I am 5'2" and weigh 300lbs. I am 51 years old. I have a hanging belly. Would lipo and a tummy tuck be possible? (Photo)

Question

Thomas Trevisani, MD · Answer

Extended abdominoplasty is best for you. Your BMI is a little high-so Hospital Surgery is required . Seek an experienced Board Certified PS for in person exam

Jed H. Horowitz, MD, FACS · Answer

When patients have experienced extreme weight loss due to diet and exercise, #gastricbypass surgery, or #stomachstapling  or #lapband surgery, there will be excess body skin that needs removal. In order to correct this problem many patients will need a #TummyTuck surgery, #panniculectomy, or #abdominoplasty.   This is becoming a highly requested procedure among patients who wish to rid themselves of excess skin and tighten muscle in their abdominal area. This procedure can be beneficial for women with loose skin and stretch marks following pregnancy, and patients who have undergone significant weight loss.

Women and men who have excess skin and/or fat around the abdomen which does not respond to diet and exercise are candidates for abdominoplasty. Many patients complain that they cannot flatten their abdominal muscles through exercise, which also means a tummy tuck may be right for them. Abdominoplasty candidates have:

·       excess abdominal skin which may sag

·       a disproportionate or protruding abdomen

·       weakened or separated abdominal muscles

·       excess fat concentrated in the abdomen

Other tummy tuck patients may recently have lost a lot of weight and need to have excess skin and tissue removed. Many women choose to have an abdominoplasty following pregnancy. Older patients may be candidates for a tummy tuck due to reduced skin elasticity.Now, if you are looking to lose more weight it would always be best to come as close as possible to your goal weight before a tummy tuck as the weight loss after surgery would always cause the potential for additional loose skin which would cause a need for a revision. It would be good to visit local board certified plastic surgeons for consultations to determine the most effective procedure for your case. Good luck!

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for this interesting and important question.Trying to lose weight before a surgical procedure its a very delicate matter, since in many cases a restrictive diet can cause problems, such as anemia, electrolyte disturbances, decreased protein, etc ... retarding the healing process and damaging the surgery.For these reasons, if your purpose is to lose weight, i recommend you have a BMI less or equal to 30.In this regard, you must to have a support with a nutritionist, so you can achieve the desired goal, in the most healthy way, without incressing complications risks in the plastic surgery to perform.Kind regards

Adam Tattelbaum, MD · Answer

While you will be a good candidate for tummy tuck at 5'2" 300lbs. your risk of surgery is too high. If you want to consider any surgery safely you must get well below 200.  While this is disappointing it is without doubt in your best interest.I hope you can achieve a healthy weight loss.

Gregory C. Gaines, MD · Answer

Thank you for your question and photo. You will eventually be a candidate for Tummy Tuck / Liposuction. First, we recommend you lose weight by being on a healthy diet and get your BMI below 30, and being within 10-15 pounds of your actual goal weight. Your body needs protein, iron, nutrients and yes, even fat, to recover properly. Eat healthy, don't go crazy cutting calories and you will achieve this goal in order to move forward with surgery.

Make sure you consult with a Board Certified Plastic Surgeon to discuss and personalize a treatment plan that works best for you.

Make sure you consult with a Board Certified Plastic Surgeon to discuss and personalize a treatment plan that works best for you.

John Michael Thomassen, MD · Answer

Yes a tummy tuck would be a good procedure for you.  You need a full examination to ensure you do not have a ventral hernia that also needs to be repaired.  Some liposuction of the sides can also be done to address your hip fullness.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Though you will eventually be a candidate for a full tummy tuck for your hanging abdomen, I would first recommend following a healthy diet and exercise regimen until you reach your desired goal weight. This weight should be one where you are comfortable at, and can maintain, as weight fluctuations will affect your long-term results.  I would recommend also employing the use of a nutritionalist and/or personal trainer to help you in your weight loss journey. With their assistance to identify areas of nutritional deficiencies as well as the opportunity to supply motivation and accountability you should see steady improvement in your weight and overall appearance.  Any weight loss before surgery will not only be in your best interest from a safety point of view, but also in obtaining the best cosmetic results.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photo. As others have said, weight loss before planning surgery will be important for you to have a safe, optimal outcome. Many Plastic Surgeons will set their maximum BMI allowance at 30 or less to ensure patient safety. There can be exceptions to this and your overall health picture as well as stable maintenance of weight is considered. Visceral or Intra abdominal fat can only be lost through diet and exercise, not liposuction. I recommend that you review considerations and risks for surgery at your weight with a board certified Plastic Surgeon or your primary care physician and ask them to advise you about safe planning for your surgical goals.All the best

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

For health and safety reasons, best to be at a BMI less than 30 or within 10 pounds of your goal weight and stable at that weight for 6 months prior to surgery for optimal results.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Carlos Burnett, MD, FACS · Answer

Hello. A tummy tuck with liposuction can be performed safely in a patient with a BMI below 30. You may consider seeing a nutritionist, exercise physiologist, or a bariatric surgeon to discuss your options. DrBurnett#realself100

I am 5'2" and weigh 300lbs. I am 51 years old. I have a hanging belly. Would lipo and a tummy tuck be possible? (Photo)

Answers (16)

More Tummy Tuck Questions

Jackson Pratt drain, how much drainage is expected?

Would a tummy tuck be an option to remove a scar caused by gastroschisis? (Photos)

Does the belly button always get relocated with an abdominoplasty? (photos)

I recently had an extended abdominoplasty done, can't fit in any pants that I normally wore before the surgery is this common?

I have mild copd. Can I have tummy tuck and lipo? (photos)

WE SEND PRETTY
EMAILS

Answers (16)

More Tummy Tuck Questions

Jackson Pratt drain, how much drainage is expected?

Would a tummy tuck be an option to remove a scar caused by gastroschisis? (Photos)

Does the belly button always get relocated with an abdominoplasty? (photos)

I recently had an extended abdominoplasty done, can't fit in any pants that I normally wore before the surgery is this common?

I have mild copd. Can I have tummy tuck and lipo? (photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS