Skin only tummy tuck with local anesthesia? (Photo)

Hello gentle 259841,
Thank you for your question about undergoing a skin-only tummy tuck under local anesthesia, and congratulations on your significant weight loss. Based on your history and photos, it sounds like you're a candidate for abdominoplasty.
Given that muscle plication (tightening of the abdominal muscles) does not appear to be necessary in your case, a skin-only tummy tuck could potentially be performed under local anesthesia. This approach may be less common and can be slightly uncomfortable, but it is technically feasible.
However, it's important to note that most plastic surgeons typically recommend general anesthesia for a tummy tuck. This is due to the duration and extent of the procedure, which, in your case, is expected to take around four hours. General anesthesia ensures patient comfort and immobility during the surgery, which can be crucial for the precision and success of the procedure.
Suppose you choose to proceed under local anesthesia. In that case, it's vital to understand the implications, including the possibility of discomfort during the procedure and the importance of having an experienced surgical team.
The surgery would likely be outpatient, allowing you to return home the same day. Postoperative care is crucial, and you should plan for minimal activity for the next 2 to 3 weeks to ensure proper healing.
I recommend discussing these options thoroughly with a board-certified plastic surgeon. They can provide detailed information on the pros and cons of local versus general anesthesia for your specific case and help you make an informed decision.
Good luck with your decision and your surgery. I hope this information has been helpful to you.
Sincerely,
Dr. Katzen

Based on your photos, it looks like you would be a candidate for skin removal only if that is what you desire. However, I do not recommed doing the surgery under local anesthesia. The amount of local anesthetic needed to perform the surgery could lead to lidocaine toxicity.

Thank you for your inquiry and congratulations on your weight loss! You have a lot of skin that would need to be removed. This would not be recommended under local anesthesia. We would love to help you reach your goals. Schedule a consultation with a Board-Certified Plastic Surgeon!