I lost 100lbs through diet & exercise. Only the skin on my lower tummy is very lose. I have a strong core and my muscles are very tight. I am looking to have a tummy tuck to remove the skin ONLY. I have no children. I only want to have the excess skin removed (hoping to reveal the muscles underneath) Is this possible? what are the possible disadvantages of only removing excess skin? Is this still considered a "tummy tuck" ? what are the downside of a "drainless surgery" with only skin removal?
Answer: What surgery is best for you? from your photographs, it seems you would do very well with just the removal of skin. Your abdominal wall seems to be very tight. I don't think I would try to skimp on the length of the scar, but the more concerned about tightening the skin across the abdomen as much as possible. Plastic surgeons have different views on exactly what a tummy tuck is, but I prefer to refer to this as a lower abdominal skin excision when I discusse it with my patients.
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Answer: What surgery is best for you? from your photographs, it seems you would do very well with just the removal of skin. Your abdominal wall seems to be very tight. I don't think I would try to skimp on the length of the scar, but the more concerned about tightening the skin across the abdomen as much as possible. Plastic surgeons have different views on exactly what a tummy tuck is, but I prefer to refer to this as a lower abdominal skin excision when I discusse it with my patients.
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Answer: Skin removal You have excellent muscle tone and have done a great job losing excess weight. You do seem to have enough skin to remove with a tummy tuck, and fat removal is not necessary with the procedure. However, you may need a full tummy tuck since you have prominent laxity above your belly button. A mini tummy tuck would only tighten the skin below your belly button. The option to have a drain or drainless tummy tuck depends on the expertise of your surgeon. Sometimes, a drain is necessary if the risk of fluid accumulation is high.
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Answer: Skin removal You have excellent muscle tone and have done a great job losing excess weight. You do seem to have enough skin to remove with a tummy tuck, and fat removal is not necessary with the procedure. However, you may need a full tummy tuck since you have prominent laxity above your belly button. A mini tummy tuck would only tighten the skin below your belly button. The option to have a drain or drainless tummy tuck depends on the expertise of your surgeon. Sometimes, a drain is necessary if the risk of fluid accumulation is high.
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January 24, 2017
Answer: Tummy tuck after weight loss Tummy tucks are tailored to each individual patient's anatomy and desires. Massive weight loss patients may only have the skin and underlying fat addressed. Muscle tightening is not always performed during abdominoplasty.Drains help minimize seromas/ fluid collections postoperatively. At times quilting sutures may be used instead of drains. This is usually discussed at consultation.
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January 24, 2017
Answer: Tummy tuck after weight loss Tummy tucks are tailored to each individual patient's anatomy and desires. Massive weight loss patients may only have the skin and underlying fat addressed. Muscle tightening is not always performed during abdominoplasty.Drains help minimize seromas/ fluid collections postoperatively. At times quilting sutures may be used instead of drains. This is usually discussed at consultation.
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January 21, 2017
Answer: Tummy tuck: skin removal only? Thank you for the question and congratulations on your very significant weight loss. Yes, physical examination should allow for an accurate assessment of abdominal wall muscle laxity and the potential benefits of muscle plication. Based on your history and photographs, you appear to be an excellent candidate for tummy tuck surgery, most likely including the muscle plication component. Generally speaking, the tummy tuck procedure typically involves plication of the abdominal wall muscle that have spread during pregnancy or weight gain/loss. It is the very rare patient who after pregnancies and/or weight gain/loss does not benefit from some degree of abdominal wall muscle re approximation. IN MY OPINION, omitting this part of the procedure for the vast majority of patients who present for consultation will possibly or likely leave them with continued abdominal wall laxity and, in my opinion, a less than optimal result. Make your decisions carefully… You may find the attached link, dedicated to patients who have experienced significant weight loss, helpful to you as you learn more. Best wishes.
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January 21, 2017
Answer: Tummy tuck: skin removal only? Thank you for the question and congratulations on your very significant weight loss. Yes, physical examination should allow for an accurate assessment of abdominal wall muscle laxity and the potential benefits of muscle plication. Based on your history and photographs, you appear to be an excellent candidate for tummy tuck surgery, most likely including the muscle plication component. Generally speaking, the tummy tuck procedure typically involves plication of the abdominal wall muscle that have spread during pregnancy or weight gain/loss. It is the very rare patient who after pregnancies and/or weight gain/loss does not benefit from some degree of abdominal wall muscle re approximation. IN MY OPINION, omitting this part of the procedure for the vast majority of patients who present for consultation will possibly or likely leave them with continued abdominal wall laxity and, in my opinion, a less than optimal result. Make your decisions carefully… You may find the attached link, dedicated to patients who have experienced significant weight loss, helpful to you as you learn more. Best wishes.
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January 20, 2017
Answer: Skin removal only? It's possible you need an extended tummy tuck or body lift after losing weight. To be honest,it is quite a challenge to tell exactly what you would need without being able to do a full examination of your tummy area and rest of the torso. The photos you submitted show skin excess, but it is difficult to tell just how much. I am a fan of the skin only tummy tuck in women with your anatomy (tight looking abdominal muscles). Perhaps if you added a photo your backside it would help. Best wishes, Dr. ALDO
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January 20, 2017
Answer: Skin removal only? It's possible you need an extended tummy tuck or body lift after losing weight. To be honest,it is quite a challenge to tell exactly what you would need without being able to do a full examination of your tummy area and rest of the torso. The photos you submitted show skin excess, but it is difficult to tell just how much. I am a fan of the skin only tummy tuck in women with your anatomy (tight looking abdominal muscles). Perhaps if you added a photo your backside it would help. Best wishes, Dr. ALDO
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