Remove Excess Skin and Fat Inplace of Tummy Tuck?

I have to respectfully disagree with my colleagues. In my experience, you can get significant improvement with an operation that removes the fat and skin, without tightening the muscles. And more importantly, the recovery IS significantly shorter and easier when no muscle plication is done. Yes, the resulting belly will not be as flat or tight compared to a traditional tummy tuck, but the shorter recovery may be worth a small sacrifice in results.  I perform a non-muscle plciation procedure called Smooth Tuck that has shown great results in patients who are "too obese" for a tummy tuck, or are perfect tummy tuck candidates (like you) but desire a less invasive procedure with a more rapid return to work.  I understand why some surgeons "poo-poo" this approach, but my patients have been extremely happy and travel from all over the world to get this done.  Yes, your results will be better with a muscle plication, but that does not mean there are not acceptable alternative. smoothtuck.com

Thank you for your question.  Your set of problems will likely be very effectively addressed with a full tummy tuck.  Simple removal of skin and fat excess, without abdominal plication, will leave you with an abdomen that remains somewhat protuberant, and a waistline that lacks ideal shape.  Plication (tightening) of the abdominal wall muscles and fascia will truly flatten your stomach and will tighten the waistline, giving an attractive "hourglass" shape if done correctly.  Forgoing an important step of the tummy tuck will not significantly reduce cost, and will likely produce a result with which neither you nor your surgeon is completely satisfied.

Pregnancy can result in dramatic changes in a women’s
body.These changes are especially
noticeable in the abdomen, where redundant saggy skin, weakened muscles, and
stretch marks may occur.Your pictures
suggest that you might benefit from a full abdominoplasty.Abdominoplasty
is performed by making a lower abdominal skin incision and lifting the skin and
subcutaneous tissue to the level of the ribcage.This typically requires detaching the belly
button which allows more skin to be removed.The muscles are then tightened, excess skin removed, and the belly
button re-attached in proper position.In rare
cases, abdominoplasty can be performed without tightening the underlying
abdominal muscles.When patients have
tight underlying muscles, it’s not necessary to plicate them.It’s hard to understand why you’re opposed to
this maneuver in this specific case.In
most cases, plication adds significantly to the post-operative result.However, it’s important to realize that the
procedure will still significantly improve abdominal aesthetics even without
muscle plication.The
best results are obtained when correct analysis is performed and the best
surgical option is applied.In most
cases patients will require a full abdominoplasty.