Can muscle repair make my waist look curvy or smaller? (Photo)

Question

How do I know is my muscles are being separate after 3 pregnancys..? And my other question is does muscle repair can actually make me look curvy after lipo TT..??

Afshin Parhiscar, MD · Answer

Dear isabellaTightening the muscles brings your oblique muscles in, which narrows your waistline. That is then fine tuned with liposuction and pulling of the skin tight leading to a nicely shaped waistline. From the photo you have shared you would have an excellent improvement from a tummy tuck. Look for experienced and well trained Plastic surgeons certified by the American Board of Plastic Surgery. see more than one consult and make a well informed decision.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question about tummy tuck.Yes, in general, tummy tuck can slim and firm the waistline.

To be sure, see two
or more board-certified plastic surgeons in your area for a full and complete
evaluation to make sure you are a good candidate and that it is safe for you to
have surgery.

I hope this helps.

William Andrade, MD · Answer

Hello, your PS will be able to tell if your muscles need repairing, because if you have a gap between the muscles (rectus diastasis) there will be a bulge when you are laying down and flex forward like you are trying to sit up.  A diastasis repair does improve the contour of the abdomen.

Dallas Buchanan, MD · Answer

Thank you for your question and picture. In short answer, yes, the tightening of the abdominal muscles that come along with a tummy tuck will help to slim your profile and make that area smaller. In addition, liposuction can help to slim your profile to a more aesthetic shape. Everyone has different results and some of that is dependent on the patient and what anatomy is present prior to surgery. Have a consultation with a local plastic surgeon to discuss your goals and expectations. Only then can you understand what procedure is right for you.Best of luck!

Sheila S. Nazarian, MD · Answer

The muscle repair will get the fullness out of the central part of your abdomen that is currently bulging.  I think it would be a good choice for you.

George Marosan, MD · Answer

If you had three pregnancies, you do have separation of the muscles and looseness of the fascia. The muscle repair is needed to improve the waist line. Based on the limited single view photo, you do have a natural small waist and this can be accentuated with an abdominoplasty and VASER liposuction of your whole back, bra rolls, waist, hips and abdomen. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Joel Patrick Maier, MD · Answer

You would do well with a full tummy tuck. In addition to tightening the abdominal muscles, your skin will be tightened restoring your curvy figure and tight waistline. You should consider liposuction of the love handles to complete trimming of the mid-section . . . this is commonly done together.

Vincent N. Zubowicz, MD · Answer

The answer to your question is yes but within the confines of what you are normal anatomy allows.The operation cannot turn you into a different person.

David J. Wages, MD · Answer

Thank you for your question.  What is included in a tummy tuck is dependent upon your surgeon.  Many women who have had children will get widening of the space between the abdominal muscles (diastasis).  Sometimes it is imperceptive, other times it can be several inches.  If this is present it is like having a larger pair of pants on.  One can lose weight and do exercises but may still have a tummy that looks like a pot belly.  Repair of the muscles will help close the gap and will improve the outcome if present.  An aggressive approach to tummy tuck may include liposuction, repair of the muscle, and removal of excess skin.  You should begin with a face to face consult with a Board Certified
Plastic Surgeon who has experience in these areas. During your visit your
surgeon should be evaluating your health to determine if you are a good
surgical candidate and examining your tissues to get a sense of what type of
procedure your tissues will allow. Only with a hands on exam can this be
determined. Once an exam and opinion is rendered then you can decide if surgery
is right for you.  Good luck.

Jourdan Gottlieb, MD · Answer

You already seem to have a well-defined waistline, so you are at an excellent starting point. Part of the tummy tuck involves tightening of the abdominal muscles, which are often somewhat separated due to pregnancies. The improvement in shape comes in part from the muscle repair (plication), in part from the re-draping and tightening of the excess skin, and in some patients liposuction. As to the first question,  some patients can feel a separation, especially in the upper abdomen.  Some, when doing a sit-up notice a vertical bulge along the middle of the abdomen. Sometimes you cannot tell--usually your surgeon can during an office exam, and always in the operating room. An in person consultation with a plastic surgeon will be useful in answering your questions, and in reviewing the pros and cons.  All the best.

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