Carry weight in abdomen due to insulin resistance - what type of tummy tuck would I benefit best from? (Photos)

Thank you for your question regarding what type of tummy tuck would benefit from the most with insulin-dependent diabetes. Thank you for including your history and your pictures. Suppose I had to predict what type of tummy tuck you would need. I would suggest an extended low horizontal tummy tuck or abdominoplasty. I suggest you have the extended version of the tummy tuck to address as much skin and fat as possible over the lateral portion of the tummy next to the hip. I would suggest the incision be placed low because the high lateral tension tummy tuck would not significantly benefit you. I would also suggest the horizontal tummy tuck or abdominoplasty because I do not think you need a vertical component or a fleur de lis incision. Therefore, I would suggest the extended horizontal low-cut tummy tuck. Time will tell, and we will see what you need once you lose weight. However, If I had to guess, I would suggest the extended low tummy tuck. I hope this helps answer your question about what kind of tummy tuck you need.

Because of your condition you storage all of the extra weight not only subcutaneously, but inside of the abdominal cavity and that will be impossible to remove surgically only by losing weight.
After losing weight and reach a healthier BMI below 30 Your abdomen will be flatter and even your issues with insulin resistance will improve and sometimes even cured.
Once you achieve that (BMI and flat abdomen) you will be a wonderful candidate for Tummy Tuck and muscle repair to remove saggy skin and tighten your muscle.
Be encouraged.
Dr. Cárdenas

You will need a circumferential lift that includes your abdomen and back. This would need to be done in 2 stages. I would begin with the abdomen and then do the back. However, you need a BMI of 32 or lower to undergo this surgery. You may want to consult with a bariatric surgeon if you are having trouble losing weight. I always recommend a low fat diet, core exercises such as sit-ups, planks, pilates and start wearing an abdominal binder.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your question. I would recommend scheduling a consultation with your plastic surgeon once you reach your weight goals. In my clinic I follow recommendations of not performing elective surgery on anyone with a BMI greater than 32. Your body will change with weight loss- you will lose subcutaneous fat and visceral fat. At that time you will be able to see which abdominoplasty options would be best for you (traditional abdominoplasty, lipoabdomionplasty, etc).

Dear BreeMarieX3m,
generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgeryIf you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Hello, thank you for your question and pictures.

After evaluating your case you seem to be a great candidate for a Tummy Tuck to remove the skin excess on the abdomen combined whit 360 liposusuction to reshape your body. The BMI neet to be under 33 for surgery. By combining these procedures we can achieve goog results.

Make sure to approach to a certified surgeon to help your clear all your doubts.

Best wishes!

From the photos posted, once you have achieved a healthy, stable weight an extended or circumferential tummy tuck will likely be recommended for you. Liposuction will help to contour your curves. For elective plastic surgery it is recommended that you have a BMI of 30 or lower to keep risk of complications low and to allow your surgeon the opportunity to maximize your results.

Thanks for the series of photos. I offer multiple staged surgeries. Stage 1-2/3 liposuction only to reduce fat volume. Then last stage full TT for excess skin envelope. Best to virtual consult with....

There is no tummy tuck that will provide you with an adequate result. Your problem is excess weight in a tummy tuck does not resolve that.

Your best option is to try Semiglutite I, Obera balloon, or some other form of bariatric surgery prior to considering cosmetic correction.

Do you have a fat distribution that has a high percentage of visceral or intra-abdominal fat.
In order to get a flat abdomen he will have to lose his substantial amount of weight. Until then you’re not a good candidate for any type of tummy tuck.
When you’ve lost enough weight to be a candidate your abdomen should be completely flat when laying on your back.
I’m guessing you probably need to lose about 60 pounds.
If you move forward with a tummy tuck before success for weight loss you’ll end up having a bulging abdomen because of the excess visceral fat. successful weight loss should be you’re number one goal. consider finding others who are struggling with obesity or consider looking for support groups like weight watchers or overeaters anonymous.
I bringing your weight down should be you’re number one priority in regards to health and overall well-being.
Best,
Mats Hagstrom MD