Tummy Tuck can be done in some cases while losing weight
Surgeons usually say that patients should be at their ideal weight before undergoing body contouring surgery. In my practice, that is not a hard and fast rule. If you are close to your goal weight it is unlikely that losing 10 or 15 pounds after tummy tuck will ruin your postoperative result. Also, if you have separation of your abdominal muscles from your pregnancies, you are probably not getting the full benefit of your workout as your muscles are not in the proper position for most efficient use. Getting the tummy tuck early may help you lose that last bit of weight more easily as you exercise better and have the added benefit of looking and feeling better without that extra loose skin.
Weight vs. Timing of Tummy Tuck
From what you describe, you woud be a good candidate for tummy tuck, but not now.
You shoud attain your target weight or be within about 10# of the weight. The reason is that a tummy tuck will tighten things up. After you lose a lot of weight, things will be loose and a secondary tummy tuck is very difficult to get a good result. Something else to consider is a panniculectomy.
Ideal Weight for a Mommy Makeover Procedure
The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. It is best to undergo #MommyMakeover procedures when your weight has been stable for at least one year.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures. We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures. MWL (massive weight loss patients of 75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.
Tummy tuck during weight loss
First, congratulations on your weight loss. Yes, if you plan to lose more weight, you should delay surgery until your weight is stable. An additional weight loss will likely produce increased sagging of the abdomen so, once you have reached and maintained your target weight, you should be an excellent surgical candidate. Your plastic surgeon will then be able to determine whether you should undergo panniculectomy (removal of the hanging skin apron) or if a full abdominoplasty is the appropriate procedure.
Thank you for the question. I think you have a good plan to drop weight to where you want to be long term prior to surgery. This will allow you to achieve the best result possible. It will also minimize the chances that you will need further surgery (for example if you were to lose weight after the procedure further surgery may be necessary).
You should be aware however that often an “extended” tummy tuck is necessary to treat the muffin top area. This extended tummy tuck procedure involves flank and back skin and adipose tissue excision as well as liposuction surgery. If liposuction alone is done the patient may still end up with the muffin top and require further surgery to improve the waistline in the future.
Make sure you're working with a well experienced board-certified plastic surgeon. Best wishes.
Best to lose the weight before abdominoplasty
I would advise you to lose the weight first before going through an abdominoplasty/tummy tuck procedure. This procedure is like making a dress and if you want the dress to fit you should be at your expected weight when you see the dressmaker.
With the tummy tuck procedure one of the significant changes that occurs is a result of tightening the abdominal wall and if you have extra weight generally - some of this will be intra-abdominal, making it harder to tighten the abdominal wall.
I like to think of it as packing a suitcase with too many extra sweaters- it is hard to close. However if you lose the sweaters (weight) you can close the suitcase.
If you lose a significant amount of weight after abdominoplasty/tummy tuck surgery, you might find you have some recurrent sagging of skin and abdominal wall laxity. This would require further surgery. Better to lose weight first unless you are willing to have further surgery later.
Tummy Tuck Before Weight Loss
It is always best to lose the weight you are going to lose before having any plastic surgery. It is recommended that you are at a stable weight for atleast 3 months prior to undergoing any body contouring surgery.
Tummy Tuck results will be best if you are close to your desired weight
Good job on your weight loss! It would be best to continue your program of sensible diet and exercise and be closer to your preferred weight before having a tummy tuck. You would enjoy the results now, but if have the surgery and then lose a significant amount of additional weight, you will tend to develop some recurrent loose skin. Realistically, if you can't quite lose all the weight you want, then discuss proceeding with your surgery with your surgeon.
Tummy Tuck following weight loss
Thanks for the question. Given that you are in the process of losing weight, I would recommend that you continue to do so implementing a sound nutritional and exercise program. Once your ideal weight goal is reached, I would make the effort to maintain it for a couple months before proceeding with an abdominoplasty. Having the procedure performed prior to you reaching your ideal weight will result in the development of additional soft tissue laxity, likely compromising your result and necessitating further procedures to optimize your shape/result. Best of luck in your weight loss pursuit.
Continue losing weight before Tummy Tuck
The easy answer is to continue losing weight until you are in a range of 10 pounds from ideal weight. That is in a perfect world. If after 6 months you have lost another 30 pounds than after a full discussion with your boarded plastic surgeon I would consider doing the surgery. Best of Luck, Merry Merry!