How Many Sizes Will I Lose From Tummy Tuck and Lipo?

I am 5 foot 7 I weigh about 200 pounds,and I carry allot in the abdominal area.MY Ideal weight is about 155.I am strong built.I have had three pregnancies in the past 9 years ,and all three little angels weighed on average 10 pounds.I have lost weight after the first,then less after the second and with the third,forget it,I can excercise every day and nothing happens.SO My question is,about how many dress sizes can I loose after this procedure I am now size 16-18

Doctor Answers 12

Weight loss from Tummy Tuck and Lipo


The amount of weight loss and dress size decrease is very variable after a tummy tuck and liposuction.

The most important question is: how much of your fat is on the inside, and how much is on the outside. It is impossible to determine from your picture how much fat is directly under the skin. You need to understand that the volume of fat inside your abdomen (underneath the abdominal muscles, where your liver, stomach, and intestines are held) contributes significantly to your belly size. Best test you can do is to try and push your fingers into your belly and see how deep they push in before hitting your muscles. This represents the thickness of fat on the outside and it is this fat that is removed in liposuction and tummy tucks.


Martin Jugenburg, MD

Toronto Plastic Surgeon
4.9 out of 5 stars 457 reviews

If Your Extra Weight is Inside the Abdomen, Lose It First!

Hi Sara,

 It can be very frustrating trying to lose weight prior to having an abdominoplasty.  I have seen patients successfully lose weight using the South Beach Diet and Weight Watchers.   I think both of these diets are safe and effective, but must be combined with exercise.  Walking 30 minutes 4-5 times each week is a good start and will keep your metabolism going.   Increase your meal frequency to 5-6 small meals each day and avoid processed foods and excess carbohydrates (white bread, sweets, crackers, cookies, ice cream, surgar laden foods). Try to eat lots of green or fibrous vegatables and fruits (especially berries).  Do these things and you will lose weight.  I know this is all easier said than done!  In summary, it is your diet that is holding you back, not your willingness to exercise.  

A key point about whether you can procede safely with abdominoplasty at your present weight is whether you carry the weight in your midsection.  If the fat is high and deep in the abdomen, then you must lose at least part of it first.  If the weight is in your hips or low in the abdomen and just under the skin then sometimes you can procede.  A board certified plastic surgeon can determine where the fat is and if it is safe for you to procede.

If you can procede, I have found patients often find it easier to lose weight after their tummy tuck.   They get both a mental and I think physical boost from not having all that extra tissue and commonly lose weight after the surgery.  It makes the result look even better.

I find patients change in size is  dependent on this weight loss after surgery more than the surgery itself but a 2 -3 dress size decrease would be a reasonable estimate.

David L. Mobley, MD, FACS
Sarasota Plastic Surgeon
4.6 out of 5 stars 16 reviews

Tummy tuck results

The amount of sizes you would loose after a tummy tuck is really unpredictable. I try and tighten the abdominal muscles as much as possible which reduces the waist in addition to removing as much of the excess tummy tissue-fat, skin, that I can. The "rest" of the size would be what is "left" within the tummy, like fat around the intestines.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

How Many Sizes Will I Lose From Tummy Tuck and Lipo?

Hello and thank you for your question

It is not the same for everyone. In my more than 20 years of experience, patient lose at least 2 dress sizes. However, where is your tummy bulge coming from? The results of the surgery apply to the external sagging(skin, muscles and connective tissue). Your surgery will not address the fat on the inside around your internal organs.

It is impossible for us to know in this forum what you can expect in your case.
Your Plastic Surgeon is a specialist- he can assess you and help you obtain a realistic expectation.

Another note which you may find of interest. Many of my patients find that once they lose the 'saggy baggy' look after surgery and can see their toes, they become more motivated to exercise well and watch their diets(you have to be able to use up the calories that go into your mouth). They get used to looking better, which inspires them to want to keep looking good.

I trust this has been of value for you.

Mark Edinburg, MBBCH, FRACS
Sydney Plastic Surgeon
4.8 out of 5 stars 27 reviews

Loosing weight before tummy tuck

You really have two options.  You could have a tummy tuck now (with the weight) and have an "okay" result.  The surgery will basically involve cutting away some of the excess fat.  Your other option would be to loose weight first and then have the surgery.  This should lead to a "great" result.  If the weight is already gone, then the focus of the surgery can be contouring and shaping which will give you much nicer results.  Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

2-3 Dress Sizes Not Uncommon, Hard To Predict!

It’s not unusual for patients to be concerned about the fit of clothing following body contouring procedures.In many cases, patients will note a drop of two to three dress sizes following abdominoplasty.Unfortunately, how surgical procedures impact the fit of clothing is hard to predict.In some cases, clothing sizes won’t change despite aggressive surgical procedures, while in other cases dramatic changes may be seen.
This unpredictability occurs for a variety of reasons.For instance, removing a hanging panniculus may have no impact on the waist size despite dramatic aesthetic improvement.It’s therefore important to discuss this issue with your plastic surgeon prior to surgery.Your surgeon may be able to give some insight regarding this topic.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

How Many Sizes Will I Lose From Tummy Tuck and Lipo

I agree with Dr Rand. But to directly answer your question the decrease in sizes would be about 2 to 3 sizes. It is ALWAYS best to lose weight before this surgery. Best of luck.  

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

This Amount Varies, and Discuss Your Expectations with Your Surgeon Before Surgery

As mentioned previously by the others the number of sizes lost in any tummy tuck and/or liposuction will vary with the patient and procedure, and you should discuss your ideals and expectations with your surgeon when researching the procedure you would like to have done. It is good to consider both the fat under the abdominal muscles and that between the muscles and skin as being separate, and that not both will be removed with a tummy tuck. It is always a good idea to work on some fat/weight loss of that underneath the muscles before the procedure in order to see more pleasing results upon recovery. Also remember that fat and skin weigh much less than bone and muscle, so the procedure alone will not necessarily meet your goal weight, but it will definitely be helpful in reaching a goal dress size and trimming your overall figure. This is definitely something to discuss closely with your plastic surgeon when making plans for a procedure as this is an expensive venture and it would be difficult to end up with disappointing results.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 107 reviews

How Many Dress Sizes Will be Lost After a Tummy Tuck or Abdominoplasty?

Most women say that is they lost any dress sizes after a tummy tuck it is usually only one or two at most. The goal of a tummy tuck is to flatten your stomach as much as possible by tightening your muscle s and to get rid of the excess skin that pregnancy and weight gain has left you.

The ideal candidate for a tummy tuck is someone who has lost most of her excess weight. It is very difficult to do but a diet that restricts carbohydrates is the best way to go for most. The reason we say this is that you get a better result being lighter and the complication rate drops significantly.

I hope that helps.

Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 62 reviews

How Many Sizes Will I Lose From Tummy Tuck and Lipo?

Thank you for your question.
In general, patients who undergo tummy tuck surgery may lose 3-5 pounds.   I do not perform this procedure for weight loss but rather for body contouring purposes.
Most patients who have the tummy tuck procedure are so pleased with their new look that they start exercising more and eating more healthy and therefore may lose weight.
I hope this helps.
Best Wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,485 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.