Is a Tummy Tuck with No Muscle Repair Going to Give Me Good Results? (photo)

I was examined by a board certified plastic surgeon who says my abdominal separation is minimal. He says he can do a tummy tuck with no muscle repair and lipo on my flanks to give me great results. I have the "flap" and am 5'2" 145 lbs. I do not want a six pack, just no more pouch and a flatter tummy. Is this realistic or should I buckle down and do the muscle repair?

Doctor Answers 17

Tummy tuck - abdominoplasty results

Your posted photos show a protuberant abdomen with a bulge of excess skin and fat above the belly button and another below it. The upper bulge covers the belly button and the lower hangs over your undergarment. That is clear a case for the liposuction and skin removal aspects of a tummy tuck. It can be very hard to assess the degree of muscle laxity deep to these bulges so one should plan on suture tightening of the muscles and then adjust depending on intraoperative findings. I think you will be unhappy with the results of a skin and fat procedure only. You can get an idea of the difference by pinching the upper skin and fat bulge and then pulling the abdominal muscles in to various degrees. The first tummy tucks historically were all done without muscle tightening yielding suboptimal results which is why muscle tightening was introduced.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Great results? (photo)

You have redundancy of the abdominal wall, and fascial tightening, or "plication," in my opinion, is an important component of abdominoplasty.  This maneuver, by diminishing abdominal girth, will permit removal of more abdominal skin.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

To do a Tummy Muscle repair or not To? that is the Question.

Difficult to tell without an exam, but, if you have had kids, if you had a rapid weight gain, I would suggest a tummy tuck with muscle repair. There is a reason that muscle repair is done with a tummy tuck, the results are amazing and if not done the result are not much better than just liposuction alone. Do the muscle repair and you will be forever thankful.

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 85 reviews

Lipo vs. Tummy Tuck

Generally when thinking about abdominal contouring the 2 major options we consider are tummy tuck vs liposuction. It is hard to say which would be better without seeing you in person and examining you. Liposuction may do the trick. It is possible after lipo you may have a ledge of overhanging skin or skin folds that can be treated at a later time. The liposuction should improve your contour and tighten the skin a bit. Recovery is relatively easy - compared to tummy tuck - with lipo as well.

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 51 reviews

Is a Tummy Tuck with No Muscle Repair Going to Give Me Good Results?

Thanks for the posted photos. A few issues are concerning to me. You state a boarded certified PS, are you sure?? Because it is obvious to me you need some tightening of the recti muscles. And as Dr. Rand states, it is a mistake to "skip" the repair. Also the height vs weight ratio demonstrates some pre operative weight loss would be a good idea. Maybe 15 pounds. Finally, the term realistic and buckling down are of concern in that the patient dictating to the surgeon will cause issues. Maybe best to seek other opinions. Good luck. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Tummy Tuck without muscle repair is not a tummy tuck at all.

If you have carried even one prgnancy to term you need muscle repair to get a teen-ager flat tummy. Total cost is $5346 at my practice. Don't settle for anything less.

Dr Foster 

Lawrence Foster, MD (retired)
Sacramento Plastic Surgeon
3.3 out of 5 stars 15 reviews

Tummy tuck without muscle repair

Thanks for your question.  If you were my patient I would want you to have a muscle repair.  The question to me is why not repair the muscle?  It would greatly improve your result.   Good luck.

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 197 reviews

Tummy tuck without muscle plication

The answer is no.  The operation involves removal of excess skin AND recontouring of the abdominal wall.  This is the only way to achieve a flat abdomen in a case like yours.  Removal of skin only will not lead to an aesthetically pleasing result.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 5 reviews

Tummy tuck procedure

When I talk to my patients about a tummy tuck I tell them we have two main goals. The first is to remove extra skin and fat. The second is to tighten the abdomnal wall muscles which are loose from children or weight loss. There are a few patients who do not need muscle tightening and there are some who have too much intra abdominal fat so that it is very hard if not impossible to tighten the abdominal wall muscles. If someone is overweight I will often see if they can diet and exercise and loose some weight prior to surgery. I think it would be resonable for you to get another consultation with a board certified plastic surgeon.

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

Fix the muscle

I see no reason not to tighten your abdominal muscles. You have a goodly amount of fat on your abdomen, I would always do a muscle tightening in a patient such as you.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 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.