I am thin and fit but after 2 pregnancies, my stomach has tons of stretch marks and skin laxity, mostly around belly button area. I don't know if I have enough loose skin for tummy tuck and if Thermage would possibly help improve the belly button region, so I'd like expert advice on what procedure might work best. I'd like to avoid surgery and scars, but if that is the best option, then I'd like to find out. Thanks!
Answer: What is the best option for my stomach: Thermage, Tummy Tuck or Fraxel? There are no realistic comparable alternatives to a tummy tuck. Patients with minimal laxity of skin may, however, get a mild benefit from skin tightening procedures like Exilis, a radiofrequency technology that is non-invasive. It may require more than 1 treatment session and you need to be very realistic about your expectations. Non-invasive treatments like Fraxel or Thermage will not tighten significant laxity, remove stretch marks, or repair separated abdominal wall muscular that can result from pregnancy. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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Answer: What is the best option for my stomach: Thermage, Tummy Tuck or Fraxel? There are no realistic comparable alternatives to a tummy tuck. Patients with minimal laxity of skin may, however, get a mild benefit from skin tightening procedures like Exilis, a radiofrequency technology that is non-invasive. It may require more than 1 treatment session and you need to be very realistic about your expectations. Non-invasive treatments like Fraxel or Thermage will not tighten significant laxity, remove stretch marks, or repair separated abdominal wall muscular that can result from pregnancy. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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June 27, 2014
Answer: Tummy surgery Tempting to try thermage or fraxel, but they won't do anything for your abdomen. A tummy tuck will give you a flat abdomen but as you know, it is an operation requiring a pretty long scar.
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June 27, 2014
Answer: Tummy surgery Tempting to try thermage or fraxel, but they won't do anything for your abdomen. A tummy tuck will give you a flat abdomen but as you know, it is an operation requiring a pretty long scar.
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June 25, 2014
Answer: Thermage and Fraxel don't eliminate stretch marks It is great that you are in such good shape after 2 pregnancies. While I completely understand the desire to avoid surgery, the alternate procedures you mentioned will not remove stretch marks and tend to be quite costly. I can't be sure without examining you, but from your photo, it is possible that you have separation of your abdominal wall muscles called rectus diastasis. This muscle separation is fixed only with tummy tuck surgery, and would be another reason that tummy tuck may be your best option. See a surgeon certified by the American Board of Plastic Surgery and learn about your options.
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June 25, 2014
Answer: Thermage and Fraxel don't eliminate stretch marks It is great that you are in such good shape after 2 pregnancies. While I completely understand the desire to avoid surgery, the alternate procedures you mentioned will not remove stretch marks and tend to be quite costly. I can't be sure without examining you, but from your photo, it is possible that you have separation of your abdominal wall muscles called rectus diastasis. This muscle separation is fixed only with tummy tuck surgery, and would be another reason that tummy tuck may be your best option. See a surgeon certified by the American Board of Plastic Surgery and learn about your options.
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June 25, 2014
Answer: Best Tummy Tuck for me ? (Photo) Forget about Thermage and Fraxel. Modified fitness type procedure best if you want to see and feel a difference, provided pregnancy is not in your future.
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June 25, 2014
Answer: Best Tummy Tuck for me ? (Photo) Forget about Thermage and Fraxel. Modified fitness type procedure best if you want to see and feel a difference, provided pregnancy is not in your future.
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June 24, 2014
Answer: Tummy Improvement Hi, Lululi. Yours is a very common scenario and request that I see. After two pregnancies, there is stretching of your abdominal wall which results in lower tummy bulging, loose skin, and stretch marks. Even in thin and fit women, there is no great non-invasive techniques to treat these problems. I don't think Thermage will give you any appreciable long term results that truly fix these problems. A tummy tuck will solve a couple of these problems by flattening your tummy, tightening the skin, and removing the stretch marks below your belly button. Some of the stretch marks above your belly button will not be removed, but will be shifted down towards your bikini line. The downsides of tummy tuck are the scar -- but will be below your bikini line so you'll still be able to wear a two piece and conceal the scar -- and the down time for recovery. Because you don't have much extra skin, the skin around the belly button would be sutured together as a short vertical line that would be positioned along the midline of your body just above the lower incision. An in person consultation is the best way to show you what you can reasonably expect, and if interested, I can put you in touch with several of my patients that presented with similar body types and underwent tummy tuck surgery.
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June 24, 2014
Answer: Tummy Improvement Hi, Lululi. Yours is a very common scenario and request that I see. After two pregnancies, there is stretching of your abdominal wall which results in lower tummy bulging, loose skin, and stretch marks. Even in thin and fit women, there is no great non-invasive techniques to treat these problems. I don't think Thermage will give you any appreciable long term results that truly fix these problems. A tummy tuck will solve a couple of these problems by flattening your tummy, tightening the skin, and removing the stretch marks below your belly button. Some of the stretch marks above your belly button will not be removed, but will be shifted down towards your bikini line. The downsides of tummy tuck are the scar -- but will be below your bikini line so you'll still be able to wear a two piece and conceal the scar -- and the down time for recovery. Because you don't have much extra skin, the skin around the belly button would be sutured together as a short vertical line that would be positioned along the midline of your body just above the lower incision. An in person consultation is the best way to show you what you can reasonably expect, and if interested, I can put you in touch with several of my patients that presented with similar body types and underwent tummy tuck surgery.
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