Tummy Tuck After WLS but Before Babies?

I am getting the Vertical Sleeve Gastrectomy in March and have about 110 pounds to lose. I am young, 21, but do have stretch marks over my abdomen. From what I have seen from other women my age, size, height and ethnicity (Latin) is that they have a very large "apron" of skin. I do plan on having children but not for at least 6 years, I am Pre-Dental. I don't know if I can live with a huge sagggy stomach for 6 years or more. Would it be that bad to get a tummy tuck now? What about a breast lift?

Doctor Answers 4

Tummy Tuck after Massive Weight Loss

Many women who have undergone a massive weight loss and are still planning to have children may certainly have body contouring procedures.  An abdominoplasty without muscle repair will still allow the abdomen to stretch with pregnancy and can be performed with a body lift procedure.  If, at a later date, you need to repair the muscles, that procedure can be performed at a later date.

Regarding a breast lift, the biggest question you need to address is if you are planning to breast feed your children.  If you are, you may want to delay your breast lift until a later time when you have finished childbearing.

Best of luck in dental school.

Saint Louis Plastic Surgeon
4.7 out of 5 stars 84 reviews

A breast lift and a tummy tuck without muscle tightening can be done before having children.

A breast lift and a tummy tuck without muscle tightening can be done before having children. It is important to know that you may not be able to breast feed, there is a chance that you will need a revision or redo of your surgeries later after you are done having children.  I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Tummy tuck after weight lost but before pregnancy.

Thank you for your question.  Good luck with your upcoming surgery.  I hope that you get to the weight that you wish to achieve.

You are correct that when you lose a significant amount of weight your skin will become much looser. Ultimately it is likely that you will wish to precede with a body contouring procedure such as a tummy tuck.

There are no specific rules.  You could have your tummy tuck before childbearing or after childbearing. While most women will usually wait until they're finished having children because you are so young and don't foresee children for some time I suspect you would see a great deal of improvement in quality of life if you did this before childbearing.

Fortunately, the body is smarter than the surgeon.  If and when you do get pregnant the hormones of pregnancy will once again allow the abdominal wall to relax.  You'll just want to let your obstetrician now that you've had a tummy tuck in case there is a need for a caesarean section.

I had had a number of patients in my practice just like you who are young with massive weight loss who have gone on to have tummy tucks.  For my own patients in this situation the improvement in their quality of life was worth it even if they will require another tummy tuck in the future. The same has been true for breast lift.

Best wishes to you as you achieve your weight loss goals and good luck whichever path you choose.


Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 105 reviews

Tummy Tuck after Weight Loss, Before Babies?

Thank you for the question.

Good luck with your upcoming vertical sleeve gastrectomy. Hopefully your surgery and your postoperative course will be as smooth as possible.

I would certainly not fault you for wanting to undergo tummy tuck and/or breast lift surgery after the significant weight loss you are anticipating,  even though you have not have pregnancies yet. As you say, 6 years is a long time to live with the breast and abdominal wall changes you can expect after significant weight loss.

As you know, further surgery may or may not be necessary after pregnancy as well.

Best wishes with your upcoming surgery and education.



Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.