Male tummy tuck and muscle tightening. Is it recommended for men to do the abdomen wall with muscle tightening?

With large amounts of weight loss, the excess skin can continue into the flank and lower back.  When the skin removal is done in these areas as well, the procedure is considered a belt lipectomy or circumferential body lift.  You may need this due to how much extra skin you have.  Most men who lose a lot of weight may have had some intrabdominal fat, which caused stretching of the abdominal wall.  A surgeon will be able to tell if you need abdominal wall tightening.  This is commonly done in men as well.

It is not uncommon to combine a tummy tuck with male breast reduction. There are three types of surgical treatment options available to treat gynecomastia. The excision technique is used on cases of #gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.

The incision patterns are determined by the specific condition of the patient. The doctor will recommend this procedure which combines the liposuction technique and excision technique to create a natural look. Patients are given specific instructions for the recovery period. 

Lastly, it is crucial you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Without photos and/or physical exam it is not possible to comment whether a tummy tuck or circumferential body lift would be the better option.  Many but certainly not all of my male patients will benefit from a rectus plication but if there is no spreading of the muscles (diastasis) this is not absolutely necessary.

You are probably a very good candidate for a tummy tuck. If a patient needs the muscle tightening, I perform this during the surgery.  Look at
reviews and before and after pictures as well as credentials to select
your surgeon.Kenneth Hughes, MDLos Angeles, CA

I generally do not perform muscle tightening for make tummy tucks.  Muscle looseness is usually due to pregnancy, so in your case it is probably not needed.  The difference between a full tummy tuck and a belt lipectomy, which goes all the way around the back, is that the latter is quite more extensive surgery.  Without photos, it is hard to tell if you need the full belt lipectomy or would be okay with just the tummy tuck.