Do I need a tummy tuck? Or what can be done about stomach loose skin? (Photo)

Your photos suggest you would achieve the best outcome with a tummy tuck. It is possible that you could achieve an acceptable improvement with liposuction and one of the skin tightening devices. To confirm this would require a physical examination of your tissues. Seek a consultation with a board-certified plastic surgeon for a definitive answer to your question.

Hello!
Congratulations on your weight loss journey!
If you are continuing to lose weight, it is best to go for a consultation once you have reached your goal weight and have stayed at it for at least 3 months. From your photos, it is not possible to assess whether you have enough loose skin for an abdominoplasty or if you have enough thickness for liposuction alone, or a combination of both.
As always, an in-office consultation is required to really examine your abdomen and your own unique anatomy, as well as discuss the procedure and any questions you may have.
Best,Dr. Tanovic

Hi Creative634497,

Thank you for your question regarding whether you need a tummy tuck or what can be done about loose stomach skin after a 100-pound weight loss approximately five years ago. Thank you for your history and your pictures. Congratulations on your weight loss! What a great accomplishment! If you've lost 100 pounds and you have loose stomach skin, the best surgery for you would either be a tummy tuck or a 360 circumferential lower body lift. Other surgeries like liposuction will only remove fat and leave the stomach skin even looser. Unfortunately, with your weight loss, your skin is not likely to snap back with only liposuction. Therefore, most plastic surgeons would agree that in a patient with a 100-pound weight loss with loose stomach skin, you would do best with a horizontal abdominoplasty or tummy tuck. During a tummy tuck, an incision is made low in the pubic region and then extends over the hips. Tissue dissection is done up to your sternum, and the rectus abdominis muscle is exposed. The rectus muscle is plicated because you have lost weight and the fascia is weak. Then, the excess skin and fat from the top of the pubic region to just above the belly button is removed. The skin that is at the level of your belly button is pulled down to the pubic region. The mons pubis can also be reduced during the tummy tuck. A tummy tuck takes approximately 3 to 4 hours to complete under general anesthesia. Plan on a 2 to 3-week recovery. Drains will need to stay in place for approximately 10 to 14 days. I hope I have answered your question about whether you need a tummy tuck after a 100-pound weight loss approximately five years ago. Good luck with your tummy tuck.

Warm regards,
Dr. Katzen

Hello, I am Dr. Salvador Garcia from Guadalajara, Mexico, looking at your photos, my recommendation is to perform a tummy tuck, you would gain many things, 1. A more marked and smaller waist, 2. Remove the excess skin that you have on your abdomen, this If you combine it with liposculpture, it would be a great result that you would have, and if you have already had pregnancies, by performing the internal corset or muscle repair, we would return firmness to your abdomen and a flatter appearance.

Hello and thank you for your question. First off, congratulations on losing all that weight, that's definitely a big accomplishment! From the pictures you have provided, it is honestly difficult to make out the details of your abdomen well enough to advise you one way or the other. All I can tell is you have some excess subcutaneous fat and skin diffusely throughout your abdomen and flanks.
In general, after patients lose a significant amount of weight (as in your case), their skin is not able to fully stretch and recoil properly, and therefore usually does not fully contract with just liposuction alone (without resecting any of the excess skin)- that tends to produce a very deflated appearance and ultimately requires another procedure to resect the excess skin and tighten the overall contour. This is why those patients usually benefit from an abdominoplasty (tummy tuck) and usually also liposuction of the flanks to best help improve their abdominal/trunk contour.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

It is possible that you could get by with a mini tummy tuck. Also, you may need a breast lift and that will pull up the upper abdominal skin and may resolve the need for a tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Hi there, I would reccomend BodyTite which is a highly advanced body sculpting treatment that combines minimally invasive liposuction and skin tightening. Since you are young and have good skin quality I think you could achieve a nice result without surgery.Best of luck!

"Congratulations on your significant weight loss; that's an incredible achievement. Based on the details you've provided and the picture you shared, it appears that your concern may be a combination of some residual fat and skin laxity.
Based on your pictures, a tummy tuck might not be necessary. You could benefit from liposuction to address any lingering pockets of fat and then use Renuvion for skin tightening, which can provide a more toned appearance without the need for more invasive surgery.
However, it's essential to have a consultation with a board-certified plastic surgeon to assess your skin elasticity, the amount of residual fat, and provide a personalized recommendation."

HelloIt seems you don't have excess skin around belly button, or muscle diastases problems, you have excess fat and some loose skin below belly button, can be fixed with mini tummy tuck and HD Vaser Lipo

First, congratulations on your weight loss and discipline to maintain your weight. To address loose skin on your abdomen, the least invasive option would be one of the non, or minimally invasive, energy-based systems, which use radio-frequency to tighten the tissues, to help tighten your skin. These give a modest improvement in the skin. If you were looking for the most improvement and removal of all of the loose skin of your abdomen, that would likely require a tummy tuck. What type of tummy tuck can only be determined after an in person physical examination to see exactly how much laxity your abdominal skin has. In my experience, if someone has lost 100 pounds, their skins elasticity and quality do not respond as well to the non-invasive procedures. Have a consultation with your plastic surgeon for a detailed description about what would be best for you. Best wishes.