I am 37 years old, in good health...5'8" 153 lbs. I had a full mommy makeover, including breast lift and aug, extended tummy tuck, and 2 hours of lipo. I still have a fat, loose, flabby tummy, and loose, flabby love handles. I am very disappointed. The doctor has offered cool sculpting to the tummy, but I would really like the love handles done also before i consider having a surgical revision. Why is my result so poor?
Answer: Your Tummy Tuck Surgery It’s important to realize that every surgical procedure has limitations. We occasionally see patients who are unhappy following surgery when their expectations exceed their procedures ability to deliver a result. In your case, I feel the results of your abdominoplasty are reasonable. It appears that weakened muscles, stretch marks, and loose saggy abdominal skin are all significantly better following this procedure. Unfortunately, many patients who undergo abdominoplasty for loose saggy skin have a lower abdominal roll that extends backwards to the midline of the back. This roll can only be partially addressed during tummy tuck surgery. Your surgeon extended the incision posteriorly in an effort to minimize this problem. Under these circumstances, a transition zone will always exist between the flat abdomen and the back roll of fat and skin. The only way to effectively address this problem is with additional surgery. In some cases, liposuction alone may be adequate but in the majority of patients the excess fat and skin will require surgical excision. If you’re bothered by this problem, consultation with your surgeon is appropriate. Revisional surgery may be necessary but should be delayed for at least six months. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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Answer: Your Tummy Tuck Surgery It’s important to realize that every surgical procedure has limitations. We occasionally see patients who are unhappy following surgery when their expectations exceed their procedures ability to deliver a result. In your case, I feel the results of your abdominoplasty are reasonable. It appears that weakened muscles, stretch marks, and loose saggy abdominal skin are all significantly better following this procedure. Unfortunately, many patients who undergo abdominoplasty for loose saggy skin have a lower abdominal roll that extends backwards to the midline of the back. This roll can only be partially addressed during tummy tuck surgery. Your surgeon extended the incision posteriorly in an effort to minimize this problem. Under these circumstances, a transition zone will always exist between the flat abdomen and the back roll of fat and skin. The only way to effectively address this problem is with additional surgery. In some cases, liposuction alone may be adequate but in the majority of patients the excess fat and skin will require surgical excision. If you’re bothered by this problem, consultation with your surgeon is appropriate. Revisional surgery may be necessary but should be delayed for at least six months. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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September 1, 2015
Answer: Mommy makeover results
It's hard to say without examining you, but you should voice your concerns to your plastic surgeon or seek out a second opinion of another board certified plastic surgeon.
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September 1, 2015
Answer: Mommy makeover results
It's hard to say without examining you, but you should voice your concerns to your plastic surgeon or seek out a second opinion of another board certified plastic surgeon.
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June 23, 2013
Answer: Tummy tuck results after mommy makeover
Thanks for your question and pictures. I am sorry to hear that you are not satisfied with your results. It does appear that you had significant improvement in your contour. It does appear that you still have some loose skin in the love handle region. You may benefit from further excision but I would try and wait until 6 months. CoolSculpting alone may not be enough. Good luck!
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June 23, 2013
Answer: Tummy tuck results after mommy makeover
Thanks for your question and pictures. I am sorry to hear that you are not satisfied with your results. It does appear that you had significant improvement in your contour. It does appear that you still have some loose skin in the love handle region. You may benefit from further excision but I would try and wait until 6 months. CoolSculpting alone may not be enough. Good luck!
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June 22, 2013
Answer: Why is my Tummy Tuck Result So Poor?
I do not think the result is poor, and your overall contour is much improved. You have a nice low scar, and you still have some swelling. There are a multitude of factors involved here, but I would not let someone talk you into a revision until at least 6 months. I think you can have more fat removed from your flanks, but the other issues will require more time to firm up on a decision. Kenneth Hughes, MD Los Angeles, CA
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June 22, 2013
Answer: Why is my Tummy Tuck Result So Poor?
I do not think the result is poor, and your overall contour is much improved. You have a nice low scar, and you still have some swelling. There are a multitude of factors involved here, but I would not let someone talk you into a revision until at least 6 months. I think you can have more fat removed from your flanks, but the other issues will require more time to firm up on a decision. Kenneth Hughes, MD Los Angeles, CA
Helpful 1 person found this helpful
June 22, 2013
Answer: Dissatisfied after Tummy Tuck Surgery?
I am sorry to hear about your disappointment after mommy makeover surgery. Based on your description and pictures, it is possible that you will benefit from revisionary surgery. Of course, in-person examination would be necessary to provide you with specific advice, but it is likely that additional skin excision and/or liposuction surgery will improve your outcome. I would be concerned that cool sculpting would not provide you with enough of a change, especially when it comes to the appearance of the skin, to achieve your goals.
I hope this helps.
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June 22, 2013
Answer: Dissatisfied after Tummy Tuck Surgery?
I am sorry to hear about your disappointment after mommy makeover surgery. Based on your description and pictures, it is possible that you will benefit from revisionary surgery. Of course, in-person examination would be necessary to provide you with specific advice, but it is likely that additional skin excision and/or liposuction surgery will improve your outcome. I would be concerned that cool sculpting would not provide you with enough of a change, especially when it comes to the appearance of the skin, to achieve your goals.
I hope this helps.
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