Tummy Tuck Before & After Case 1
Here is a sneak peek at a recent patient 4 weeks after a fleur-de-lis tummy tuck and mastopexy.
She was interested in increasing her cup size to go with her lift, without use of an implant. Targeted liposuction was done at her waist and flanks, and this fat then transferred to her breasts for a beautiful and natural lift and fill.
Seams and scars are necessary with any surgery to tailor the skin. A bespoke plan is designed for each and every person based on individual goals and anatomy.
At 4 weeks, she can now return to light cardio with her Peloton, and at 6 weeks return to full weights!
Tummy Tuck Before & After Case 2
A tummy tuck and liposuction together are a powerful way to contour the trunk.
This beautiful woman in her 40’s had over 80lbs of weight loss and 5 previous children. She had loose skin after her weight loss. She also had moderate diastasis recti, or widening of the fascia between the six pack muscles.
Panniculectomy involves just the removal of the pannus, the skin that hangs over the waistband. The skin around and above the belly button do not change after that surgery.
Abdominoplasty additionally includes repair of the diastasis and tightening of the skin all the way to the rib cage. A modest amount of liposuction was also performed to smooth her contour.
The dimpling and swelling will continue to improve over the next several months, as absorbable sutures disappear over time, and her circulation heals.
Tummy Tuck Before & After Case 3
Abdominoplasty helps to remove excess skin and subcutaneous fat that can be impossible to remove without surgery.
At a stable weight, this patient had excess skin laxity and subcutaneous fat which caused pain and discomfort with exercise everyday activities.
Excision of several pounds of excess skin and fat helped improve her symptoms.
Down time includes about 1 week out of work, and then 4-6 weeks to return to full activities.
The scar asymmetry may be improved with an in-office scar revision, though she was not interested just yet.
She is thrilled with her improvement, even as her scarring and swelling continue to improve!
Tummy Tuck Before & After Case 4
A tummy tuck and liposuction is a commonly performed procedure to improve a patient’s body contour.
This woman in her 20’s had loose skin and stubborn weight from a hormone imbalance that was now stable.
I offered an abdominoplasty to remove redundant skin, and liposuction of her abdomen and flanks to improve her contour.
For women who have had children, diastasis recti is usually present to some degree, where the edges of the six pack in the middle spread apart. For these patients, repair of the muscle and fascia is done like an internal corset.
An overnight stay for comfort and safety is recommended. Drain tubes are sometimes used to help smooth and speed recovery. Return to work is usually at 1 week, and return to full activities at 6 weeks.
This patient is seen at 3 months. Swelling and scarring will continue to improve until ~9-12 months.
Tummy Tuck Before & After Case 5
This lovely patient had a frustrating lump above her belly button that she had named Fred.
She also had a mild diastasis recti and some skin laxity after previous pregnancy.
We decided together to take care of Fred and the diastasis at the same time, and also remove some of her skin laxity, too.
She turned out to have a small hernia above her belly button, with protruding fat from inside her abdomen.
Returning this fat underneath her muscle — and then repairing her muscle fascia — helped to prevent Fred from making any more unwanted appearances.
Here you can see just how much skin can surprisingly be removed even for fit patients with a lower BMI!
Tummy Tuck Before & After Case 6
This beautiful patient came to us after losing over 70 pounds, and reaching a stable weight for over 6 months. Her main goals were removing the overhanging pannus, and also removing some of the extra skin on her back.
Extended tummy tuck without liposuction was chosen, to remove as much skin as possible from hip to hip. The upper back skin excision helped to smooth out the rolls that can develop, especially after large amounts of weight loss.
The upper back incision may be carried around to the breasts for a breast lift as well, depending on a patient’s goals with surgery. She is seen here at 1 month, with a natural looking belly button.
Tummy Tuck Before & After Case 7
He lost over 100 pounds and was ready for some contouring.
His main goals were improving his gynecomastia (overdevelopment of breast/chest tissue in men) and the extra skin of his abdomen.
For the gyencomastia, when there is a greater amount of skin to remove, I favor an incision hidden along the natural inferior fold of the pectoralis.
The nipple/areola remain attached to a dermal pedicle, and that helps to minimize the chance of pigment loss, and is more reliable than free nipple graft.
I was also able to remove loose skin, ncluding old surgery scars on his abdomen.
Some tightening of the core muscles was done, with more focus on tailoring towards a more masculine V-shaped torso than a feminine hourglass.
In addition to fitting more confidently in clothes, he can more comfortably exercise and go about his daily activities.
As a reminder, a tummy tuck is NOT a primary weight loss procedure. The intra-abdominal fat we all have around our organs is a no-fly zone. For that, weight loss through diet, exercise, medication, and/or bariatric surgery is needed.
Tummy Tuck Before & After Case 8
Early result after panniculectomy/tummy tuck for a man with a moderate amount of visceral fat (deep to the muscle, around the organs).
A tummy tuck is a skin redraping procedure, and not a primary weight loss surgery.
That said, this gentleman is happy to be free of his overhang, and its recurrent rashes and malodor. Clothes fit better, he’s smiling and confident, and ready to take on the world.
Tummy Tuck Before & After Case 9
This mother of 4 had extra skin and a diastasis – or separation – of the rectus muscles that make up the six-pack.
Tummy tuck with excision of 2.5 pounds of extra skin, repair of the diastasis, and some targeted liposuction, helped to improve her contour and confidence.
She is seen at just 4 weeks, with swelling set to improve further over the next several months. Her belly button is healing nicely with a natural appearance.