Surgery alternatives? Main problem area is the saggy skin of my belly (Photos)

Hello, MYYoung89. Thank you for your question regarding your surgical alternatives, with your main problem area being the sagging skin on your belly. Thank you for your history and your pictures. If you have sagging skin from your abdomen, and you have had several children, you would do best with an abdominoplasty or tummy tuck. During an abdominoplasty, excess abdominal skin and fat are removed. The rectus abdominis muscles are plicated and tightened. The umbilicus (belly button) is repositioned, and the mons is lifted and reduced. Due to your history of having children, as well as stretch marks, abdominal liposuction would not be the best surgery for you. In terms of a BBL, fat could be harvested from the abdomen and superior iliac crest (love handles) and transferred to the buttocks. In terms of your breasts, I would suggest a small to 2medium-sized silicone breast augmentation, either done through an inframammary incision or an incision around the areola. Your breast augmentation with silicone implants, abdominoplasty, liposuction of the abdomen and flanks, and fat transfer to the buttocks (a.k.a. BBL) could all be performed at the same time. I hope this helps answer your questions regarding surgical alternatives and specifically addresses the area of sagging skin on your abdomen.

If your primary concern is loose, sagging abdominal skin, the most definitive solution is a tummy tuck. A tummy tuck physically removes excess skin and tightens the abdominal wall, which is why it is the best option for the “lumpy” appearance you notice when bending over. Stretch marks alone don’t drive this decision; it’s the skin laxity, and that cannot be corrected with non-surgical treatments.
From a contour standpoint, I would typically recommend a tummy tuck with lipo 360 and BBL, combined with breast augmentation. Liposuction enhances the tummy tuck by refining the waist, flanks, and lower back so the skin removal looks smoother and more natural rather than flat or boxy.
If you are not ready to commit to a tummy tuck because you may want more children in the future, another option is lipo 360 with Renuvion to the abdomen. Renuvion uses controlled energy to contract the tissue beneath the skin and can achieve up to about 60% skin tightening in appropriately selected patients. This approach involves minimal scarring and a shorter recovery, but the results are not as dramatic as a tummy tuck.

Thanks for your question! The only option for your lower belly is a tummy tuck. There's really nothing effective on the market to tighten that area to the extent you need. That being said, you will be a great candidate for it once you are ready. Good luck!

From your photos, I believe you would be a good candidate for breast augmentation and tummy tuck. Your breasts are not ptotic so no lift procedure would be necessary. The fat from your lower abdomen can be harvested for transfer to the buttocks for volume enhancement. After the fat is harvested, the abdominoplasty procedure could be done through a low transverse incision.Hope this helps

Dear MYoung89,
you can try some skin tightening procedures but you will not get major improvement. Based on your photos, you look like a great candidate for tummy tuck. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A tummy tuck would be able to smooth the loose skin in your midsection and remove excess fat as well, while at the same time correction abdominal muscle separation if necessary. However, please note that results can be undone with subsequent pregnancy, therefore it would be prudent to wait until after you’ve finished having children.

Thank you for your question. You have submitted phots of your breasts, but you state your major issue is the saggy skin of your belly. The best treatment for loose or saggy skin of your abdomen is a tummy tuck. Tll remove all excess skin and repair your abdominal musculature after having children.

Typically when there skin laxity, surgery is the only option to get rid of the extra skin. It is best to wait until you are finished having children before undergoing a mommy makeover/tummy tuck. I would consult with a board-certified plastic surgeon to discuss a treatment plan and the timing of surgery.

Unfortunately the skin of the lower abdomen is a bit stretched and has lost much of its elasticity based on the pictures that you have provided. Because of this, any noninvasive treatment is unlikely to be effective. I think you would do well with the proposed surgical plan with the exception of the BBL. You may or may not have enough fat to give a significant gluteal augmentation, but would need an in person physical exam to tell this. As always, make sure you are utilizing a board certified plastic surgeon to ensure the highest quality of safety and results.

Thanks for your question!
You appear to be a candidate for a mommy makeover. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!