Would a corset trunkplasty be a good option for me? (Photo)

Question

Long story short,my body is horrible.After 4 c-sections I'm covered in stretch marks that go well above the naval and cover my entire abdominal wall and sides. Also have fat and loose skin. Am 5'10 170 lbs. Wanting to rid myself of as much of it as possible,is a corset trunkplasty an option for me? It seems to remove more loose skin and fat/tissue (and stretch marks!!!)than any other style of tummy tuck? Thank u for your time.

Kenneth Hughes, MD · Answer

Tummy tuck with liposuction of the sides and back would likely produce the best results for you.Kenneth Hughes, MDBeverly Hills, CA

Gerald Minniti, MD, FACS · Answer

Hello,This is a fantastic procedure that tightens the skin in both vertical and horizontal vectors.  However, it is really designed for people who have had massive weight loss. It gets it power from recruiting skin that is all the way around the side of the body and bringing it to the front.  It is very impressive, but will leave you with a long vertical scar and two horizontal scars, one below the breasts and the other in the pubic area.  I think either a standard abdominoplasty or a fleur de lys abdominoplasty with it's vertical scar will be sufficient for you, however.  Go visit a few expert body contouring surgeons who are certified by the ABPS and are members of the ASAPS.Best of luck!

Jed H. Horowitz, MD, FACS · Answer

#CorsetTummyTuckThis operation can reduce volume all around but can also be done in stepsExtended abdominoplasty tightens the abdomen and the flanks or sides (longest scar extending around the flanks onto lower back.)You may do well loosing as much weight as possible first

Ross Blagg, MD · Answer

Hi, thanks for your question. The corset trunkplasty is one of the most effective ways to contour the lower and upper abdomen and can really create a great shape. You do, however, have more scars than the standard tummy-tuck so that is something to consider. If you are more concerned about your shape/overall contour more than scarring, then a corset trunkplasty could be a good option. However, if you would rather have an improved shape with minimal exposed scars, then the standard tummy tuck might be the way you want to go. Either way, liposuction will likely be a good thing to add to either. Some surgeons like to perform liposuction first, wait several months and then perform the contouring procedure as this can often give a better result. The best next step is to consult with a plastic surgeon to review these options. Best wishes.

Nelson Castillo, MD · Answer

Thank you for your questions and for sharing your photographs. I can see your areas of concern and you do have excess skin/fat, in addition to underlying muscle looseness, both of which can be improved with a full tummy tuck and muscle repair.  I would see a board certified plastic surgeon for an in-person assessment.  They will best advise you on steps to maximize your aesthetic outcomes while minimizing risk factors.  Once decided upon surgery, I would have you start a healthy diet and exercise regimen to reach your goal weight.  This weight should be one that you feel comfortable at, and can maintain, as fluctuations in weight will compromise your results.  Any weight loss before surgery will also maximize the amount of skin and tissue that can be removed.  Hope this helps.

Tom J. Pousti, MD · Answer

Thank you for the question and picture. You will likely be a good candidate for tummy tuck (standard or extended) surgery; definitive advice however would necessitate much more information. Best to do this operation when you are at your long-term stable weight, if you are not there already. Doing so will help improve the outcome of the procedure and minimize chances that additional surgery will be necessary subsequently.
Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
 When the time is right, seek consultation with well experienced board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with. It will be important to educate yourself about the potential risks/complications associated with surgery and have a good idea of realistic expectations. I hope this, and the attached link, helps. Best wishes.

Vincent D. Lepore, MD (retired) · Answer

There are several options for improving the contour of the anterior abdomen following multiple C-sections.  These can include a full or extended abdominoplasty, a fluer-de-lis abdominoplasty (inverted "T" incision), or a corset trunkplasty (A capital I shaped incision).  In most cases the corset trunkplasty is reserved for patients who have had substantial weight loss and have excessive skin excess in both a vertical and horizontal direction in both the upper and lower abdomen.  You may be a good candidate for any of these procedures, but to determine which would be best for you would require a physical exam.  Discuss these options with your plastic surgeon.  I agree with Dr. Pousti, working on getting down to a reasonable, stable  weight will help improve your result, regardless of the procedure you choose.  It will also help decrease risks.  Best wishes, Dr. Lepore.

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