsequent pregnancies, and if so this would be the wrong time to have a tummy tuck. Be aware that the best tummy tuck results usually involve using internal stores, particularly if the muscles had been stretched out by the stretching movement of pregnancy from the past. As you can see this is why a full history and examination will prove to be very important in guiding your decision to the proper opinion.
Good luck to you.
FrNk Rieger M.D. Tampa Plastic Surgeon
Thank you for your question. It is possible to have a tummy tuck that only involves removal of the excess skin and fat of the lower abdomen and does not touch the underlying muscles. Albeit rare, there are some women whose muscles do not have a distinct separation or laxity that would benefit from repair. Hope this helps.
Thanks for the question.
I recommend you to send your photos to us to give you the advice you need.
Dr. Emmanuel Mallol.-
Yes, most of the pain is focused on the tighten muscles. Far better results, cosmetic and functional, are obtained when the muscles are tighten in a TT. Thank you for your question.
The need for muscle repair can best be determined during the operation. If needed - is can improve the result. The discomfort post-op overall is diffused and not exclusively limited to the muscle repair - which is is really the fascia or tissue over the muscle. I would leave this decision up to your Surgeon. But - yes, you can sign a consent indicating that no matter what the condition- you oppose muscle repair.
Yes, this may be done and the results may not be as nice but it is an option. Consult with a board certified plastic surgeon. Look out for poorly qualified doctors who may try to do this procedure it may seem crazy but now primary care and ER docs now do cosmetic surgery. Good Luck!