What procedure/s would be most helpful for my tummy and back (skin removal or fat removal)?

Hello, thank you for your question. Based on your photos it seems like you can benefit from a Tummy Tuck and a bra line lift. I recommend you to schedule a consultation with a board certified plastic surgeon for a proper evaluation.

Hi, thank you for sharing your question.

You are a great candidate for a tummy tuck and a bra-line lift. The tummy tuck can be done through a very low incision to tighten the abdomen while the bra-line lift will remove all of the excess skin that you've shown. While liposuction may help to flatten some of the folds, it may worsen the excess skin if the skin doesn't contract adequately. I hope this helps. Best of luck!

Congratulations on your weight loss!

A tummy tuck is recommended for your front to tighten the loose skin and remove unwanted fat. For your back, it depends on the quality of your skin. If you have loose skin, a circumferential tummy tuck would help. Liposuction can also be performed to enhance results. An in-person consultation with a board certified plastic surgeon is recommended to determine which treatment would be most suitable.

After 2 pregnancies and 65 lbs weight loss, your breasts are drooping as well. I recommend you begin with a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This will pull some of the back skin forward and take care of some of the looseness that you dislike. At the same time, a tummy tuck can be done. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After these are completed, you can consider a back lift, if necessary.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question & photos! Liposuction will remove excess fat with some retraction of skin. A tummy tuck will address excess skin & repair of the abdominal muscle. The abdominal wall can be weakened after pregnancy and (or) significant weight gain & loss. By repairing the muscle, not only does the appearance of your abdominal area improve, but your core strength as well. The repair of the muscle will cinch your waist like an inner corset, which will accentuate your curves. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD
Double Board Certified Plastic Surgeon

Chicago
Hoffman Estates
Oakbrook
Orland Park

Hi there. Thank you for providing photographs. You appear to be a great abdominoplasty candidate. Further assessment in person will be needed to discuss needs further than the abdominoplasty. Depending on amount of subQ fat to abdomen, additional liposuction may be recommended to abdomen and flanks. The same goes for back aesthetics. Liposuction may be warranted, but it appears that you have more excess skin than fat. A bra-strap back lift may be an option to remove excess midback skin. Good luck on your journey and congratulations on your weight loss!

Dear NCMom22,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Congrats on the weight loss and thank you for the question! It is best to be seen in person, but based on the photos alone, you appear to be a candidate for tummy tuck, as well as liposuction of your back and flanks.

A tummy tuck will remove the excess skin and fat from the middle and lower abdomen and tightens the muscle and fascia of the abdominal wall creating an abdominal profile that is smoother and firmer. Muscle repair is often done with a tummy tuck, especially in patients who have a history of weight loss and pregnancies. Liposuction on the flanks is often done with a tummy tuck to help achieve an hour glass figure.

I would consult with a plastic surgeon in person so they may best explain the procedures that will help you achieve the aesthetic results you desire. Good luck!

Kamran Azad MD, Board Certified Plastic Surgeon

I appreciate your concerns and thanks to your impressive weight-loss you appear to be an excellent candidate for Tummytuck combined with liposuction of your flanks and upper and lower back regions. Liposuction of your back should be the best option for your concerns of this area. You do not appear to have enough redundant skin to warrant any kind of skin reduction surgery of the back which can leave a quite noticeable scar of your upper back region below your brassiere line. Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.