Do I Have Enough Skin to Perform a Tummy Tuck? (photo)

Question

I am 25 I habe two children (am done having kids) but im worried I dont have enough skin to get the results I am hoping for. I weigh around 100 lbs. I have loose skin and stretch marks.

Eric Pugash, MD · Answer

I believe many, many women would love to have your tummy after two children.

	Like everything in life you will need to consider the costs of surgery (healing time, scars and money) vs. the hoped-for benefits.

	Whether you have enough skin laxity for a full abdominoplasty can only be determined in person. If you don't have much looseness of your skin there may be other options, such as a floating umbilicus.

	See an experienced aesthetic plastic surgeon in your area.

	Good luck!

Emmanuel Mallol Cotes, MD · Answer

Thank you so much for your enquirer,During physical exam some test needs to be done to determinate if really a full TT can be done, because It seems that you’re a candidate for mini tummy tuck not for full tummy tuck,

Steve Laverson, MD, FACS · Answer

Judging from the photos, I would advise against abdominoplasty. You don't appear to have significant excess skin nor a post-partum abdominal bulge, but even more important in my advice against the procedure is your high belly button and your very nice appearing abdomen. If you do tummy tuck, the scar must be low. Whoever does it should not try to remove all the skin between suprapubic scar and umbilicus, but as much as possible with closure of the circum-umbilical incision in the lower abdomen... or a short suprapubic vertical component.

Richard Baxter, MD · Answer

No one can give you specific guidance without a personal examination, but my impression from the photo is that your belly button is a bit high and most of the skin laxity is in the upper abdomen. In these cases, a reverse abdominoplasty may be an option. This is done by removing skin along the crease at the bottom of the breasts, so the abdominal skin is pulled up instead of down as with a standard tummy tuck. You should see someone experienced with this procedure if you are considering it, as it is not commonly done.

George Marosan, MD · Answer

Thank you for your question and photos. Wow! You have a great body after two children. Most of the loose skin that's seen in the photos is above the belly button. you are an excellent candidate for a mini tummy tuck with a short incision placed in the pubic area. your umbilicus is slightly high and this can be moved down without a scar around it. I would advise against a reverse tummy tuck, although it sounds tempting. This will leave a long scar under your breasts and with time this will migrate below the crease and be more visible. See a board certified plastic surgeon for an evaluation. Good luck.

James E. Chappell, MD · Answer

Yes, that extra skin can be removed during a tummy tuck/abdominoplasty. You must be accepting of the scars that will result, and any good BC PS can candidly discuss these and other issues with you. Best of luck.

Sacha Obaid, MD · Answer

The best way to determine how much loose skin that you have prior to a tummy tuck is to bend forward at the waist and pinch how much "extra" skin you have. Without actually pulling on your akin I cannot tell for sure but based on your photos, I would guess that you do not have enough extra skin to have a tummy tuck.

Kenneth Hughes, MD · Answer

The supraumbilical laxity is apparent and the belly button can be improved. I would recommend a reverse tummy tuck and an umbilicoplasty. An exam may reveal that a tummy tuck is possible but unlikely. The belly button is high and you have very little laxity below the belly button. Find someone who has the credentials and knowhow to give you the best result.

Robert Whitfield, MD · Answer

A consult will help but a full tummy tuck is the way to go normally!A tummy tuck can be done as a solitary procedure.  Many times the results are enhanced by adding
liposuction to the hip and love handle area. 
A tummy tuck is also done in combination with a breast augmentation in a
mommy makeover.

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide.  These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

Norman Bakshandeh Day, MD, FACS · Answer

If you are willing to accept the scar then you should have the abdominoplasty with the floating umbilicus

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