is there any way to tighten belly and lower skin without tummy tuck?

Question

I have an athletic body with packs, but I have loose skin specially on the lower abs and lower back that's been bothering me for years. I lost 27 kgs when I was 20, and now I am 41 and I'm still struggling with it. Some doctors said that it's not worth the surgery as the skin is not too much, but for me, I just hate it and I can't enjoy my toned body!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

without pictures we cannot help. there are options such as thermage, ultherapy, threads, morpheus, to do tightening without cutting. renuvion and body tite as well.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Dallas Buchanan, MD · Answer

Thank you for your question. Some photos would be very helpful to evaluate your specific anatomy and concerns. It sounds like you might be a candidate for a minimally invasive treatment such as Morpheus8 or if there is some fat that needs to be removed as well, perhaps a BodyTite procedure is in the works. Best to get a consult with a plastic surgeon who is board certified by the American Board of Plastic Surgery to be evaluated.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Omar E. Beidas, MD, FACS · Answer

Dear oryx1211,

It is difficult to give you an answer without photographs. It would be best if you submitted some photographs or visited a plastic surgeon in person for a consultation. Make sure your surgeon is certified by the American Board of Plastic Surgery.

Best of luck,
Omar Beidas

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
Without photos, I really can't provide you with specific information.  There are too many variables. If it is to a minimal degree, a non-surgical skin tightening procedure may be of benefit. If moderate-severe, a surgical procedure may be indicated (if you can accept surgical scarring).  
If the loose skin is of great concern, you may wish to visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

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