Can a person at 300 lbs get a tummy tuck?

Thank you for your question. Congratulations on your weight loss. In order to see the best results, we normally recommend that patients reach their ideal weight first. All the best,

Congratulations on your weight loss. I usually do not perform a tummy tuck on somebody with a BMI of more than 30. However, in patients who have had massive weight loss like yourself, occasionally they have a heavy panus - overhanging skin and soft tissue of the lower abdomen that can cause rashes. Panniculectomy consists of removing the excess skin
and soft tissue below the belly button only. The position of the belly
button and the excess skin that you have above the belly button will not
improve. If your primary concern is just the overhanging skin and
infections then yes you can look at a pannicluectomy to help you from a
functional standpoint. Panniculectomy is usually covered by insurance if there is a medical
reason like overhanging skin and soft tissue causing skin infections. This can be done if necessary at 300 pounds but will not provide a nice aesthetic result.If you want recontouring of your abdominal wall with the
best aesthetic result possible and a flat abdomen then you should
undergo a full tummy tuck with repair of your six pack muscles (rectus
abdominis) after you have achieved a stable weight loss and your bmi is less than 30Good luck with your ongoing weight loss !

Thank you for your question and congratulations on the weight loss!  Though an apron of ski and fat may develop with along your stomach as a result of your weight loss, I would recommend you follow a healthy diet and exercise regimen until you reach your desired goal weight. This weight should be one where you are comfortable at, and can maintain, as weight fluctuations will affect your long-term results. Any weight loss before surgery will not only be in your best interest from a safety point of view, but also in obtaining the best cosmetic results. Hope this helps.

I appreciate
your question.Best to be at a BMI less than 30 or within 10 pounds of your goal weight and stable at that weight for 6 months prior to surgery for optimal results.

The best way
to assess and give true advice would be an in-person exam.

Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
plastic surgery.

Best of luck!

Dr. Schwartz

Hello dear, thanks for your post. Plastic surgery is most effective in people who are at or very close to
their ideal body weight. Weight loss is best achieved through diet and
exercise however some patients may require a consultation with a
bariatric surgery before consulting with a plastic surgeon. Good luck :)