Would I benefit from a traditional or extended tummy tuck? 6 ft 210 lb female w/ umbilical hernia and diastasis recti (photos)

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 3-6 months, I would then consider liposuction of your back and flanks.

Best Wishes,

Gary Horndeski, M.D.

Hi, thank you for sharing your question. A traditional TT will help you achieve your goals. Your surgeon will be able to make that determination after an in person evaluation.

Thanks for your question! Based on where your loose skin stops, I would suggest an extended tummy tuck. I do think you would be a great candidate and get a good result! i would encourage you to consider liposuction to the flanks. If you don't commit to that, you may still be a little hippy. Good luck!

Thanks for the question. You will benefit from a full tummy tuck with 360 degree ;liposuction. You dont seems to have excess skin on your flank or lower back. A good liposuction to love handle area and lower back should give you give results on your sides and lower back and result sin good shape. the muscle repair should address fullness in upper abdomen.

Hi. I think a lot of that really depends on what one person considers to be an extended tummy tuck versus what another person considers a traditional tummy tuck. I certainly do not think that you need a fleur-de-lis type of tummy tuck but rather what I would consider a traditional tummy tuck customized to your specific anatomy. For my approach, that would include reasonably aggressive repair of rectus diastases and liposuction of the flanks. So some of it can get wrapped up in semantics, but I think based on your pictures you could see a lot of nice benefit from that procedure. I would recommend consulting with a board certified plastic surgeon with good experience in body contouring and specifically tummy tucks to help guide you through the process.
Good luck and take care,
Dr. Howell

Hi, an in person consultation with physical exam and complete medical/surgical history would be required for an accurate recommendation. However, based off your photos alone I would recommend a standard abdominoplasty with liposuction to the bilateral flanks and/or back. An extended abdominoplasty takes the incisions more lateral to remove any redundant skin which doesn't appear to be the case for you. If your goal is a thinner waistline in addition to improved abdominal contour then performing liposuction to the back and flanks would be beneficial.

You appear to be a great candidate for abdominoplasty with lateral hip extended incisions or lipoabdominoplasty with lateral hip extended incisions. You will have incisions from flank to flank. In my clinic I advise my patients on whether they are a liposuction candidate or not. If you are a lipo candidate, you will likely still need lipo, even with extended incisions.

It appears like you've had liposuction in the posterior waist before? Regardless, it appears that some liposuction would improve the hip area. Once that's performed, skin laxity would be assessed on the operating room table to determine how far to the sides skin excision is needed to achieve a smooth contour. During a physical examination prior to surgery, a surgeon can assess that and make a determination of how likely an extension of skin excision is necessary.

Hello!
I think you would be fine with traditional tummy tuck with diastasis recti repair and skin removal, with some waist lipo to enhance the waist and front of the braline. You did not include back photos, so it is not entirely clear how the back looks. I would recommend you see a board certified plastic surgeon in consultation to determine your best options for contour, taking your scar acceptance and healing requirements into consideration. You can find board certified plastic surgeons at plasticsurgery.org.
Best of luck to you!

Hello @TianaMW, and thank you for your question. My recommendation based on my 22 years of experience and seeing your photos would be a tummy tuck with as minimal and low a scar as possible. That way you can achieve the results you want. Here's a video showing our tummy tuck technique. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)