Need Help and Its Uncomfortable(lower Hanging Belly Fat)? (photo)

I'm 5'4", 246, 30 years old and as you see in the photos, I'm dealing with a lot of hanging skin. This I developed after a weight gain of 98 pounds with my last pregnancy due to complications. The heaviness of the fold is now uncomfortable and embarrassing. I'm trying to get down to 160 but I know this will only get worse. Any suggestions because its not comfortable and I can't lay on my stomach and have pain in that region a lot.

Doctor Answers 13

The best weight at the time of a tummy tuck is as close to your desired possible

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In my esperience when patients add a lot of weight they deposit it in the abdominal wall but also inside the abdominal cavity.  If a tummy tuck were done prior to weight loss the intra-abdominal fat would remain and hinder achieving a flatter tummy.  Therefore, I recommend to my patients to loose as much as they can prior to the surgery.  That will leave more loose skin which will be removed by the tummy tuck.  Furthermore, if the patient looses more weight later, they are less likely to again develop a hanging apron of skin and underlying fat.

Louisville Plastic Surgeon
5.0 out of 5 stars 7 reviews

Keep it up!

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Congratulations on your ongoing accomplishments. Although the amount of overhang may increase, the weight of the overhanging tissue will decrease some, and the symptoms should gradually improve. 

Many medical supply shops will have trusses that can be worn to support the overhanging skin, but they don't work well for everyone. With some more time to go before reaching your weight it is worth a try.

You will most certainly be an excellent candidate for a tummy tuck when you have reached your goal weight.

When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.

Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Tummy Tuck Timing

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Thanks for your question and congratulations on your weight loss, it is one of the hardest things we ask our patients to do.


You're right that as you lose weight you may notice more sagging skin.  You'll have a better cosmetic result if you can be as close to your ideal body weight as possible.  


Sometimes patients in our San Francisco area practice have staged procedures which can include liposuction to reduce existing fat followed by a tummy tuck some months later.  You may also consider a panniculectomy to remove the hanging skin you have now and have a tummy tuck at a later date when you've lost more weight.  The down side to this approach is having two surgeries instead of one.


I hope this helps.  We have before and after pictures of people who have had staged procedures, please take a look if you'd like.


You go girl! Goal weight loss before tummy tuck. Ask Dr Ellen

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Hello SassyNatty,

Congratulations to you on your determination and continued success!

At a rate of -18 lbs per month, you are making great headway and will get the best results from your future tummy tuck if you stick with your weight loss program and close in on your goal weight.  I think it makes sense to keep the tummy tuck as your goal and not do an intermediary step like a panniculectomy:  do it once and do it right.

The good news for you is that you are seeing immediate results from your own efforts.  Here are some TIPS for you along the way:

1.  If the loose skin is really annoying you...try wearing a girdle or spanx for added support and comfort, even at night

2.  Be sure to enjoy a balanced diet and keep up your protein

3.  Add  cardio and weight training to your program.  This will hasten your progress, keep up your energy and tone your muscles.


4. Decisions about more children?  It is best to hold off on tummy tuck surgery until you have completed your family, especially if tightening the muscles of the abdomen are part of the procedure.

Best of luck to you!

Thanks for asking, Dr Ellen

Ellen A. Mahony, MD
Westport Plastic Surgeon
5.0 out of 5 stars 36 reviews

Not ideal body weight and tummy tuck?

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Hello and thank you for  your question.

I understand your frustrations and applaud you for being determined to lose weight.  Your ideal result will be only after you lose weight  down to your goal weight.  However, some ladies elect to have a 'panniculectomy' to remove just the skin and fat that is hanging below the belly button.  This motivates them to work out and lose more weight and eventually have the definitive abdominoplasty once they get to their goal weight.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Need Help and Its Uncomfortable(lower Hanging Belly Fat)?

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You could be a candidate for an apronectomy of this excess skin/fat. But ONLY in person evaluations will see if your are a candidate. Most cases we would like to see some weight lose prior to any surgery. 

Excess abdominal skin is removed in tummy tuck

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Thank you for your question and for providing the photo.  It is great that you recognize that you need to lose weight.  It may be difficult with this much extra skin.  Some surgeons might consider performing your surgery prior to the weight loss, as you will then be better able to exercise and lose the weight.  I agree completely that you should be evaluated by a Board Certified plastic surgeon.  You can find out if you have a hernia, which may need to be addressed, and discuss your surgical options. 

Tracy M. Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 29 reviews

Hanging Belly Fat

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Ultimately you will be a candidate for a tummy tuck. In the meantime you need to workout, build muscle and strengthen those abdominal wall muscles.  When you carry those babies around for nine months they suck all the muscle mass off of you which is why it is hard to get back in shape.  It might take you a year - having surgery in the short term would lead to a less than optimal result with a significant chance for redo surgery.

Robert Kearney, MD, FACS
La Jolla Plastic Surgeon
5.0 out of 5 stars 32 reviews

Tummy tuck question?

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You appear to be a fair candidate for an extended tummy tuck procedure. please seek out a board certified plastic surgeon for consultation. Good Luck!

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 62 reviews

Treatment of "Hanging Belly Fat"?

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Thank you for the question and pictures.

At some point, I think you will be an excellent candidate for tummy tuck surgery. You are doing the right thing by trying to achieve a long-term stable way prior to undergoing the procedure.

You may also want to be evaluated at this time to make sure that you are not dealing with abdominal wall hernia may explain the pain you are experiencing.

 Generally speaking, I ask patients to achieve their long-term stable weight before undergoing any type of body contouring surgery. I do not ask patients to achieve a specific weight;  rather I asked that they achieve a weight where they feel “comfortable” for the long-term. In other words, my hope is that patients do not experience significant weight fluctuation after undergoing the body contouring procedure.

Achieving the patient's long-term stable weight will increase the safety of the procedure and  decrease the chances that revisionary surgery will be necessary ( if he/she loses weight after having had the operation performed).
Obviously, every patient's situation is different and the weight at which they feel comfortable may differ significantly.

The other option available to you is to undergo panniculectomy,  which is a procedure that addresses the lower abdominal wall “hanging skin”. Some patients undergo this procedure to help with issues such as rashes, skin rate down, ulcerations  below the skin folds… Undergoing this procedure may allow patients to continue their exercise programs with less difficulty.

 When the time is right, seek consultation with board certified plastic surgeons. Ask to see lots of examples of their work.

 Best wishes.


These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.