Really, What is Ideal?

Hi there, I am 54 years old. I am 5ft 8.5 inches. I weigh 172 lbs. Should I lose weight before a TT? thanks!

Doctor Answers 10

Weight loss before tummy tuck.

Most of us would like our patients to be at their ideal weight before surgery.  Usually if a patient is within 30 lbs of their goal weight, most would proceed.  Best to see a board certified plastic surgeon.  They will guide you through the process.

Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Weight Loss prior to Tummy Tuck

More important is the stability of your weight prior to surgery. You are within 20 lbs of your ideal weight for your height. If you have been losing weight to this point, its a positive goal to try and achieve this ideal weight and hold it prior to surgery. This will allow for a more predictable outcome and likely less complication risk. However, if you have maintained your current weight for a long time and do not foresee reaching this ideal weight in a reasonable amount of time, you can still have your tummy tuck.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

Weight and tummy tuck

I do not feel it is mandatory to be at your ideal weight prior to surgery as this is different for everyone. If you know that you have a target weight that you can reach then go for it. However if you ar stuck at this weight, it might be time to go ahead with the procedure as you are not far off.

David Nicholas Csikai, MD
Jacksonville Plastic Surgeon
4.8 out of 5 stars 65 reviews

Ideal body weight

The closer you are to your " ideal body weight" the better the result with a tummy tuck.  You are not that far off and this my be your "ideal" weight.  It is for those who are significantly over their ideal weight that I recommend further loss.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Losing weight

i usually ask people to be within 10 percent of their realistic ideal weight  for the best results.  i have no science for the 10 percent rule. now, of those people probably 10 percent actually lose weight before surgery.   the slimmer you are the happier you wil be with the results.  i do not believe you are heavy enough to increase the risk of the surgery.  go ahead.

Jonathan Saunders, MD
Newark Plastic Surgeon
4.7 out of 5 stars 64 reviews

Weight loss before tummy tuck

I generally recommend that a patient's weight be stable before having surgery.  If your weight is fairly stable now, however, this may be a good time to have your tummy tuck.

I often see patients lose additional weight after tummy tuck.  That may be because 1) it is hard to stay motivated when your stomach doesn't look any better when you lose another ten pounds, but after they see how good the tummy can look, motivation is a lot easier, and 2) with the muscle tightening, you will feel full after eating less.

So, if your weight is stable, go ahead and have your tummy tuck now.  You will be glad you did!

James Nachbar, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 22 reviews

Don't need to loose weight before tummy tuck.

You are close to your ideal body weight so it is not unreasonable to proceed with abdominoplasty if you have lose skin of the abdomen and rectus diastasis (lose muscles).  I suspect you will be very happy with your results after surgery even if you are not made to lose weight before surgery.  Being close to your ideal body weight just helps guarantee that you will be optimally happy with the final surgical results.  Best wishes.

Louise Ferland, MD
Richmond Plastic Surgeon
4.2 out of 5 stars 11 reviews

Overweight people usually very happy after tummy tuck.


1)  As far as I am concerned, you can have a tummy tuck any time.  Being overweight and having a big or loose stomach are two separate issues.  Of course you will still be overweight after wards, but you will love your flat stomach.

2)  You are not so overweight that the risk is increased if all appropriate steps are taken.

3)  A flat stomach can be an incentive to lose weight.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Weight loss prior to tummy tuck?

At 5'8.5'' tall, your "ideal" body weight should be about 145-155.  So, you are not that far from your ideal weight.  Some of this is excess skin that will be removed with your tummy tuck.  So, although you are mildly overweight, I do not believe it is going to change your results or risks of surgery by losing the weight prior to surgery.  

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 113 reviews

Ideal weight for tummy tuck

If you are able, it is best for you to be close to your ideal weight before having a tummy tuck.  Some patients who are overweight are still good candidates for a tummy tuck if they have abdominal skin laxity.  Your plastic surgeon should be able to assess your condition during a consultation.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 50 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.