A tummy tuck can be done at almost any weight for I usually do extensive liposuction during the procedure and the tissue, including fat that is between the belly button and public area is removed. It is easier to remove just skin but is unrealistic and unnecessary to have someone lose enough weight to get to that stage.
There is no one body fat percentage or BMI when one should have a tummy tuck. It is generally a good idea to reach/try to reach your target weight. Once you do and the weight stays stable - see how much skin laxity is there and if there is any weakness of the tummy muscle. Tummy tuck may help if you have significant amount of skin excess and/or muscle weakness.
There is no ideal BMI for patients who may be candidates for a tummy tuck. However, patients with a BMI greater than 30 do carry a greater risk of complications. In general, getting your weight down can be helpful and can improve results. If possible, a BMI of 25 or less should help make you a reasonable good candidate. Best wishes, Dr Lepore.
Thank you for your question and I agree with the other consultants that the best results for an abdominoplasty are achieved in those patients who stable are at their ideal body wieght prior to surgery essentially a BMI of 25
You are correct that the most beautiful results occur in women who are not overweight, but do have loose or excess skin and possibly loose abdominal muscles. It is therefore best to lose excess weight BEFORE the tummy tuck, attempting to reach an ideal weight IF POSSIBLE. This will not only lead to a nice cosmetic result, but decreases the risk of complications during and shortly after the surgery. That being said, there are many women who are still well above their ideal weight, but have never been able to approach that weight despite numerous trials of dieting and exercise. For some, it's truly difficult to run or perform other aerobic exercise due to the loose abdominal rolls. For others, it's difficult to maintain motivation since any weight loss achieved is difficult to see or appreciate due to the loose, hanging tissues or rolls of skin. Many of these women can benefit tremendously from a tummy tuck, and indeed these are the patients who hug me and shed tears of joy in my office, telling me how the surgery dramatically changed their lives for the better. I have had patients who have lost 60 pounds or more after their tummy tuck, maintaining a smooth, tight tummy, when they could never lose such weight before the surgery. The bottom line is that you should try to reach your ideal weight before surgery. If you can't reach the ideal weight despite a good effort, you can still often be a reasonable candidate for surgery with expectations for a dramatic improvement. As I mentioned above, and others on this page have mentioned, overweight patients do have a higher complication rate, so it's important to attend an in-person consultation with a board-certified plastic surgeon who can advise you best.
Your observations are accurate. The closer you are to your ideal weight the better your cosmetic results with the added benefit of having a lower risk of complications as well. Fluctuations of ten pounds around your ideal weight is not significant but in excess of 20 becomes problematic.
Rather than percentage of body fat, surgeons use a calculation called the Body Mass Index. Ideally this number should be 25-28. Once the number reaches 30 the risks of complications with body contouring surgery go up significantly. There are BMI calculators on the internet and only require you input your height and weight.
The other approach would be to seek out a board certified plastic surgeon to evaluate you and guide you in the process. Good luck and I hope this was helpful.
It is always best to get down to your ideal weight that you will be able to maintain long term. This will not only maximize your results but put you on a healthier lifestyle to maintain your results. We have all seen patients who have had their tummy tucks and then go on to gain back 20 to 30 lbs. Make sure to see a board certified PS who can examine you and go over your options.
BMI is a better indicator than body fat percentage for the purpose of answering your question, and a BMI (body mass index) of 24-25 would be the most ideal for a patient who wanted a tummy tuck. Best regards.
Most plastic surgeons suggest that you finish having
children, get your weight within 10 pounds of your ideal weight, and have a BMI
less than 30 before undergoing an abdominoplasty with repair of the stretched
out abdominal muscles and liposuction of selective areas, in order to achieve
the best long term cosmetic result with the least potential complications.
Keep in mind that following advice from a
surgeon on this or any other website who proposes to tell you what to do based
without examining you, physically feeling your tissue, assessing your desired
outcome, taking a full medical history and discussing the pros and cons of each
operative procedure would not be in your best interest. I would suggest that
you find a surgeon certified by the American Board of American Plastic Surgery
and one who is ideally a member of The American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California
Hello and thanks for your question,
I would suggest that you go to a consultations with a board certified plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon. During the consultaion, you can discuss your concerns, answer questions and together work to build the surgical plan that will help you achieve your overall desired look. You should meet a surgeon who has a great reputation and passion for this artistic and rewarding procedure.Best wishes,