I am 57 and lost and kept off 50 pounds.
Answer: Muscle repair with a Tummy Tuck Thanks for your questions. Congratulations on your weight loss. But it's important to know how tall you are and how much you weigh. Generally speaking, a tummy tuck with a muscle repair looks better than one without it. But that ignores the most important question: can you realistically have a muscle repair? I can only speak for myself, but some patients have a very full abdomen which would do poorly with muscle repair. You cannot tighten that which is already tight. What if you do a tightening of a very full abdomen, one with abundant visceral fat? You slowly develop a strange fullness at the top of your abdomen which mars the result. So I choose the operation based on what the patient has. Some patients also show plenty of fat with loose skin but a tight abdominal wall. Those patients do not benefit from muscle tightening either. It's all about your anatomy and your desires. No two patients have exactly the same operation. They shouldn't because no two patients are exactly alike.
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Answer: Muscle repair with a Tummy Tuck Thanks for your questions. Congratulations on your weight loss. But it's important to know how tall you are and how much you weigh. Generally speaking, a tummy tuck with a muscle repair looks better than one without it. But that ignores the most important question: can you realistically have a muscle repair? I can only speak for myself, but some patients have a very full abdomen which would do poorly with muscle repair. You cannot tighten that which is already tight. What if you do a tightening of a very full abdomen, one with abundant visceral fat? You slowly develop a strange fullness at the top of your abdomen which mars the result. So I choose the operation based on what the patient has. Some patients also show plenty of fat with loose skin but a tight abdominal wall. Those patients do not benefit from muscle tightening either. It's all about your anatomy and your desires. No two patients have exactly the same operation. They shouldn't because no two patients are exactly alike.
Helpful 3 people found this helpful
Answer: Does a tummy tuck without muscle repair look the same as one with muscle repair? If a patient has had children and/or has a protuberant abdomen, it will remain so without the muscle repair. I repair the muscles in virtually every TT to get the flattest abdomen, which is usually the patient's goal.For a tummy tuck, I highly suggest the no-drain or drainless TT to take advantage of the shorter recovery time, less post-operative pain, lower risk of complications, and you will not be encumbered with the drains for 5-10 days that patients despise. Plus, with the "Progressive Tension Sutures" required for the drainless TT, your abdomen will be tighter.Thank you for your question, and best of luck to you.E. Ronald Finger, MD, FACS
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Answer: Does a tummy tuck without muscle repair look the same as one with muscle repair? If a patient has had children and/or has a protuberant abdomen, it will remain so without the muscle repair. I repair the muscles in virtually every TT to get the flattest abdomen, which is usually the patient's goal.For a tummy tuck, I highly suggest the no-drain or drainless TT to take advantage of the shorter recovery time, less post-operative pain, lower risk of complications, and you will not be encumbered with the drains for 5-10 days that patients despise. Plus, with the "Progressive Tension Sutures" required for the drainless TT, your abdomen will be tighter.Thank you for your question, and best of luck to you.E. Ronald Finger, MD, FACS
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April 22, 2020
Answer: Tummy tuck candidate Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results. Respectfully,Dr. Emmanuel Mallol Cotes.-
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April 22, 2020
Answer: Tummy tuck candidate Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results. Respectfully,Dr. Emmanuel Mallol Cotes.-
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April 19, 2020
Answer: Tummy tuck with muscle repair It depends on the individual patient. If they have abdominal muscle separation, then a tummy tuck without muscle repair would not achieve a satisfying result as their stomach would still bulge out.
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April 19, 2020
Answer: Tummy tuck with muscle repair It depends on the individual patient. If they have abdominal muscle separation, then a tummy tuck without muscle repair would not achieve a satisfying result as their stomach would still bulge out.
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April 15, 2020
Answer: Fascia is repaired, not muscle, with tummy tuck Tummy tucks do not repair the muscle but they repair the lining outside the muscle called fascia. If you have had 50 lbs of weight loss it is most likely that your fascia has stretched and you would benefit from fascia repair. The technique I recommend is abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. The mesh increases the mechanical strength both passively by its own intrinsic strength and actively by increasing the strength of the rectus abdominal muscle.Best Wishes,Gary Horndeski, M.D.
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April 15, 2020
Answer: Fascia is repaired, not muscle, with tummy tuck Tummy tucks do not repair the muscle but they repair the lining outside the muscle called fascia. If you have had 50 lbs of weight loss it is most likely that your fascia has stretched and you would benefit from fascia repair. The technique I recommend is abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. The mesh increases the mechanical strength both passively by its own intrinsic strength and actively by increasing the strength of the rectus abdominal muscle.Best Wishes,Gary Horndeski, M.D.
Helpful 2 people found this helpful
April 15, 2020
Answer: Does a tummy tuck without muscle repair look the same as one with muscle repair? Hello and thank you for your question. The short answer is 'no'. Muscle repair makes the abdomen flat and takes care of the abdominal wall bulge. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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April 15, 2020
Answer: Does a tummy tuck without muscle repair look the same as one with muscle repair? Hello and thank you for your question. The short answer is 'no'. Muscle repair makes the abdomen flat and takes care of the abdominal wall bulge. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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