The good news is that having a gastric sleeve after a tummy tuck doesn’t necessarily undo your previous results, but there are a few important things to consider. Sleeve gastrectomy typically leads to significant weight loss, and depending on how much weight you lose, you may notice some changes in your abdominal area. Even though the excess skin was removed during your tummy tuck, further weight loss can still lead to skin laxity or a change in contour, especially if your weight loss is dramatic or your skin has less elasticity. That said, the gastric sleeve is done laparoscopically, which means small incisions, often placed above or around the belly button—areas that may or may not overlap with your tummy tuck scars. A skilled bariatric surgeon will be careful with incision placement and will work around any previous surgical sites to minimize any disruption. If your tummy tuck was fairly recent, your surgeon may advise you to wait until you're fully healed before proceeding with sleeve surgery. But if it’s been a while, and your health and BMI suggest bariatric surgery would benefit you, it’s definitely still an option. Just be sure to talk it over with both your bariatric and plastic surgeon so they can coordinate your care and manage your expectations about potential changes in appearance as you lose weight.