Reach Weight Loss Goal Before Tummy Tuck Surgery?

I may be going against the grain on this one as most of my colleagues in the thread recommend achieving your weight loss goal (losing an additional 30 lbs) prior to considering elective cosmetic surgery. I used to do the same, as this is what we are taught. Historicaly, I saw patients who wanted to lose weight, say 30 lbs, and I told them to excercise, eat well, get a trainer, join a gym and then see me back in 3-6 months. They would do all the above, see me back in the office and say," Well I did it all, lost 15 lbs, then got tired of it, quit and gained 25 back. Now, I weigh more than I did 6 months ago and feel emotionally worse!"

Now, I tell patient to evaluate their current weight loss trends, has it been a continued steady/aggressive loss or a plateau with gradual loss? Surgery during the gradual loss, even if you are not totally at your goal "lowest" weight, can have dramatic effects. Namely, after recovering from surgery you will feel physically, emotionally and spiritually changed. You will want to go to the gym, your clothes (both work out and casual) will fit better and you will typically (I see it all the time) BLOW past your previous weight loss goal of 30 lbs and may lose more and maintain it.

Again, this is not what every plastic surgeon experiences with his/her patients, but I see it all the time in my practice and as such have changed my tune.

Talk with your surgeon and good luck!

Dr. C

It's commendable that you've lost 100 pounds and are nearing your goal. In the context of a tummy tuck, it is generally advisable to reach your target weight before undergoing the surgery. Being at or near your goal weight ensures more stable and lasting results, as significant weight fluctuations after the procedure can affect the surgical outcome. Moreover, the removal of loose skin is more effective when your weight has stabilized.

However, your eagerness to address the loose skin is understandable. It’s important to balance the emotional impact of the loose skin with the potential benefits of waiting until you've reached your weight goal. Consulting with a plastic surgeon will provide insights tailored to your specific circumstances, including how close you are to your goal and your overall health. They can guide you on the best timing for the surgery, considering both physical and emotional factors

Firstly, congratulations on your incredible weight loss journey! Losing 100 pounds is a significant achievement, and you should be proud of your hard work and dedication.

Regarding your question about whether to wait until you reach your goal weight before undergoing a tummy tuck, it's essential to consider a few factors. Since you've already achieved massive weight loss, you may be a suitable candidate for a tummy tuck as long as you've been at a stable weight for at least three months.

While it's understandable that you may want to reach your ultimate weight goal before having surgery, it's important to weigh the benefits of addressing the loose skin and excess tissue sooner rather than later. A tummy tuck can provide dramatic improvements in the appearance of your abdomen, helping to contour and tighten the area affected by weight loss.

Additionally, having the tummy tuck may actually facilitate further weight loss efforts after surgery. With the removal of excess skin and tissue, you may find it easier to engage in physical activities and exercise routines, which can contribute to additional weight loss and improved overall health.

Ultimately, the decision to proceed with the tummy tuck should be based on your individual circumstances and goals. I recommend discussing your options with a board-certified plastic surgeon who can assess your candidacy for the procedure and provide personalized recommendations based on your unique situation.

In summary, while reaching your weight loss goal is commendable, it may not be necessary to delay your tummy tuck surgery. Consultation with a qualified plastic surgeon can help you determine the best course of action to achieve your desired results.

Sincerely,

Dr. Katzen
Plastic Surgeon