Why does my rib cage/mid stomach stick out so much and how can this be fixed? (photos)

Question

No matter how skinny or whether I put on weight, my stomach never looks flat. It looks very shadowed and asymmetrical. The mid line of my stomach sticks out, as well as my ribs. Is there any way this can be corrected? Does this need more than just diet and exercise?

Gary M. Horndeski, MD · Answer

You appear thin and
this may not represent fat collection but bulging of your abdominal wall.  I recommend abdominoplasty with mesh
reinforcement if you are not planning future pregnancies.  The mesh will create a more hourglass figure while
compressing the abdominal wall, which results in early satiety and helps
maintain a reduced weight.  However, if
this is simply fat, then liposuction can be done.  It is difficult to tell without physical
examination.  Best Wishes,Gary Horndeski, M.D.

Trevor M. Born, MD · Answer

Dear m335Thank you for your question and photos!  Liposuction is one option, BUT there is a new device which will arrive at our office in July called EMsculpt.  This uses RF energy - which does 20 thousand supra- maximal muscle contractions of the abdominal wall in 30 minutes - you do 2 sessions a week for 2 weeks!  Your clothes can remain on...

David Hansen, MD · Answer

Liposuction under tum. local would make such a dramatic improvement. Don't wait. Get it done now!

Robert M. Tornambe, MD · Answer

m335.  It appears from your photographs that micro liposuction may be a nice option for you as it appears that you have well-defined region of fat of your central abdominal area, unresponsive to diet and exercise. Be certain to consult with the board-certified plastic surgeon in your region to explore all possible options for you. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a
great candidate for waistline contouring liposuction of your abdomen and flanks.  This can greatly improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Israel Manon, MD · Answer

Hello
Based on that picture I believe you're a good candidate for a liposuction. I would suggest to do it on your abdomen, waist, flanks and back as well. You have choices, but definitely you must be evaluated first to coordinate which procedures will fit your needs.
Good luck.
Dr. Israel Mañon
Certified Plastic Surgeon

Karen Singer, MD · Answer

Based on your photos, liposuction would greatly improve your abdomen. Be sure to choose only a board certified plastic surgeon. Best wishes!
Karen Singer, M.D., P.A.Harvard GraduateBoard Certified by the American Board of Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for a liposuction and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. In your case, you would improve your abdomen, waist and flanks.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.

Good luck :)

Why does my rib cage/mid stomach stick out so much and how can this be fixed? (photos)

Answers (8)

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