Had lower body lift and stomach still hangs. What can I do? (Photo)

Question

i had a lower body lift 6months ago and when i bend over or sit down i have extra baggeness and it hangs. i didnt get lipo or M Repair. it was deemed not needed. will anything fix this without gettting a revesion like Empslupt or Airsculpt etc....? P.s My chest also needs work done. i had gyno surgery before i lost 200lbs. thats why it happened

J. Timothy Katzen, MD, FACS · Answer

Hello,
Thank you for reaching out with your concerns about residual skin laxity following a lower body lift, particularly in the abdominal area. It's not uncommon for patients to have varying degrees of skin laxity after such procedures, and it sounds like you're looking for an effective solution to address this issue.
Based on your description and the photos you provided, you're observing excess skin that wasn't completely addressed by the initial horizontal incision technique used in your lower body lift. This can indeed happen, as every individual's body responds differently to these procedures.
Given your situation, a revision surgery focusing on a vertical resection might be more beneficial. This would involve an incision running vertically from your belly button to the pubic area and possibly upward towards the sternum. This approach allows for the removal of skin in a different plane – side to side – which can be more effective for certain patients, especially those with excess skin remaining after a horizontal resection.
This type of procedure is sometimes referred to as a vertical tummy tuck or a fleur-de-lis (FDL) abdominoplasty. In your case, the horizontal component of the FDL might not be necessary if the primary concern is excess skin in the vertical dimension.
I recommend discussing this option with a board-certified plastic surgeon who has extensive experience in body contouring and revision surgeries. They can assess your specific needs, examine the areas of concern, and recommend a tailored approach to achieve the best possible results.
Regarding non-surgical options like EMSCULPT or AirSculpt, these techniques primarily target fat reduction and muscle toning and are less effective for significant skin removal. In cases of substantial excess skin, surgical intervention is usually the most effective approach.
I hope this response provides insight into potential next steps for addressing the excess skin following your lower body lift. Please consult with a qualified plastic surgeon to explore the best solution for your unique situation.
Wishing you the best as you seek the right treatment.
Sincerely,
Dr. Katzen

Ira H. Rex III, MD · Answer

It is truly impossible for me to give you much of a recommendation without examining things closely.  When you stand up, it seems you may have a very nice result.  This is often all we can asked for.  Any lower body looseness with bending over is a natural occurrence even without much extra skin.  Is often a good idea to revisit your plastic surgeon to see what their ideas are.

Jeffrey M. Darrow, MD · Answer

Thank you for your photographs. I don’t believe any of the external skin tightening procedures are going to achieve the results that you’re looking for. I believe your absolute best result would come from a surgical revision, with the addition of a midline abdominal incision to correct your central abdominal skin laxity as well as your lower abdominal skin laxity.  Revisions of the breast skin could be done at the same time.  Discuss this with your plastic surgeon. Best wishes.

Eric Swanson, MD · Answer

After massive weight loss, the skin has lost its elasticity. Even if a surgeon removes large amounts of skin, the remaining skin will still be loose when you bend forward because it has lost its elasticity. Electromagnetic treatments are just a waste of time and money. Sometimes additional skin can be removed, but usually it is best just to accept the fact that the skin tone is not what it once was.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your inquire,

In some cases, a secondary procedure may be necessary to achieve the desired results.

Based on your photos, you appear to be a candidate for a tummy tuck revision with muscle repair, along with gynecomastia correction. Additionally, incorporating intense liposuction and skin tightening treatments can help you achieve even better results.

Schedule an appointment with a plastic surgeon to discuss your concerns. He can assess whether the current result is normal for your stage of recovery or if further intervention might be needed.

Arif Eroglu, MD · Answer

Hello; apparently, both in the lower abdomen, still in an horizontal plan and both in the upper abdomen, in the vertical plan; you have an excess skin and with a vertical incision; that is, by the Fleur de lis; Tummy Tuck treatment needs to be added. If you do not want this, the only possible implementation is; Renuvion J Plasma technique; might be a try. These problems cannot be solved with Emsculpt or any other devices.

Connie Hiers, MD, FACS · Answer

Congratulations on your weight loss! the tuck addresses the issue of excess vertical skin but not horizontal. You would need the vertical component of the tuck, the body lift, or I recommend now trying radiofrequency skin tightening like Renuvion.

Manuel Diaz, MD · Answer

Hello Isaiah I'm Doctor Diaz, Plastic Surgeon. My office is at the Plastic Surgery Clinic, CECIP in the Dominican Republic. I would very much like to assist you, we have the necessary tools and advanced technology to help you.  Please leave us your number to contact you or you can contact us at +1 829 554-6062 so we can have a virtual consultation, It will be our pleasure to help you.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss! From the photos it appears the issue is excess skin, not fat, so liposuction would not help you.  You can consider a revision to your tummy tuck with the fleur-de-lis incision (vertical incision) to take up the excess skin from the midline.  I've included a video I hope you find helpful.

Lutgardo Caparas, MD · Answer

Based on your photo i would suggest to do a tummy tuck or lipo but to fully assess your concern would highly suggest we do a virtual consult so I can better assess your concern properly and give proper treatment

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