Uneven Fat Distribution and Saggy Belly Button - Options?

5'7159 lbs. I have lost 40lbs and want to lose 20 to 30 more. I SEVERLY dislike my stomach.I realized the main reason is because of my stomachs unevenness with fat distribution AND even on belly buttons droppy apearance which, for the most part as been that way always. Loose skin only around belly button not so much in other areas, minimal strecth marks. Reverse abdominoplasty? mini Abdominoplasty? Liposuction/liposculture? My breasts sag D cup and I heard reverse can help with lift and aug

Doctor Answers 14

Saggy belly button and uneven fat distribution. What procedure is best?

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Judging from your photos, I think you would be a good candidate for Smart Lipo.  It is best to be at a realistic weight prior to any procedure.  Your skin tone appears to be adequate.  I don't really see sagging of your belly button, but if there is some, that may also be improved with Smart Lipo.

Chicago Plastic Surgeon

Losing weight: my breasts and tummy are changing

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As you lose weight, you will experience a variable effect on your breast and abdomen. It is essential for you to plateau your weight prior to considering any surgical intervention to achieve the ideal result. Remember any body contour change involving surgery depends on your ability to maintain a healthy lifestyle, so best to do that first! You will be happier in the long run.

Jeffrey Kenkel, MD
Dallas Plastic Surgeon

What Shall I do with MY Tummy?

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Tummy Tuck surgery is more like a game of Golf - you must play the ball where it lands. If you think you CAN lose the extra weight, that will improve any operation you subsequently have. Your skin elasticity, the extent of excess skin, the location of the excess skin and your wishes to have babies would determine the best operation for you ONCE you are ready to proceed.

If you are still planning on having babies, it would be best to postpone all tummy tuck procedures to when you have completed your family. If you have some fat deposits, liposution would be your best option. If on the other hand, you are done having children a combination tummy tuck and liposuction of the back and hips would be your best option.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Laser liposuction not Tummy Tuck for uneven fat distribution with minimal loose skin

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Thank you for your question and photographs. You do not have a lot of loose skin thus a Tummy Tuck may not be your best option. Laser liposuction can remove the excess fat which bothers you and does produce some skin tightening. This is a less extensive procedure and may give you the result that you want.

Reverse abdominoplasty,tummy tuck, mommy make-over

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You appear to be a good candidate for liposuction, SmartLipo,SlimLipo,Vaser ultrasonic liposuction. This would flatten the area around but not remove the excess skin or tighten the muscles. Thermage should tighten the skin further. A full tummy tuck would pronbably give you the best results but you would end up with a scar between your new belly button and the pubic incision.Breast implants would complete the mommy makeover. Watch my videos.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

Treatment for lax abdomen and saggy breasts

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Full abdominoplasty and vertical breast lift.  Anything less would not likely get you the improvement you are looking for.  Beware of the mini tummy tuck.  I rarely recommend or do them and I learned the hard way. 

Lisa Lynn Sowder, M.D.

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

Abdominoplasty or liposuction.

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To start with, if you are planning on losing more weight, do this and stabilize your weight prior to any surgery. Depending upon the quality and tone of your skin, liposuction alone may give you the results you are looking for. Otherwise, a full abdominoplasty will tighten the skin, correct underlying muscle separation, and improve the look of your belly button. In some cases this can be performed at the same time as a breast lift.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 26 reviews

Weight loss and tummy tuck

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I recommend you wait until you have stabilized in your weight loss before you opt for any abdominal contouring procedures.  Although it is impossible to give recommendations without a formal physical assessment/exam of your belly, I would like recommend a full tummy tuck.

A tummy tuck (also called abdominoplasty) is a very popular cosmetic surgery procedure. A tummy tuck can be an effective tool for shaping and sculpting the body for better body appearance and improved self esteem.

Sometimes no amount of diet and exercise can create a flat tummy. Tummy tuck plastic surgery actually tightens abdominal muscles and removes excess fat and skin from the stomach area to create a tighter, slimmer, smoother belly. A tummy tuck can be combined with other procedures such as liposuction of your waists or flanks (i.e. love handles) to fine tune your result

Patients choose abdominoplasty cosmetic surgery for a number of reasons, including:

Excess abdominal skin following weight loss; Weight gain (beer belly or spare tire) from a sedentary lifestyle; Abdominal fat that is resistant to diet and exercise; Stretched stomach muscles from pregnancy; Desire for a thinner profile; Desire to look younger and fitter; Desire to fit into clothes better

I recommend you visit with an ASPS member plastic surgeon to further explore your options and to find out if you are a candidate for this procedure.

Consider staging your operation

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The degree of abdominal wall laxity depends on many factors including skin laxity, muscular laxity and degree of extra abdominal wall fax (lipodystrophy). Most patients who have lost signigicant amounts of weight loss or have undergone a full term pregnancy will have some degree of muscular laxity which needs to be addressed with open surgical tightening. However, some patients (particularly nulliparous women) will respond very well to liposuction alone. Should the skin remain loose afer your liposuction procedure, then you can consider some open surgical tightening in a second stage operation (i.e.tummy tuck.).

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 23 reviews

Tummy tuck

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Based on photos, you could be a candidate for a lower abdominoplasty, combined with liposuction (a full tummy tuck if your skin is very lax), or just liposuction.

Shahin Javaheri, MD
San Francisco Plastic Surgeon
4.4 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.