Tummy tuck not flat
For a flat tight abdomen you will need a full tummy tuck. A mini will not address the loose skin above your belly button. (Mark A. Schusterman, MD, Houston Plastic Surgeon)
Excess skin on abdomen requires abdominoplasty
Abdominoplasty will remove your excess skin and tissues and muscle tightening at time of abdominoplasty will make your stomach flat. (Vasdev Rai, MD)
Based on your photos, you look to be a good candidate for a full abdominoplasty, with or without some limited liposuction of your hips/flanks.
Your plastic surgeon can evaluate you in more detail during your consultation to make sure you receive the correct procedure. (Brian Howard, MD, Alpharetta Plastic Surgeon)
Tummy tuck surgery not flat
I echo what others have said. Tummy tuck is the only good option to smooth the skin and flatten the stomach in your case. Congratulations on your success thus far. (Michael S. Hopkins, MD, Albuquerque Plastic Surgeon)
Having lost 95 lbs you must feel like a new person, congratulations. Your photos show good body proportions with some loose skin of the abdomen. The loose skin is below AND above your belly button. This is important because a mini tummy tuck only corrects the loose skin which is below the belly button.
To smooth your whole abdomen, and to remove the loose skin above the belly button you would need a full abdominoplasty.
You should obviously continue your work outs so your tighter and smoothed skin will have a good frame to drape over. Liposuction would not benefit the abdominal skin as it is already loose from the lose of volume under it and removing more volume won’t make it tighter. (Jeffrey M. Darrow, MD, Boston Plastic Surgeon)
Abdominoplasty not flat
Congratulations on your weight loss and healthy lifestyle. There is individual variation in the degree of skin laxity following weight loss. Since there are no muscle fibers in the skin, there is a limit to what exercise can do for loose skin. Liposuction alone will not significantly tighten your skin. Mini-tummy tuck will not tighten the skin above the belly button. Abdominoplasty ( “full tummy tuck”) will give you the best overall cosmetic result for a flat tummy. (Stephen M. Lazarus, MD, Knoxville Plastic Surgeon)
Good for you for losing the weight. You simply have the extra skin that has stayed and will stay till you do something about it. A mini tuck will take away some of the skin and fat of the area above the pubic hair. This will be limited and not make you happy.
Liposuction alone will take away some of the deposits of fat around the hips and waist area. This will help but not make you happy. WARNING: If you do liposuction of the abdominal tissue FIRST.
The tummy tuck not flat
And then want a tummy tuck later (and you will), there will be scarring of the tissue to be redraped and this makes it more difficult than to have the virgin tissue to redrape. You need a full tummy tuck and liposuction for flat tummy where fat is present on your back/waist/hips/etc. The skin in the areas mentioned is very thick and it will be able to come to the muscles after the fat removal. There is NO DOUBT that this is the correct approach to you. Any plastic surgeon would be very happy to work with your contours considering you work out and have this much tissue to be removed. You should expect a WOW result. You will have to accept the scar. When you were heavier, you had a spread of the muscles and they are just waiting to be tightened in the midline.
Go for it. You will be very happy. If you would like, google Mommy Makeover with Marcie Fraser and watch the two part series about the procedure combinations necessary. Notice that patients waist. Fat gone and small waist. Your result should be similar. (Steven M. Lynch, MD, Albany Plastic Surgeon)
A tummy tuck not flat
You have done well with your weight loss but now have extra skin. There is as much skin above the umbilicuas as there is below. Mini tummy tucks work best for those with just extra skin below the belly button.Liposuction would not be of mch value since you have already lost the fat on your own. In your case, to get the best result a full abdominoplasty would be needed. (William LoVerme, MD, Boston Plastic Surgeon)
Congratulations on the changes that you have acheived. Your persistence and hard work have had a tremendous effect. Now you have loose skin and some resilient fat. Although an absolute recommendation is difficult without actually seeing a patient, the fact that you have looseness above and below your belly button (based on your pictures) makes you a better candidate for a traditional abdominoplasty rather than a mini-abdominoplasty. You will also likely need some tightening of the abdominal wall muscles and liposuction of the deep abdominal wall fat and into the flanks to optimize your shape.
This combination of procedures will tighten the skin and finalize the contours that you have created. Liposuction alone or liposuction with a mini-abdominoplasty will not give you the ideal result. (Paul G. Ruff IV, MD, FACS, Washington DC Plastic Surgeon)
