I am 22 years old and after losing a significant amount of weight I developed many stretch marks on my stomach and very loose skin. Even though I haven't had children and don't plan to until I'm in my mid thirties, would a doctor still be willing to perform a Tummy tuck on me considering I would be 23 when I would like it done?
June 17, 2009
Answer: The question is if your belly is affecting your qaulity of life now Most of us would agree that in an ideal world, you would have your tummy tuck after you're done having kids. However, with the growing number of patients like yourself who have experienced massive weight loss, the question we need to ask is if the excess hanging skin and fat is affecting your quality of life in a significantly negative way. For most folks, the answer to this is "yes". We then need to weigh this against the downsides of having the tummy tuck before your pregnancies, the biggest downside being that you will likely need it redone after you're done with childbearing. My guess is that you would be a good candidate for a tummy tuck and that it could dramatically improve your quality of life. As long as you understand the risks of the procedure in general as well as those specific to a young woman who may become pregnant in the future, I think you're in good shape. Good luck! Dr. S
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June 17, 2009
Answer: The question is if your belly is affecting your qaulity of life now Most of us would agree that in an ideal world, you would have your tummy tuck after you're done having kids. However, with the growing number of patients like yourself who have experienced massive weight loss, the question we need to ask is if the excess hanging skin and fat is affecting your quality of life in a significantly negative way. For most folks, the answer to this is "yes". We then need to weigh this against the downsides of having the tummy tuck before your pregnancies, the biggest downside being that you will likely need it redone after you're done with childbearing. My guess is that you would be a good candidate for a tummy tuck and that it could dramatically improve your quality of life. As long as you understand the risks of the procedure in general as well as those specific to a young woman who may become pregnant in the future, I think you're in good shape. Good luck! Dr. S
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June 17, 2009
Answer: Tummy tuck after massive weight loss in a young patient Our teaching as plastic surgeons is not to perform a tummy tuck on women who are contemplating becoming pregnant again. The reason presumably is that a pregnancy will negate the results of an abdominoplasty, and it might have to be done again. Yet most of us have had patients who have had successful pregnancies after abdominoplasty when they had unexpected pregnancies. In fact I am not aware of any studies indicating the contrary. Women with tight fascias have children and women with loose fascias have children without incident all the time. So the question is do you want to look the way you are for the next 15 years of your life? In the massive weight loss patient, this will be an obvious quality of life issue. If the possible need to redo the surgery is less concerning than the benefit you would achieve looking good for the next 15 years of your life, that is a very important factor. My colleague below has given a nice summary of some of the main risks and benefits of surgery. We must all be doctors, not just robots, and every case is individual. I think you might be a fine candidate for an abdominoplasty.
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June 17, 2009
Answer: Tummy tuck after massive weight loss in a young patient Our teaching as plastic surgeons is not to perform a tummy tuck on women who are contemplating becoming pregnant again. The reason presumably is that a pregnancy will negate the results of an abdominoplasty, and it might have to be done again. Yet most of us have had patients who have had successful pregnancies after abdominoplasty when they had unexpected pregnancies. In fact I am not aware of any studies indicating the contrary. Women with tight fascias have children and women with loose fascias have children without incident all the time. So the question is do you want to look the way you are for the next 15 years of your life? In the massive weight loss patient, this will be an obvious quality of life issue. If the possible need to redo the surgery is less concerning than the benefit you would achieve looking good for the next 15 years of your life, that is a very important factor. My colleague below has given a nice summary of some of the main risks and benefits of surgery. We must all be doctors, not just robots, and every case is individual. I think you might be a fine candidate for an abdominoplasty.
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