Should I Get a Mommy Makeover or the Lap Band? Any Opinions Will Help!

My weight is 230-240 im 5'4, im okay with my body is just my stomach area and back rolls that i hate...I have 3 children all c-sections and im done with kids. I have lost weight in the past but i just keep gaining it back. I really dont know what to do!

Doctor Answers 18

Weight loss needs to be pursued

Your photos are very helpful in being able to more accurately discuss your situation. Clearly, you are overweight and in what is known as the morbidly obese category. This places you at significantly higher risk for surgical complications. Cosmetic surgery would not be a prudent choice at this juncture.

You need to lose weight - and a lot of it. In order for this to be effective you need to be committed - and it isn't easy. It would be beneficial for you to find a multi-pronged approach for weight loss including decreased caloric intake and greater exercise. Seeing a dietician, primary care doctor and even bariatric surgeon (surgical weight loss doctor) would be be quite helpful for you. 

Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

Get your weight under control

Your BMI is over 40. You need to control your weight and get on a diet. You are making a mistake and hoping someone else will make your body look better. Control your life, go on a diet, when your bmi is below 30 (for your height about 170lbs ) then surgery may be appropriate.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

See a surgeon to develop the best treatment plan for you!

There’s no question that being close to your ideal body weight improves the results from tummy tuck surgery and Mommy Makeover surgery.It also decreases the potential for complications with this type of surgical procedure.For these reasons, we recommend that patients be within 10% of their ideal body weight at the time of surgery.
Unfortunately, reaching an ideal weight is easier said than done.The vast majority of patients are unsuccessful at losing this additional weight.It’s also important to realize that even when patients are overweight, they can potentially benefit from Mommy Makeover surgery.We therefore, evaluate each patient on an individual basis.
We encourage patients to lose weight before surgery and prefer that their weight be stable for at least three months.We realize that some patients will have difficulty losing weight.We therefore, encourage patients to be in a supervised weight loss program.Even with this help, some patients will be unsuccessful in their effort to lose weight.In this group, bariatric surgery and lap band surgery are a definite consideration.
It’s important to consult a board certified plastic surgeon who has experience in this area.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Tummy tuck is not a good choice for patients with high BMI

Providing your hight and weight along with the pictures helps a lot. Your BMI ( body mass index ) is currently around 39 or 40. Usually I prefer to perform a tummy tuck on patients with BMI of 29 or less. That means that your weight should be around 170 to put you in a safe range and to provide a better outcome. You can try to loose 60 to 70 lbs with the help of a nutritionist and personal trainer. A visit to one of the local bariatric surgery seminars may be beneficial.

Alfred Sofer, MD, FACS
Fairfield Plastic Surgeon
4.9 out of 5 stars 24 reviews

Mommy makeover or lap band?

A mommy makeover, specifically the tummy tuck part, is not primarily a weight  loss operation.  In terms of getting the best ultimate result, you would certainly benefit from weight loss prior to a tummy tuck.  Ideally this would be accomplished through diet and exercise.  Otherwise, a consultation with a bariatric surgeon could help to determine whether a lap band is appropriate for you.

Arnold S. Breitbart, MD, FACS
Long Island Plastic Surgeon
4.7 out of 5 stars 142 reviews

Diet and tummy tuck

Before undergoing tummy tuck, it is a good idea to lose some weight first. Whether that is done through diet and exercise or by gastric bypass surgery is up to you. Either way, you will have to stick to some lifestyle modifications in order to have a result that is long lasting.  It is also good for your health and well being. Best of luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Tummy tuck - abdominoplasty results

You are too overweight to undergo a cosmetic abdominoplasty. The complication rate is sufficiently high to make the risk benefit ratio of the surgery unfavorable. You could undergo a panniculectomy, which is just a removal of the apron of skin and fat below the belly button. That however does not yield a very aesthetic result and is better reserved for individuals suffering from recurrent skin breakdown and/or infections under the hanging apron.

To be an ideal candidate for an abdominoplasty you will need to lose about 100 pounds and keep it off for about 6 months. That can be accomplished with diet and exercise or bariatric surgery such as a lap band. The non-surgical weight loss is preferable but not always feasible.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Weight loss before surgery

Based on your description and photos, I would say that I would not recommend cosmetic surgery or a lap band at this time.  If you have been able to lose weight in the past, there is no reason you can't do so again.  You would be best served by improving your diet and starting on an exercise program.  Your primary care physician may be able to assist you with a diet plan and referral to a nutritionist if needed.  Once you get closer to your ideal body weight you may become an excellent candidate for a 'mommy makeover' at that time.  

this approach will give you the best overall results and best opportunitiy to have the optimal result with the lowest rate of complications.

good luck

Sean A. Simon, MD
Miami Plastic Surgeon
4.2 out of 5 stars 36 reviews

About the Mommy Makeover Procedure

The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.  

The procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

You can have surgery first!

It appears that you have loose skin, evident by the stretch marks on your stomach. Loose skin will most likely not tighten up as much as you'd like even if you lose weight, and it could even get worse. 
If you are happy with the rest of your body then it is quite reasonable to have an abdominoplasty to improve the appearance of your abdomen. We all have area of our bodies with a collection of stubborn fat and sometime it makes sense to address that one area alone.  You would need a combination of liposuction and tummy tuck for the optimal result.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

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.