I originally posted this in April, but realized some information needed correcting in order to get the best answer. The pictures I had posted were in the wrong order. The extremely bloated one is my CURRENT situation. I had even LOST 10 lbs in that one! I was happy with the results originally, even with the swelling. Plastic Surgeon said fascia is too stretchy, and there would be nothing to anchor mesh to. One other plastic surgeon and a bariatric surgeon said same. Is this it?
June 12, 2023
Answer: Understanding why the abdomen bulges It would be good if you would include your surgical history including time frames with your post. The number one reason patients have a bulging abdomen after a full tummy tuck is the presence of excess visceral fat. This should be able to be determined during and in person, consultations, and a daily patient should be told that without success for further weight loss, the visceral fat will have significant limitations on the ability to deliver and want Abdurhman. This is not related to fascial strength, but rather increased intra-abdominal pressure due to excess visceral fat that has no place to go and we’ll push against your diaphragm and abdominal wall creating increased intra-abdominal pressure. Your abdomen probably feels firm and it’s probably labor summer to take a deep breath. If you lay on your back, your abdomen, probably still bulges, which is a clear indication that the problem is visceral fat, and not due to fascial Laxcity. The only exception would be if you had a skin on the tummy tuck without muscle tightening, but even so I believe the main problem is visceral fat and further weight loss is required to get a flat abdomen regardless. Best, Mats Hagstrom, MD
Helpful 2 people found this helpful
June 12, 2023
Answer: Understanding why the abdomen bulges It would be good if you would include your surgical history including time frames with your post. The number one reason patients have a bulging abdomen after a full tummy tuck is the presence of excess visceral fat. This should be able to be determined during and in person, consultations, and a daily patient should be told that without success for further weight loss, the visceral fat will have significant limitations on the ability to deliver and want Abdurhman. This is not related to fascial strength, but rather increased intra-abdominal pressure due to excess visceral fat that has no place to go and we’ll push against your diaphragm and abdominal wall creating increased intra-abdominal pressure. Your abdomen probably feels firm and it’s probably labor summer to take a deep breath. If you lay on your back, your abdomen, probably still bulges, which is a clear indication that the problem is visceral fat, and not due to fascial Laxcity. The only exception would be if you had a skin on the tummy tuck without muscle tightening, but even so I believe the main problem is visceral fat and further weight loss is required to get a flat abdomen regardless. Best, Mats Hagstrom, MD
Helpful 2 people found this helpful