I am currently 5'7, 115lbs however I still have a small "pooch" w/nominal stretch marks from 2 pregnancies. During a mommy makeover consultation, the PS said most other PS wouldn't agree to preform the tummy tuck b/c I don't have a large amount of excess skin/fat to excise. (however he feels confident he can give me good results). If I proceed with this PS, are there possible adverse results from a tummy tuck pulled too tight?
Answer: Abdominoplasty in thin patients We were taught in our residencies that there were two types of tummy tuck, mini tucks and full tummy tucks. However the mini tuck is a poor operation for most post-pregnancy patients as it does nothing for the fascia in the upper abdomen.There are in fact many more types of tummy tucks, especially well suited for thinner patients or patients who had a limited weight gain during pregnancy.Because you have a bulge in your fascia (also known as separation of the muscles, or diastasis recti), it is advisable to tighten these muscles. Liposuction by any technique will not do the trick as the fascia will not respond to tightening unless sutures are placed.You would most likely be best served by a lower abdominal incision, with full tightening of the abdominal fascia.Much of our practice is geared to the 'in-between' tummy tucks.It would be a shame to make a hip to hip incision relatively high on the abdomen just to access the upper abdominal fascia, when, with special instrumentation, it can be accessed from a C-section type incision.
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Answer: Abdominoplasty in thin patients We were taught in our residencies that there were two types of tummy tuck, mini tucks and full tummy tucks. However the mini tuck is a poor operation for most post-pregnancy patients as it does nothing for the fascia in the upper abdomen.There are in fact many more types of tummy tucks, especially well suited for thinner patients or patients who had a limited weight gain during pregnancy.Because you have a bulge in your fascia (also known as separation of the muscles, or diastasis recti), it is advisable to tighten these muscles. Liposuction by any technique will not do the trick as the fascia will not respond to tightening unless sutures are placed.You would most likely be best served by a lower abdominal incision, with full tightening of the abdominal fascia.Much of our practice is geared to the 'in-between' tummy tucks.It would be a shame to make a hip to hip incision relatively high on the abdomen just to access the upper abdominal fascia, when, with special instrumentation, it can be accessed from a C-section type incision.
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October 7, 2014
Answer: Tummy tuck procedure Based on your pictures, history of two pregnancies, and current height/weight, you would be a great candidate for a tummy tuck operation. Glad to hear that your plastic surgeon is confident enough to do a tummy tuck, because you would look great after having one. There is usually enough skin and tissue laxity after having children to perform a tummy tuck.I hope this helps.- Dr. Bryson G. Richards, MD
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October 7, 2014
Answer: Tummy tuck procedure Based on your pictures, history of two pregnancies, and current height/weight, you would be a great candidate for a tummy tuck operation. Glad to hear that your plastic surgeon is confident enough to do a tummy tuck, because you would look great after having one. There is usually enough skin and tissue laxity after having children to perform a tummy tuck.I hope this helps.- Dr. Bryson G. Richards, MD
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Answer: Too Skinny for a Tummy Tuck? Each operation is tailored to the patients presentation and her needs and expectations. If you have loose muscles from having a baby, these can be tightened just enough to give you your flat tummy back, without changing your overall figure. Usually, tightening has to be from your rib cage to your pubis. The amount of extra skin you have will determines the length of your scar. You might consider getting a second opinion from a board-certified plastic surgeon and see if there are any other ideas he can put on the table.
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Answer: Too Skinny for a Tummy Tuck? Each operation is tailored to the patients presentation and her needs and expectations. If you have loose muscles from having a baby, these can be tightened just enough to give you your flat tummy back, without changing your overall figure. Usually, tightening has to be from your rib cage to your pubis. The amount of extra skin you have will determines the length of your scar. You might consider getting a second opinion from a board-certified plastic surgeon and see if there are any other ideas he can put on the table.
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October 7, 2014
Answer: Would you deny a tummy tuck procedure because a patient is "too skinny?" Being "too skinny" is not a contraindication for a tummy tuck. Although I can't appreciate the skin laxity in the lower abdomen, you could have a tummy tuck via a small suprapubic incision with VASER liposuction to better define the waist line for you. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
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October 7, 2014
Answer: Would you deny a tummy tuck procedure because a patient is "too skinny?" Being "too skinny" is not a contraindication for a tummy tuck. Although I can't appreciate the skin laxity in the lower abdomen, you could have a tummy tuck via a small suprapubic incision with VASER liposuction to better define the waist line for you. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
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October 7, 2014
Answer: Would you deny a tummy tuck procedure because a patient is "too skinny?" There are a variety of surgical procedures or combinations that can produce good results in patients with only mild abdominal laxity, depending on multiple factors including their anatomy and degree of desired improvement: A mini tummy tuck, an umbilical float modified tummy tuck, a full abdominoplasty. Each of these can be performed with or without abdominal muscle repair. They produce different degrees of improvement. Following the advice of anyone who would presume to tell you what to do based on two dimensional photos without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest.Your plastic surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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October 7, 2014
Answer: Would you deny a tummy tuck procedure because a patient is "too skinny?" There are a variety of surgical procedures or combinations that can produce good results in patients with only mild abdominal laxity, depending on multiple factors including their anatomy and degree of desired improvement: A mini tummy tuck, an umbilical float modified tummy tuck, a full abdominoplasty. Each of these can be performed with or without abdominal muscle repair. They produce different degrees of improvement. Following the advice of anyone who would presume to tell you what to do based on two dimensional photos without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest.Your plastic surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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