What do I need? 133lbs, 5’4” 39yr old mom of 5 ten pound babies. Tummy tuck? (photo)

I think you look great for having 5 children. I would suggest a full abdominoplasty with repair of the hernia and removal of the excess skin. That should put you back in a two piece! Good luck!

Hello. Great question. Thank you for your pictures. Based on your images, you can benefit from a full tummy tuck procedure with muscle tightening. Please schedule a consultation with a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Thank you for your question. Based on your photos, I think you would obtain a nice result from a tummy tuck. A tummy tuck will address any excess skin and tighten the abdominal muscle, giving your abdomen a flatter and more contoured appearance. Also, a hernia repair can be performed in conjunction with a tummy tuck procedure. I have done this many times in my own practice. I recommend setting up a consultation with a board certified plastic surgeon to discuss your options. Best of luck!

It looks like a tummy tuck may help you get the better body contour you want. This surgery would tighten up the loose skin, remove any excess fat and repair the abdominal muscle separation that is contributing to your protruding belly (common after multiple pregnancies).

In your side view, you can see bulging from the pregnancies.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh will resolve the hernia, will reinforce the mechanical strength of the abdominal wall, create a more hourglass figure resulting in early satiety and helps maintain a reduced weight.
 Best Wishes,Gary Horndeski, M.D. 

It appears you have 3 issues that need to be dealt with.  You have the hernia, laxity of the abdominal muscles, and laxity of the skin.  All of these problems can be improved with an abdominoplasty.  You may want to get several opinions to be sure that you can work well the the surgeon you choose.  Be sure that they are board certified in plastic surgery.
Good luck,
Dr. T

Thank you for your nice photos. I believe that you are an excellent candidate for a full abdominoplasty (tummy tuck) procedure. Your hernia can be repaired at the same time. I recommend that you consult with a board certified plastic surgeon to review your options. Good luck.

Hello and thank you for your question. Based on your photographs, skin laxity, and history of 5 pregnancies, you are a great candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  The belly button can be designed to look natural and have no scars on the exterior.   Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon
 

 You should see a Board Certified Plastic Surgeon.  I would not entertain having surgery until you are sure you are done having children. Surgically, with all the usual caveats about not planning someone’s surgery based off of photos, I’d think you’d need a relatively short scar mini- or extended mini tummy tuck with muscle tightening and hernia repair(s). Be aware you’ll likely end up with not just the “regular” TT scar but also a vertical scar somewhere between the umbilical (“belly button“) scar and the regular (“suprapubic”) scar most likely.  I think it is key that you say you just want to look better in clothing. Your tummy will be much flatter and tighter, but there will be scars. With clothing like you are wearing the scars will be more visible. Some bathing suits will cover up most of the scars. And the hernia repair could be covered by insurance. Best of luck. 

From the provided photo you appear to be a great candidate for a tummy tuck. This would address the excess skin, fat, and muscle wall laxity caused from pregnancy. The umbilical hernia can be repaired at the same time. The result will be a flatter, tighter tummy. The first step is to schedule a consultation with a board certified plastic surgeon near you.