How to Get Rid of Pregnancy Fat?

i have 3 kids and a doc i saw says i need a tummy tuck. i was given a lot of steriods during all 3 pregnancies and full bed rest. i dont want to be perfect, only shaped up. my main concern is the pubic area and the hips. no matter what i do i can not lose these areas. would smartlipo help with these issues and be less costly? should i try regular lipo and eat the cost? or maybe i should just continue not be happy with my reflection a little longer until the cost come down?

Doctor Answers 57

Post Pregnancy Fat: What's Best

The significant changes that pregnancies cause to the skin and muscle of the tummy can exceed what can be improved with diet and exercise.

Your history of steroid medication is an important element and you must discuss this with your plastic surgeon.

Liposuction procedures will remove excess fat, but will not significantly reduce excess skin.

Consult with a plastic surgeon who can tell you if liposuction or tummy tuck is the better alternative for your situation.

Denver Plastic Surgeon
4.7 out of 5 stars 41 reviews

Pregnancy fat

You should not determine which procedure you will have because of the cost. If you are going to proceed with plastic surgery to enhance your aesthetic appearance and confidence, you should have the correct procedure done, whatever that may be. Many women following childbirth will benefit from an abdominoplasty (tummy tuck) to get rid of excess skin and fatty tissue and to reconstruct the loose abdominal wall muscles.

Having said this, there is the rare woman who will have excellent skin elasticity and good muscle tone following childbirth and they may be an ideal candidate for Liposuction. Good luck.

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 225 reviews

Best to save for the tummy tuck

If a patient has enough skin laxity and excess that they need a tummy tuck, they will NOT be happy with the results of liposuction - traditional, Smart or otherwise.

When this is the case, it is a waste of your hard earned dollars to do a procedure that won't work for you. You would be best under these circumstances to save your money and budget for the tummy tuck operation. The costs might currently be as low as they will get - many offices are offering surgery at reduced rates because of the economy. If the economy begins to recover, expect these prices to immediately go back up. So don't wait too long expecting prices to go down farther.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Shaping up after having babies

In a tummy tuck your surgeon can do three things.

  1. Remove excess fat
  2. Repair the muscles
  3. Remove excess skin

The operation which will improve your appearance depends totally on what your problem is. If you have fattty deposits with good skin and muscle tone, then you may be alright with just liposuction. However if you have loose skin or damaged muscles then a tummy tuck may be whats required. Your plastic surgeon will be able to help you with this decision.

Frank Lista, MD
Toronto Plastic Surgeon
4.5 out of 5 stars 111 reviews

How to get rid of hip and pubic fat with liposuction

Smartlipo doesn't cost any more than regular lipo for small areas. It costs less, if it is done in the office OR under local tumescent anesthesia.  The pubic area can be treated the same as any area, such as the hips. Whether you use laser or regular liposuction you can remove diet-resistant fat.  I have Smartlipo MPX and I like it a lot.  When you can afford a tummy tuck with liposuction at the same time, you will have a definitive result. Until then, treating localized areas at much lower cost is a great idea.

Robert M. Lowen, MD
Mountain View Plastic Surgeon
5.0 out of 5 stars 49 reviews

Tummy tuck after pregnancy

After pregnancy you can often have stretched out skin and altered distribution of fat. In most cases a tummy tuck combined with liposuction is the best procedure. In this procedure, we can tighten your abdominal muscles and remove the extra skin. Some patient choose to have a breast augmentation with or without lift at the same time. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Consult 2 board certified plastic surgeons for best advice on post pregnancy fat

Consult two board certified plastic surgeons and follow the advice of the doctor who seems most knowledgeable and sincere.

The doctors advice should make sense to you. If you have significant loose skin then you likely need a tummy tuck and will be unhappy with loose skin left after liposuction alone.

If you primarily have fat deposits and your skin is not loose then liposuction may be all that you need.

laser liposuction like SlimLipo and Smartlipo can tighten skin as well as remove fat. But these procedures are new and finding an experienced board certified plastic surgeon with experience may be challenging. Do your research and trust your "gut feelings' about the advice you are given.

Pregnancy Fat Deposits

First, nothing is better than diet and exercise. The problems after pregnancy include the bulge of the abdominal muscles, excess fat, and excess skin. Unfortuneately, if the muscles are stretched apart, also known as rectus diastasis, no amount of exercise will completely correct the problem. Surgical correction by abdominoplasty or mini-abdominoplasty is required. The choice of abdominoplasty or mini-abdominoplasty is usually dictated by the amount of excess skin.

Richard P. Glunk, MD (retired)
Philadelphia Plastic Surgeon
3.8 out of 5 stars 5 reviews

Steroids, Pregnancy, and Stress can affect the abdomen: Planning tummy tuck abdominoplasty

Stress, pregnancy, hormones, and steroids can all affect the anterior abdominal wall. If you presented to my office, I would encourage someone in your position to maximize their exercise regimen, reduce stress, reverse the effects of steroids with Vitamin A, and wait 6 months for your skin to recover.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Save up for a tummy tuck

For patients having multiple difficult pregnancies, especially requiring steroids, there is likely to be a great deal of extra skin. Steroid therapy can also cause the deep layer to loosen. The best and most satisfactory way to remove skin and tighten the deep layer is via a tummy tuck.

Your best bet is to save up and have the tummy tuck rather than lipo alone. Lipo techniques do not significantly tighten this type of skin, and do nothing for the deep layer (fascia). They may actually make you look worse when the skin now sags down or becomes very irregular and rippled with celulite.

Imagine you spent a significant amount and underwent an unsatisfactory procedure and were no better off. Now a tummy tuck would be even further away.

In the mean time, a healthy lifestyle with an excellent diet and good exercise program can go a long way. Who knows, you may just avoid surgery altogether.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 178 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.