There are many causes for abdominal fullness
Don't worry, you have a common concern. There are many problems leading to abodominal fullness. First is fat, but you seem to be exercising well without any change in your abdomen. The second is diastasis of your abdominal muscles. When you have children the fascia holding your rectus muscles (six pack) together becomes loose and the abdomen has a round appearance despite exercise and weight loss. In this case, you may require a surgery (abdominoplasty or "tummy tuck") to tighten the muscles back together and to excise any extra skin. This is a common operation. The incision can be hidden in your waist line and the surgery can be combined with liposuction to help define your flanks and remove any excess fat.
The best way to tell if you have fat, extra skin, or diastasis of your muscles is to feel your belly.
If you can "pinch and inch," then there is fat which may be improved with liposuction.
If all you feel is loose skin, then it is likely a skin issue requiring abdominoplasty.
If your abdomen remains round despite tightening your muscles (six pack), then you likely have diastasis requiring tightening.
Hard to tell with out an examination of abdomen
Hard to say with examining you. An in person visit would be best to give you
the right information. It can be either loose skin and muscles that would
require a Tummy Tuck/Mini Tummy Tuck surgery. It sounds like you have been very good about
exercise and if surgery is recommended you will be better prepared due to your
good physical condition. Strong abdomen muscles is good to have during the
recovery and you will get a great result in whichever procedure you need. A
Board certified Plastic Surgeon will make this determination after a complete
The excess contour could be abdominal wall laxity, skin or fat or a combination
There are several components of extra fullnes or contour in the lower abdomen.
There can be excess contour from laxity of the abdominal wall (it was stretched out during pregnancy), or excess skin, or excess skin and fat.
A board certified plastic surgeon will be able to ascertain upon examination of your abdomen what is causing the fullness you don't like and advise you.
whether you'd be better suited for liposuction or a tummy tuck. Often that pouch of extra fat after childbirth (or before) is amenable to liposuction. Good luck.
This is most likely because what you are talking about is skin excess. You have done the right thing by working out. Instead of getting frustrated and giving up, it may be time to have the skin excised and the muscles tightened with a tummy tuck.
Tummy Tuck & Liposuction Following Pregnancy
not unusual to see women who have concerns about the appearance of their abdomen
following pregnancy. Most of them
have tried diet and exercise and despite this have been unable to solve their
problems. These patients have
difficulty finding clothes that fit properly and feel that people stare at
them. This often results in lowered
self-esteem, self-image and self-confidence.
variety of changes can occur in the abdominal wall following pregnancy. These include the development of excess
skin, weakened abdominal muscles and fat accumulation. For these reasons, a comprehensive evaluation
is essential to obtain an optimal result.
on the results of this evaluation, multiple options are available for treating
abnormalities of the abdominal wall.
Two of the most commonly used procedures are tummy tuck and liposuction. These procedures have different levels
of complexity, pain, recovery, and cost.
isolated fat is present, liposuction can be performed under local or general
anesthesia. It has a relatively
short recovery, is affordable, and has a low complication rate. The procedure involves passing a canula
through the subcutaneous tissue while applying suction which ultimately removes
fat cells. High satisfaction rates
are associated with this procedure.
Its major drawbacks include less effectiveness in patients with weak
abdominal muscles, loose skin, and large amounts of fat.
tightens the abdominal wall muscles and removes excess
skin and fat. When severe
deformities are present abdominoplasty is the treatment of choice. High satisfaction rates are associated
with this procedure, but it is more expensive, has a longer recovery and a
higher complication rate.
patients with severe abdominal wall deformities, it’s essential that the
appropriate procedure be chosen to correct the problem. For this reason it’s important to
consult a board certified plastic surgeon who can perform this evaluation.
Loose skin and excess fat after pregnancies
Congratulations on being so faithful to your exercise regime. You must be in great shape. Unfortunately it is very difficult, if not impossible, to get rid of loose skin concentrated in your midsection. You can wait for a while to see if your skin tightens but generally this does not happen as it is worsened by the aging process. A tummy tuck is the only procedure that can dramatically improve the contour of your midsection by removing loose skin and extra fat. Because you're in such great shape your results will be even better than someone who is not in good shape.
The question cannot be fully answered without a formal physical exam but seems to suggest that there is muscle weakness in the lower abdomen. I find this to be very common after multiple pregnancies and correction with a mini or full tummy tuck has been very successful.
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Tummy tuck for persistance fat accumulation in the lower abdomen following pregnancies
It is quite possible that the lower part of your abdominal muscles has been streched out or separated as a result of multiple pregnancies, therefore some of the intra abdominal fat is protruding through the midline. A careful clinical examination would be helpful to diagnose this condition which could be fixed during a modifid tummy tuck. If that is not the case liposuction/liposelection is a very effective procedure to address your concerns.
You most likely need a tummy tuck which is not unusual after prgnancy.
It sounds like you are in very good shape now but have a stubborn collection of loose skin that cannot go away with exercise. You may also have some separation of your abdominal muscles as a result of pregnancy. This can also be corrected during a tummy tuck.