Hello Maui19899, Thank you for your question regarding regaining your initial tummy tuck results through weight loss after a 30 lb gain. First, congratulations on your commitment to a healthier lifestyle and your efforts to exercise regularly and stop drinking. It's an important step toward achieving your goals. Achieving Your Original Results You should be able to obtain your original results again with dedicated weight loss and a healthy lifestyle. Here’s why: Weight Loss and Skin Elasticity: Losing weight will help your abdomen shrink, and your skin has a degree of elasticity, especially since it was recently tightened with a tummy tuck. Given your previous surgery, your skin should “snap back” nicely without the need for another tummy tuck. Muscle Tone and Exercise: Regular exercise, especially core strengthening exercises, will help tone your abdominal muscles. This will further enhance the appearance of your abdomen as you lose weight. Healthy Lifestyle: Maintaining a healthy diet and avoiding alcohol will contribute to your overall weight loss and health, helping you achieve and sustain your desired results. Expectations and Timeline Patience is Key: It’s important to be patient and consistent with your weight loss journey. Gradual weight loss is healthier and more sustainable. Skin Recoil: While your skin should retract well, the extent can vary based on factors such as age, skin quality, and how much weight you lose. However, given that your surgery was just two years ago, you have a good chance of achieving favorable results. Additional Considerations Monitor Progress: Keep track of your progress with regular check-ins on your weight, measurements, and photos. This can help you stay motivated and see how far you’ve come. Consult Your Surgeon: It’s always a good idea to check in with your plastic surgeon. They can provide personalized advice and monitor your progress to ensure you’re on the right track. Conclusion With your commitment to a healthier lifestyle and regular exercise, you should be able to achieve your initial post-surgery results again. Your previous tummy tuck will aid in this process by allowing your skin to snap back nicely as you lose weight. Good luck on your journey, and I hope I’ve answered your question regarding regaining your initial tummy tuck results through weight loss. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon