30, 5'10, 160lbs, reverse tummy tuck? Or other procedures to get rid of this extra flab? (Photos)

Hello, the majority of my patients with loose skin on the abdomen that does not improve with non-surgical treatments, will choose to have a regular tummy tuck. This operation allows me to make the incision low in the pubic region and remove any redundant skin there. If you pull up on your abdominal skin (like in the posted photos) you might notice this pulls the hair-bearing pubic mound skin higher on the abdomen. Most of my patients don't like this look, so I remove excess pubic skin during the operation. The resulting scar is typically hidden by undergarments.

Thank you for your questions and photos. From your photos, you would be a good candidate for a tummy tuck with liposuction. 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. Liposuction will remove excess fat from unwanted areas with some skin retraction. 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

South Barrington
Oakbrook Terrace
Orland Park

Dear Helpful344299,

Thank you for sharing your concerns, history, and photos. Based on the details you've provided, I'd like to offer some insights.

While a reverse tummy tuck addresses the upper abdomen, your primary concern seems to be the skin and fat below the belly button, particularly noticeable on your profile view. In cases like yours, a traditional tummy tuck often yields better results than a reverse tummy tuck.

A reverse tummy tuck may not provide optimal results for the area from the belly button to the pubic region, especially when considering muscle repair. It appears that your abdomen is distended in this region, indicating the need for muscle plication.

I recommend considering a standard tummy tuck, wherein an incision is made from hip to hip across the top of the pubic region. This procedure allows for comprehensive muscle plication, reduction of the mons, and removal of excess skin and fat in the affected area. With a traditional tummy tuck, the dissection would extend up to the sternum, ensuring a tighter and more toned abdomen.

While cost is often a consideration, it's essential to prioritize the quality and experience of your chosen plastic surgeon over pricing alone. Your safety and satisfaction are paramount.

I hope this clarifies the benefits of a traditional tummy tuck over a reverse tummy tuck for your specific needs. Best wishes on your journey towards a more contoured abdomen.

Sincerely,
Dr. Katzen

Thank you for your photographs and congratulations on your stable, weight loss. From your photographs, it appears that you would benefit from a standard full abdominoplasty. This should tighten your abdominal skin, and remove the laxity you are unhappy with. An abdominoplasty will also place your incision line low on your abdomen, in an area where it is easily hidden by underwear or bathing suits. A reverse abdominoplasty is frequently done only for people who have been massively obese and have remaining loose skin of their upper abdomen after a regular abdominoplasty. The scar for a reverse, abdominoplasty runs in the fold underneath each breast, and then between the breast. It is much more visible and difficult to hide. Speak at length in a detailed consultation with your plastic surgeon. Best wishes.

Hello, I am Dr Salvador García from Guadalajara, Mexico, an expert in body contouring, my recommendation is to perform lipectomy, in addition to 360 lipo with PAL microair technology, vaser and renuvion J plasma, to help the sagging of your skin

Congratulations on your impressive weight loss! From your photos you will have the best results from a standard tummy tuck with liposuction for contouring. The reverse tummy tuck would not be recommended for you. It is rarely done and would not give you the best results. I've included a video on tummy tuck options that I hope you find helpful.

When you lost weight, you have excess skin over the chest, breasts and abdomen. There is a breast lift technique I recommend called 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 also lift the skin of the upper abdomen. A tummy tuck can be done for the lower abdomen. I do not recommend upside down tummy tuck as the scar is across the entire sternum.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and photos. Based on these photos, I would recommend an extended tummy tuck and liposuction to contour the back and sides or possibly a tummy tuck with a lower body lift. A reverse tummy tuck is rarely indicated and will not address all your loose skin issues. These surgeries I do in our accredited in office surgical suite under deep intravenous sedation.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Reverse tummy tuck is rarely done. A standard tummy tuck dies involve a long scar and your tummy isn’t that bad. If you plan on having children I recommend waiting for a tummy tuck

It is hard to tell from photos alone and is best to go for a consultation, but I would say you would benefit from a standard TT. A reverse TT would leave you with a scar under your breasts connection in the midline and can pull the breast plate down. A standard TT scar is easier to hide in clothing etc. You may need Renuvion on the remaining skin to really get a nice youthful look.