Do I need a Tummy tuck to lose the lower belly overhang? (photos)

 A tummy tuck would give you the best result. Liposuction would likely leave you with some loose skin and an irregular contour to your skin. If you become pregnant after a tummy tuck however, your skin/abdominal wall may not be as tight as it was before the pregnancy. Consult with an experienced plastic surgeon for a detailed exam in person.Best wishes,Dr.Bruno

Excess skin is common after weight loss even in women who have never been pregnant. A tummy tuck is certainly an option to consider. I recommend that you seek out several board certified surgeons in your area to consult with about your situation.

Based upon your pictures, I think that a tummy tuck would give you a very nice result.Kenneth Hughes, MDLos Angeles, CA

Thank you for your picture.  I would recommend that you continue to get down to your goal weight and if you still have some contour issues with you stomach then consider liposuction.  You are young and have not had your stomach wall stretched by pregnancies.  I would not recommend a tummy tuck at this time for you.  Seek several consultations with board certified plastic surgeons for the most accurate recommendation

Specially because you are very young and haven't had children, you should be enjoying your body, wearing whatever you want to and feel very proud of your beautiful, curvaceous and youthful body. After a significant amount of weight loss it is very common to see patients like you who have developed saggy skin on abdomen and the only way to get rid of it and have an extreme result: flat, tight and curvaceous abdomen and shape will be a Tummy Tuck and muscle repair which will not  interfere with future pregnancies.Incision should be placed very low to be easily to hidden under a bikini. Be encouraged,  you will be loving your results 

Yes, you are a good candidate for the procedure given the photos you provided. Ron Hazani, MD

Exercise, a healthy lifestyle, and sensible diet all play a
role in maintaining health. There are a variety of surgical procedures or combinations that
can produce good results in patients with abdominal laxity, depending on multiple factors
including their anatomy and degree of desired improvement: A mini tummy tuck,
an umbilical float modified tummy tuck, a full abdominoplasty. Each of these
can be performed with or without liposuction and with or without abdominal
muscle repair. They produce different degrees of improvement.

No
matter which procedure that you decide to undergo, other than just liposuction, it is advisable that you
should wait until you are finished having children.

Following
the advice of anyone who would presume to tell you what to do based on two
dimensional photos without taking a full medical history, examining you,
feeling and assessing your tissue tone, discussing your desired outcome and
fully informing you about the pros and cons of each option would not be in your
best interest. Find a plastic surgeon that you are comfortable with and one
that you trust and listen to his or her advice. The surgeon should be certified
by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.

Robert
Singer, MD FACS

La Jolla, California

Thank you for posting your pictures. The best thing you can do to get the best long lasting results is to get down to your ideal weight. Once you are at your ideal weight for at least 6 months then you can discuss which procedure would be best for you with your plastic surgeon. In essence, since you have not had any pregnancies, your underlying abdominal muscles should not be stretch. Also, seems to me that you have good young skin, which could contract enough to get you a great result after removing the underlying subcutaneous fat with liposuction (abdominal area and flanks). If you are planning on having kids, do not waist your time or money on a tummy tuck now. Hope this was helpful. Good luck!

A tummy tuck is a good operation for someone (male or female) who has excess skin on their abdomen from massive weight loss or from having their skin stretched by pregnancy. It often is not needed by a young woman who has not had these issues. You have lost some weight and this is great. You should continue to lose a bit more and the bulge in your abdomen will decrease more. Liposuction could be another possibility to get rid of some the extra fat and the rolls will decrease. If you lose more weight or fat and the skin remains loose then you may be a candidate for a tummy tuck but remember that for a small improvement in your particular skin there will be a large scar. Another option would be a non invasive skin tightening such as Exilis. This will not tighten as much as an abdominoplasty (tummy tuck) but does it with no down time and no scar. Younger women that have not been pregnant or massively overweight often respond well to this method. I would continue with some weight loss and then see an expert plastic surgeon if it still bothers you.

Congratulations on your weight loss! Please do your best through diet and exercise first. Best wishes.