BMI tummy tuck
Choosing the right time for surgery
Whether or not you should do it now all depends on how likely you are to loose any more weight. Loosing more weight (more than 20 lb) will mean that the cosmetic results of your surgery will degrade a little bit.
Losing a few pound will likely make no difference to your cosmetic outcome. As to the BMI question, I do not use BMI as a deciding factor in my selection criteria (as long as the BMI is reasonable).
If your tummy tuck surgery is performed efficiently and preventative measure are taken to avoid potential complications (such as Deep Venous Thrombosis) then you should be safe to proceed.
Bottom line, loosing more weight is ALWAYS a great thing, but many people struggle and can’t do it. If that is you, I see no reason why you should wait while fruitlessly attempting to loose the additional weight. (Martin Jugenburg, MD, Toronto Plastic Surgeon)
You are to be commended on your weight loss through diet and exercise. I have many patients in a similar situation, the excess skin and weight through their abdomen now becomes a barrier to continued exercise.
They have loved the results from a Tummy Tuck at this time, knowing that it may looosen slightly with continued weight loss. You should still get a very good result. The best way to evaluate your health and make this a safe procedure for you is to see a Board Certified Plastic Surgeon who will review your health history and perhaps order some blood work or tests to be done.
Be sure to see more than one surgeon when making your decision and see the work they have done for other patients similar to you.(James A. Hoffman, MD, Saint Paul Plastic Surgeon)
I would recommed BMI tummy tuck
You have done a great job and lost a lot of weight. If your abdominal skin and fat interfere with your exercise and make you self conscious ,tummy tuck can help you to become more sctive by removing the extra skin from lower abdomen. As long as you are in good health,tummy tuck can be done safely. (Kamran Khoobehi, MD, New Orleans Plastic Surgeon)
BMI less than 30 for best tummy tuck results
A tummy tuck is less likely to have complications and results will be better if you wait until you get to a BMI of 30 or less. (Richard Baxter, MD, Seattle Plastic Surgeon)
Tummy tuck surgery with elevated BMI
You are asking a good question and many patients share your concerns. First of all, BMI does correlate carefully with an increased or decreased potential for surgical complications after any major surgery. Wound disruption, infections, pulmonary emboli and general respiratory and cardiac problems certainly increase significantly with a higher BMI. Ideally you should lose the weight that you want to lose before having the surgery performed. Secondly, if you have the surgery and then lose much more weight, your results won’t look as good to you as they should. On the other hand, we all have operated on patients who have reached a point when no further weight can be easily lost, and with lowered expectations for the final result the patient can still have a high degree of improvement.
There will certainly be a loss of weight following the surgery because of the removal of the abdominal apron , along with the fat that is part of the overhanging skin fold. Confer with your local Plastic Surgeon who should be able to give you suitable guidance about this. (Francis (Frank) William Rieger, MD, Tampa Plastic Surgeon)
Surgery now or lose more weight?
Based on your photo I imagine that you carry a lot of weight in your thighs and legs because your belly and chest doesn’t look that big. If you are still able to easily lose more weight than I would do so.
I think you will get the best result from a circumferential tummy tuck which would reshape your entire waist. If so you will probably lose about 5 libs from the skin being removed. If you’ve hit a wall, go for the surgery. (Ronald Schuster, MD, Baltimore Plastic Surgeon)
Tummy tuck timing
My opinion diifers slightly from the first surgeon. First, complication rates are higher with a BMI over 35 (some say 30). You would need to consider that. Second, your results will be better if you lose down to your goal weight. 10% change is not a big issue but as a person loses 30, 40 pounds or more the skin will loosen.
It can not be predicted how much. For people with unlimited time and money, a tummy tuck can be repeated. An option would be to perform a removal of just a portion of the lower skin apron. This would help you now and still leave a tummy tuck on the table for later. In waiting, you will most likely not be dissappointed. Having a TT now may not be the best choice. (Michael Hueneke, MD, Nashville Plastic Surgeon)
Timing of Tummy Tuck Surgery?
You should be congratulated on your successful diet and exercise regimen. Your motivation to proceed with tummy tuck surgery is completely understandable. I try to individualize my recommendations for every patient I see; I do not go by any specific BMI when making decisions regarding timing of stomach surgery.
Based on your pictures and description I think you’re very close to being ready for tummy tuck surgery, which should provide you with an excellent result. I would suggest in person consultation with well experienced board-certified plastic surgeons who can clearly demonstrate their previous successful patients. You may find the link below very helpful. (Tom J. Pousti, MD, FACS, San Diego Plastic Surgeon)