Will apron belly go away with fat loss and will I need a tummy tuck? (Photo)

I would recommend getting to your desired weight and see where your abdominal aesthetics are at that point. You should maintain your weight for 6 months following weight loss prior to booking any surgery. You may only need lipo if you continue to lose weight.

Hello jjn11. Thank you for your question regarding whether fat loss will be enough to address your apron belly or if you will need a tummy tuck.

Your question is common among individuals undergoing significant weight loss. It is difficult to predict with certainty whether you will need surgery or what type of surgery might be required until you have completed your weight loss journey. Here’s a general guideline:

Complete Your Weight Loss: Focus on achieving your weight loss goal first. Continue with Ozempic and your weight loss regimen until you reach your target weight.

Maintain Weight Loss: Once you have achieved your desired weight, maintain it for at least three months. This will allow your body to stabilize and for you to better assess your abdominal area.

Assess Skin and Fat:

If you have good skin integrity: Your skin might retract well after losing weight, and liposuction could be sufficient to remove the remaining fat and achieve a flatter abdomen.
If you have excess skin and poor skin integrity: If your skin does not retract well and you are left with loose, sagging skin, a tummy tuck or a 360-degree lower body lift might be necessary to remove the excess skin and tighten the area.
Ultimately, it will depend on how your skin responds to the weight loss. Consulting with a board-certified plastic surgeon after you have maintained your weight for a few months will give you the most accurate assessment and help you make an informed decision about whether you need a tummy tuck, liposuction, or both.

Good luck. I hope this helps to answer your question regarding the need for a tummy tuck or liposuction after your weight loss.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

I would recommend achieving your desired weight loss to assess the laxity of your skin to determine whether or not you would need a tummy tuck. You may be fortunate to avoid a tummy tuck and have a non-invasive treatment for skin tightening instead. Wish you the best.

Thank you for your question!
You may need a tummy tuck or liposuction after the weight loss. Once you get to your goal weight schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Dear jjn11,
weight loss will reduce the amount of fat tissue, but it will not solve the problem with loose skin. If you end up with a lot of loose skin after weight loss, then tummy tuck might be the solution.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi from Istanbul!Thank you for your question. I would probably recommend you a tummy tuck and liposuction surgery after you lose more 10kgs. You look quite good from the lateral side but after loosing weight you skin will probably more saggy. If you get only liposuction with your recent weight, your skin will be saggy after.

With Ozempic you also loose muscle mass. The subcutaneous fat is more rebellious to weight loss than the visceral fat inside your abdomen. Those likes are where your skin attached to the underlying muscle and will never go away. With weight loss and proper exercising, you may thin the skin and those line will be shallower. If you don't have excess skin and never had kids, a tummy tuck is not indicated.

Thank you for your question and photos. To truly evaluate your skin laxity, you need to wait until your goal weight. Based on these photos, you would do well with VASER Hi Def Lipo 360 and possible Renuvion skin tightening. The surgeons who oppose this approach, are trained on traditional excisional techniques and talk negatively about advanced techniques which they don’t understand and do. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Don't let doctors with less than a full armamentarium of procedures tell you otherwise: liposuction with 'skin tightening' devices won't work on your belly. You will have an irregular contour that will be scarred and difficult to fix with the only fix available, a tummy tuck. Continue losing weight and then visit a few board certified surgeons in town.

Liposuction can take away fat but the skin can hang. If you have excess skin then you will need a tummy tuck. If you are planning future pregnancies then the tummy tuck can be damaged by the pregnancy. You can undergo liposuction and then once done with pregnancies you can undergo the tummy tuck.

Best Wishes,

Gary Horndeski, M.D.