What is involved in a tummy tuck procedure
In an ideal world, all of our patients would be at ideal weight. However, that is not the case. Many of my tummy tuck patients are over their ideal weight.
After tummy tuck surgery, they are often much more motivated because they like how they look and receive positive feedback when they look in the mirror.
Is there a weight that is too much? Yes. My criterion is that I need to be able to repair the muscles together in the midline. If someone is too heavy, that will not be possible, and it would be a shame to do the procedure and not be able to get the muscles together.
Looking at your tummy tuck photos, I have no doubt that it would be possible to approximate your muscles.
The size of one’s frame and the condition of the skin and fat help me make the decision. You happen to have a large frame, and a large, loose apron of tissue that would be well-treated with a tummy tuck procedure. The number of pounds is not as important as these considerations. I expect you would lose at least 10 pounds from an abdominoplasty + lipo, and probably more if you are more motivated psychologically after surgery to watch your diet and exercise.
You are likely to have a big psychological boost from this surgery. So we do the surgery on people who are moderately overweight, and they often lose weight afterward. That’s how it works in the real world. There are plenty of examples of patients with your size and weight on my website. (Eric Swanson, MD, Kansas City Plastic Surgeon)
Always be near your ideal weight before plastic surgery
I completely agree with the other doctors that you should be able to get a nice improvement from a full TT. It will be best if you can get down to near your ideal weight preop. (Richard P. Rand, MD, FACS, Seattle Plastic Surgeon)
Candidate for a tummy tuck procedure
From your photos, you are certainly a candidate for a tummy tuck procedure. However, the results will be improved when you are closer to the weight you wish to obtain. It also appears that you have significant muscle spread in addition to loose skin which will be fixed at the same time. You should expect a significant improvement. (Brian Klink, MD, Vacaville Plastic Surgeon)
Weight loss before a tummy tuck procedure
You should get closer to your goal weight before having a tummy tuck procedure. You will have a better cosmetic outcome at a lighter weight with less risk of complications. Based on your photos, you could have a tummy tuck procedure even if your weight plateaus at 200 based on your degree of loose skin. I would consult with a board certified plastic surgeon once you are close to your goal weight. (William Bruno, MD, Beverly Hills Plastic Surgeon)
I always want patients to maximize their weight loss and encourage them to do so, trying to get their BMI less than 30. Being heavier can be associated with higher complications. Based on your pictures, I think you would benefit from a tummy tuck with some liposuction. (Brian Joseph, MD, Orlando Plastic Surgeon)
I highly encourage you to get to the best weight that you can. You are a little heavier than you should be to experience the best results from this type of surgery.
It would also be in your best interest to thin down slightly because the internal fat( visceral) that we all have to some degree will maintain a more healthy situation for you for the future. (Francis (Frank) William Rieger, MD, Tampa Plastic Surgeon)
It would be important for you to get to the weight that you want to be prior to the surgery. This gives you the best chance for a good result. You may want to consider the possibility of liposuction to the flanks as well. Discuss this with your surgeon.
Also, once you do have the surgery, it is important to maintain a healthy lifestyle, as the surgery does not prevent future weight gain.(J. Jason Wendel, MD, FACS, Nashville Plastic Surgeon)
Getting near your ideal body weight is important and there are fewer complications for patients with a body mass index less than 30 (Michael Hueneke, MD, Nashville Plastic Surgeon)