Tummy Tuck Questions

Bigger Woman for Tummy Work? (photo)

posted by ajimerson

Q: I am 300lbs and 5’11” I have always struggled with my weight and have always been a big girl. I hate it, I dont have high blood pressure, my heart is healthy, ive been checked for diabetes many times and my dr say i dont have sighs of it. I’ve lost 90 lbs in about a year. Ive always considered a tummy tuck and pubic lipo so i could begin to work out to keep myself in better shape and to be healthy for my 2 girls. is there any doctor out there who would consider doing the surgery at my size?

A: Congratulations on your weight loss.  I have performed tummy tucks with liposuction for multiple women with similar issues.  As long as your expectations are reasonable (it sounds like yours are), I think you might be very happy with your results from a full tummy tuck and liposuction.  You will not have a completely flat stomach, and after continued weight loss, you may find you want to have another surgery, but I think that removing the overhang will make you much more comfortable in the gym.

Will I Be a Good Candidate for Tummy Tuck with Muscle Repair?

posted by ajimerson

Q:  I’m 5″3 and 155 lbs, I like my flat upper belly, I’m afraid of bulge after a tummy tuck and looking boxy, I have curves now will a tummy tuck make me look boxy and will get rid most of my stretch marks and also will I be at risk for keloid scar.

A:  Based on your photos, I think you would have a nice result from a full tummy tuck.  During the surgery the abdominal muscles are tightened and the skin and fat below the belly button are removed.  You have some stretch marks above the belly button – those will still be present, but will be moved to a lower position on your abdomen.  I do not expect a tummy tuck to make you look boxy.  Keloids and hypertrophic scars can be difficult to predict.  If this has been an issue for you in the past (especially after surgical procedures), it is possible that it could happen again.  Excessive scarring is more common in non-Caucasian people.  We do have treatment options for women with scarring problems, but it would be best to discuss this with a board-certified plastic surgeon during your consultation.

Do I Have a Realistic Tummy Tuck Expectations?

posted by ajimerson

Q: I am 5 foot 7 inches tall 168 pounds, while standing my stomach really protrudes but while laying on my back it is mostly concave and when i grab my stomach it feels like most of the fat is above my muscles. I measured and at my belly button there is a 4 inch difference between standing up and laying down. So could i achieve the concave/flat results my stomach gets while laying down with a full tummy tuck w/muscle repair and lipo of hip/flanks and upper abdomen or is this unrealistic?

A:  Discussing your expectations is one of the most important conversations you can have with your plastic surgeon!  A photo of you would be extremely helpful.  From your description, I don’t think you should expect to be concave when standing.  That’s rarely achievable for anyone.  However, it sounds like you can expect a flat stomach with a tummy tuck.  Since you do not have a protruding belly when you lie flat, it sounds like repairing the abdominal muscles and removing the excess skin should give you a great result.  Best of luck!

I Have a Mild Productive Cough, Tummy Tuck in 3 Days! Should I Reschedule Surgery?

posted by ajimerson

Q:  I have been coughing over a week now with a sore throat , it was bad and it felt like I was coughing up my toenails, cough is productive clear and now its just mild , lungs clear, no fever occ sneeze .. sore throat s gone.. I feel fine… I’m just worried I will be coughing after procedure and make things worse!!!!should I reschedule ???

A:  Your health and safety are the primary concern.  For this reason, I would recommend delaying surgery until you are fully recovered.  Having cold symptoms (even just a cough) increases your risk during anesthesia.  General anesthesia involves the use of a ventilator.  Having cold symptoms -especially a productive cough – can make breathing for you difficult.  It can also increase your risk of anesthesia complications after the surgery.  Additionally, coughing will be VERY painful after tummy tuck.

Should I Get a Tummy Tuck or Can I Work out and Fix This? (photo)

posted by ajimerson

Q:  I was wondering if I should get a tummy tuck I’m 25 years old and I lost about 100 pounds in about a year but I mostly did just running like I run a mile every night if it can be fixed by ab workouts i will do it but I was wondering if I could just work out and get it to fix itself or If no matter how much I work out it won’t help cause i really don’t want to have a tummy tuck I heard its painful and knowing my luck I’d get like a blood clot and die cause I heard that could happen

A:  Congratulations on your weight loss!  Based on your photos, it seems you are dealing with excess abdominal skin.  Working out is not going to solve the problem.  This is common after losing a lot of weight – sometimes the skin does not “snap back.”  A tummy tuck is the right procedure to remove this excess skin.  While you can expect some discomfort during recovery, most of my patients tell me it is worth it not to have to deal with the extra skin hanging over.  While there is no way to completely remove the risk of a blood clot, we go to great lengths to decrease the risk in my surgery center!  I would suggest meeting with a board-certified plastic surgeon.  He or she can evaluate you to tell you for sure if you are a surgical candidate as well as discuss the risk of surgery after reviewing your medical history.