What is involved if obese and get a Tummy Tuck for muscle separation?

Thank you for your question.
I have a number of patients who have similar concerns. Loosing weight can be difficult for many patients. Many times patients who lose weight can not get rid of the resistant fat. This can result in some patients in giving up of their new healthy lifestyle. My patients work hand in hand with me. They lose weight to a point where they are a good candidate for surgery. They then undergo a surgical procedure, eg Tummy Tuck. After surgery they look in the mirror and are happy with their new look. Patients tell me that they have significantly more self esteem and that motivates them to lose more weight. My patients tell me that after a Tummy Tuck they find it much easier to lose more weight. I believe they are now more motivated because they are happy with their new figure. The Tummy Tuck I use gives a natural looking tummy and belly button, a relatively flat tummy, significantly LESS PAIN and FASTER RECOVERY versus traditional techniques. The patients typically wake up from surgery in no pain. They walk to the recovery room. It is not uncommon for patients to only take Tylenol for pain after surgery. The oldest patient I performed this type of tummy tuck on is 80 years old and she only took Tylenol for pain. It is not uncommon for patients to be driving 7 days after surgery. I did have a 64 year old woman who drove 4 days after surgery. For more information please watch the enclosed video. I hope you find this information useful. 

Thank you for sharing your question. Typically a muscle tightening is performed at the time of a tummy tuck to help obtain a flatter stomach appearance.  There is no reason to repair any muscle separation until you have lost weight and lowered your risks of surgery.  If however the muscle separation is a hernia, this may require a repair depending on your current symptoms.  Even in cases of a hernia it is wise to lose weight first (if possible) before repair as it will minimize your risk of recurrence.  Hope this helps.