I’m 53. Lost over 100 lbs six years ago. Had TT with muscle repair, FDL, and LBL. My skin was not tight post surgery. I am kind of lumpy and have a lot of skin that I can pinch. Will a revision fix this?
Answer: Revision can help tighten your skin. After body contouring surgery, it is very common for the skin to be initially relatively tight and then have some degree of relaxation, as the skin has lost some of its strength and elasticity. If your surgeon tries to make the initial repair very tight, there is a risk of poor wound healing, and this is not a good option. Revising your areas of loose skin should help improve your already good result.
Helpful
Answer: Revision can help tighten your skin. After body contouring surgery, it is very common for the skin to be initially relatively tight and then have some degree of relaxation, as the skin has lost some of its strength and elasticity. If your surgeon tries to make the initial repair very tight, there is a risk of poor wound healing, and this is not a good option. Revising your areas of loose skin should help improve your already good result.
Helpful
April 23, 2025
Answer: Tummy tuck Congratulations on your impressive weight loss! From the photo it does appear you could achieve better results with further contouring. An examination is needed to determine if liposuction alone would be adequate or if a revision to the tummy tuck is recommended. See a board certified plastic surgeon to learn more.
Helpful
April 23, 2025
Answer: Tummy tuck Congratulations on your impressive weight loss! From the photo it does appear you could achieve better results with further contouring. An examination is needed to determine if liposuction alone would be adequate or if a revision to the tummy tuck is recommended. See a board certified plastic surgeon to learn more.
Helpful
April 23, 2025
Answer: Revision surgery Dear Forceful4906, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
April 23, 2025
Answer: Revision surgery Dear Forceful4906, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
April 22, 2025
Answer: Bellesoma Method and scar revisions Unfortunately, in your photographs you have not shown your breasts. There is a breast lift technique called The Bellesoma Method that will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique also pulls up the upper abdominal skin and will help with the excess abdominal skin. You would also benefit from scar revisions. Best Wishes, Gary Horndeski, M.D.
Helpful
April 22, 2025
Answer: Bellesoma Method and scar revisions Unfortunately, in your photographs you have not shown your breasts. There is a breast lift technique called The Bellesoma Method that will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique also pulls up the upper abdominal skin and will help with the excess abdominal skin. You would also benefit from scar revisions. Best Wishes, Gary Horndeski, M.D.
Helpful
April 20, 2025
Answer: Tummy tuck, FDL, LBL and loose skin remaining - will a revision fix this? Yes. There is skin redundancy and laxity of the lower abdomen, The abdominal wall can be tightened below the umbilicus, the lower excess abdominal skin removed appropriately, and a reverse tummy tuck to tighten the upper abdomen could be done at the same time, if necessary, or as a later secondary procedure. Since you already have a midline scar, the umbilicus could be freed and the flap dissected as in a primary tummy tuck, pulled down, and any residual umbilical donor-site hole sutured in the midline in continuity with the fleur-de-lis scar. The decision would be made in an in-person consultation to see what might work best.
Helpful
April 20, 2025
Answer: Tummy tuck, FDL, LBL and loose skin remaining - will a revision fix this? Yes. There is skin redundancy and laxity of the lower abdomen, The abdominal wall can be tightened below the umbilicus, the lower excess abdominal skin removed appropriately, and a reverse tummy tuck to tighten the upper abdomen could be done at the same time, if necessary, or as a later secondary procedure. Since you already have a midline scar, the umbilicus could be freed and the flap dissected as in a primary tummy tuck, pulled down, and any residual umbilical donor-site hole sutured in the midline in continuity with the fleur-de-lis scar. The decision would be made in an in-person consultation to see what might work best.
Helpful