Went for consult on coolsculpting /lipo and was asked to consider being part of a laser treatment then TT operation?

Coolsculpting and lasers are not an alternative to a tummy tuck especially after a twins pregnancy, even with no stretch marks. None of the nonsurgical options will deliver enough skin tightening or fat reduction if you are 40 lbs. over you ideal weight. A tummy tuck will remove localized fat, repair a diastasis if needed, (likely after twins), and remove and tighten skin.

I believe that you should proceed with the tummy tuck. I am not sure that laser treatment would offer any additional benefit.Find a plastic surgeon with ELITE credentials who performs hundreds
of tummy tuck procedures each year. Then look at the plastic surgeon's
website before and after photo galleries to get a sense of who can
deliver the results. Kenneth Hughes, MD Los Angeles, CA

Dear Carly,
Thank you for your question and your fear of the unknown is quite common. While it's difficult to specifically comment on you're situation without pix or more detail, in general, especially after having twins, you would likely benefit from a lateral tension Abdominoplasty. I believe in weight loss in you are not significantly overweight after Abdominoplasty. In general patients loose 10-20 pounds after an LTA. Coolsculpting or liposuction would not address your abdominal wall laxity likely caused by pregnancy.

Don't look for shortcuts --- there are none. Do the right thing, lose the weight first then have the tummy tuck. All the rest is worthless. forget the coolsculpting and lasers

After carrying twins it is hard not to develop a diastasis recti. The best procedure is a tummy tuck. If you need another opinion please give the office a call.

With your acknowledgement of being overweight and having had twins, you are not an ideal candidate for any contouring procedures. You should hold off until you are at a weight that you can easily maintain with your normal routines. If this is the weight, then you could consider a tummy tuck but with a history of twins, you are likely to have diastasis that would benefit from muscle tightening (does your tummy really protrude when you relax it completely when standing upright?) and this would extend your recovery considerably. You should invest in a consultation and let your surgeon know of all of your concerns, including your obligations of your nursing position and know what they can do for you.

There isn't enough information to comment intelligently. Abdominoplasty will require a minimum of two weeks off, likely more if you lift patients. I would recommend that you lose weight before having any abdominal surgery. Happy Thanksgiving!