I'm 22 and have saggy, wrinkly skin with stretch marks all over my lower stomach. Is a tummy tuck my only option?

Thanks for your question! It’s hard to accurately answer this question without the benefit of your photos, but I’d say that in my experience of doing thousands of body contouring surgeries, if you have a lot of excess & “wrinkly” skin, you probably need a tummy tuck. Best of luck to you!

Thank you for your question. Without photos and a physical examination it is difficult to give any recommendations. Tummy Tuck surgery aims to create an abdominal profile that is smooth and firm by removing excess fat and skin. Stretch marks below the belly button can be removed at this time as well .I strongly recommend seeing a board certified plastic surgeon to determine if you are a candidate and which procedure is right for you.

Hi, you have several options to treat abdominal skin.  A tummy tuck is typically the best option when there is loose skin.  It is recommended to perform this type of surgery after you are finished having children to prevent recurrence with pregnancy.  It is always best to have this question answered after an office consultation with a board certified plastic surgeon. Good luck.Dr. E Wright

You probably need some sort of skin removal to be happy, but this really depends upon your expectations and your plans to birth additional children.  The amount of skin removal in TT depends upon the surgeon's technique and the patient's tissue characteristics.  A great deal of skin above the belly button may be removed in some patients with a lower belly button or a great deal of skin laxity.
BodyTite is a non-excisional device that utilizes radio-frequency assisted lipolysis (RFAL) to address the shortcomings often associated with traditional liposuction or surgical body and face lifts, including sagging or wrinkly skin and scarring, by inserting a wand under the skin to coagulate inside while tightening the skin on top. BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues. 
Schedule an in-office consultation with a board certified PS who performs BodyTite and obtain his/her opinion.  If BodyTite is not the best option; a small scar TT could be considered.
Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Great question!  Unfortunately the best and only real way to remove extra saggy skin is to cut it out - which will involve a scar.  Stretch marks are dermal scarring that will never go away unfortunately.  You can do lasers to help decrease the appearance of stretch marks, but they are generally not very effective.  There are radio frequency (non-invasive) devices that can tighten the skin, but again, this is very hit or miss and depends on how much loosens you have.  Therefore, a tummy tuck is basically the only way to tighten your abdomen while removing some of our stretch marks.  However, it is best to wait until after you finish having all your children before having this procedure performed, otherwise this issue will happen again with your next pregnancy.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

The best option based upon your description would be a tummy tuck. There is no other way to correct wrinkling skin that is lax.  There are tightening devices now on the market, the best one I believe is called bodytite but I am not sure that would work without seeing your photos.

Hello,It's difficult to tell without a photo but from what you describe it sounds that a tummy tuck is likely the best solution. Best next step is to get an in-person consult with a plastic surgeon near you to get all the options. All the best in your journey!Dr. BlaggAustin, TX

Thank you for your question. It is best to be seen in person and without photos, it is hard to give you an idea of what procedure would be best for you.Unfortunately there are no real effective
nonsurgical ways to treat loose skin and the best way to address the
issue is with a tummy tuck. A tummy tuck will remove the excess skin and
fat from the middle and lower abdomen and tightens the muscle and
fascia of the abdominal wall creating an abdominal profile that is
smoother and firmer. Liposuction is often done with a tummy tuck to help
achieve an hour glass figure. I would consult with a plastic surgeon so
they may best explain the procedures that will help you achieve the
aesthetic results you desire.
Good luck!
Kamran Azad MD, Board Certified Plastic Surgeon

Hello.  Usually, a tummy tuck is the only thing that will get rid of extra skin.  The good news is that it works wonderfully, and without question, you will be very happy with the results.  Find a board-certified surgeon that has a lot experience in this type of surgery, and you will do great!  Good luck.

Dear Shakierra,
It would be nice if we had some kind of magic wand to address your saggy, wrinkly skin.  However, it is likely that your best option will be a mini or full tummy tuck (abdominoplasty).  Hope this helps and good luck!