B-Shaped Belly - is a tummy tuck the best option to correct this shape? (Photo)

Question

I am on a weightloss journey and have lost 75 lbs with about 30 more to go. I am 5 ft 1 and weigh about 155 currently. I have always had a “B” shaped belly whether I was at my highest weight or lowest. Is a tummy tuck the best option to correct this shape?

George Marosan, MD · Answer

Thank you for your question and photo. Currently your BMI is 29 and another 30lbs weight loss will get you to BMI of 23. Yes, you will need an abdominoplasty and most likely a lower body lift to address the excess skin in the lower back. You do not need a Fleur-de-lis technique if the body lift is incorporated. See a board-certified plastic surgeon for an in-person consultation/evaluation when you reach your goal weight. Good luck.

Harry T. Haramis, MD, FACS · Answer

A tummy tuck will be best option. Best results would be after your weight loss has finished and sustained for several months.

In my experience, an extended and likely fleur de lis (modified T) would give best results combined with liposuction. This would greatly contour the B deformity as well as waist/torso. Not all plastic surgeons perform this, trade off is vertical scar but usually worth it.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Gary M. Horndeski, MD · Answer

After losing 75 lbs., you may need a circumferential body lift. This can be done in 2 stages with the tummy tuck first and then a posterior lift. At 5'1 and 155 lbs. your BMI is 29 and you could have surgery at this point with probably 5 to 10 lbs being removed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jacob Carlson, MD · Answer

Congratulations on your weight loss, that is incredible. Keep up the great work.
I would recommend looking into surgeons who perform Fleur de lis abdominoplasties. That option would address the excess tissue in both the vertical and horizontal vectors. It usually requires an extended tummy tuck scar horizontally and midline abdominal scar (similar to a midline laparotomy). Based on the information you provided, your BMI is currently 29.3, which great. Once you reach your weight loss goal, I would recommend waiting about six months before having this big of a surgery.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  Once you have reached your goal weight and are able to maintain it you are ready for a tummy tuck.  This will remove excess subcutaneous fat and skin and correct abdominal wall laxity.  Liposuction can be added as desired for further contouring.  The result will be a flatter, tighter tummy.  I've included a video I hope you find helpful.

Darryl J. Blinski, MD · Answer

Based on 1 posted photo I recommend virtual consult. My over the internet opinion is extended TT or Fleu-de-Leis TT. Expect fees to range from $9,000-$20,000. Best yo virtual consult with

B-Shaped Belly - is a tummy tuck the best option to correct this shape? (Photo)

Answers (6)

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