M26, 162 Lbs. I’ve lost ~90 lbs. Will I need surgery or will my skin potentially stretch back? (Photos)

Hello, and thank you for your question regarding whether you will need surgery or if your skin will potentially stretch back, given that you are a 26-year-old male, 162 pounds, and have lost 90 pounds. Thank you for your history and your pictures. In examining your abdomen, you have extra skin and fat that hangs over the belt line. You also have some evidence of stretch marks. The stretch marks indicate that the skin will not reliably bounce back after just liposuction. Therefore, you have excess skin and fat in the lower abdomen, which will probably not contract with liposuction alone. You will need a tummy tuck, also known as an abdominoplasty. A tummy tuck is considered a more comprehensive approach than liposuction alone. During your abdominoplasty, you may need some liposuction around the love handles, but it is unlikely. Therefore, most plastic surgeons who specialize in reconstructive plastic surgery after massive weight loss would suggest that you undergo an abdominoplasty with an incision from the hip to the pubic region to the other hip. At a later date, consider VASER high-definition liposculpting of the abdomen to really define your rectus abdominis six-pack. This is a common staged procedure performed by experienced plastic surgeons who specialize in this field. Good luck. Before embarking on any of these procedures, you should have reached your goal weight and maintain that weight for approximately 4 to 6 months. I hope that I have answered your question regarding whether you will need surgery or if your skin will stretch back, given that you are a 26-year-old male, 162 pounds, and have lost 90 pounds.
Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. If you have any more questions regarding tummy tucks, abdominoplasties, or abdominal liposuction, contact an experienced plastic surgeon. Since the tummy tuck surgery is a major procedure, please seek an experienced, board-certified plastic surgeon with significant experience in performing tummy tucks. Do your research. If you cannot find an experienced tummy tuck plastic surgeon in your area, consider traveling to another state for treatment. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic surgery, Fellow of the International Society of Aesthetic Plastic surgery, American College of surgery, and International College of surgery and member of the American Society of Plastic surgery, American Academy of Cosmetic surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.

Thank you for your question. The most suitable surgical option would be a male tummy tuck with targeted liposuction. Performing both procedures in a single surgery ensures that the skin tightens after fat removal, preventing further sagging. Since you’re already close to your goal weight and have maintained your weight loss for over a year, you’re in a good position for a consultation with a board-certified surgeon. Your surgeon will also evaluate whether you need a full tummy tuck (which addresses the skin above and below the belly button) or a mini tummy tuck (if most laxity is below the navel).

Thank you for your inquiry! We would love to meet with you to discuss your goals. As we age, the elasticity of our skin does not bounce back like when we were young. The skin will need to be removed. Schedule a consult with a Board-Certified Plastic Surgeon to help you reach your goals.

Thank you for your question and photos. Based on these photos, you would do best with a male tummy tuck with muscle definition using the VASER Hi Def Lipo technique. As a Total Definer plastic surgeon, I do these surgeries in our accredited office surgery suite under deep intravenous sedation. In in person evaluation is needed. Good luck.

Congratulations on your impressive weight loss! Yes it does appear you'd benefit from a tummy tuck to address the loose skin. That would also address the subcutaneous fat so you may not need liposuction or need very little of it. Good luck with your consultations!

Hello. For localized fat, loose skin, and stretch marks on your abdomen, the ideal option would be a tummy tuck with liposuction. This procedure removes excess skin, improves abdominal firmness, defines your body contour, and can visibly reduce stretch marks, giving you a flatter, more toned abdomen. You can contact us at 829-554-6062 for a quote.

Based on your nicely posted series of photos, you need a full male tummy tuck with muscle tightening, and potential liposuction of the waist and love handles. Best of virtual concert with fee ranges from $6000-$12,000. Again, best of virtual concert.