Tummy tuck with full lipo and no muscle repair?

I am booked for a tummy tuck with full lipo and no muscle repair. I have never had kids but lost about 60 pounds, so I have a lot of saggy skin but am in pretty good shape otherwise. I only consulted with two doctors, but both said forgoing the plication was an option for me. Should I be concerned that the results will not be optimal? Has anyone else had this done, and, if so, what were the results and the recovery like?

Doctor Answers 4

Muscle repair or not

I have done any tummy tucks without muscle repair and the results are excellent. Muscle repair is not necessary in all cases, especially if you ave not had children.

San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Muscle repair with tummy tuck typical for post-pregnancy changes

The main contributing factor to muscle separation is pregnancy, not nearly as common with weight gain for other reasons. If muscle repair is not necessary then your recovery after tummy tuck wil be faster especially return Tim vigorous exercise.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Tummy tuck with full lipo and no muscle repair?

Most but not all patients do well to have a muscle plication. However, for those patients with a tight muscle wall, and no muscle separation, the plication creates post op discomfort, but no improvement, so it is better not done.

The decision to plicate or not is definitively made in the operating room for most patients.

Results should be good, recovery easier.

All the best.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Plication during abdominoplasty

I do not perform muscle fascial plication in every abdominoplasty. It may not be necessary, which seems to be your case or may even result in widening of the waist, which is not desirable.

Dennis Hurwitz, MD, FACS
Pittsburgh Plastic Surgeon
4.5 out of 5 stars 32 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.