Losing a large amount of weight is a major achievement, whether you reached your goal through diet and exercise, weight loss medication, or bariatric surgery. For many of the people I see in my practice, that achievement comes with a frustrating physical reality. Once the weight is gone, the skin
Dual vector abdominoplasty is an operation I developed for post weight loss patients whose excess abdominal skin runs in more than one direction and extends into the upper abdomen and lower chest. It combines a Fleur de Lis abdominoplasty with an upper abdominal lipectomy in a single operation, removing skin
In my practice I see patients who come for revision abdominoplasty (tummy tuck) from across Australia and from overseas. The reasons they come are not all the same, but one stands out far more than any other. The first operation was the wrong operation for the amount of loose skin
After major weight loss, the abdomen is often left with loose skin that hangs in both directions, down towards the pubis and across the waist. A standard tummy tuck (abdominoplasty) removes skin in one direction only, from top to bottom. For some post-weight-loss patients that is not enough. When there
After significant weight loss, two problems often sit on top of each other in the same part of the body. The first is loose abdominal skin that hangs in both a vertical and a horizontal direction. The second is a weakness in the abdominal wall at the navel, an umbilical
Every abdominoplasty (tummy tuck) leaves a scar. There is no way around that. When I remove excess skin from the abdomen, I am making an incision, and an incision heals as a scar. What I can influence is where the scar sits, the surgical technique used to close the wound,
Loose skin after weight loss does not present in one single way. For some patients, it is mainly a hanging fold low on the abdomen. For others, the looseness runs horizontally across the front, vertically along the midline, or in a circumferential pattern around the trunk. Loose skin in the
Like any major surgery, an abdominoplasty (tummy tuck) leaves a scar. After significant weight loss the scar tends to be longer than people expect, because the amount of loose skin I am removing is greater. Most people I see after weight loss are not asking whether there will be a
After significant weight loss, many people are left with loose skin across the abdomen that will not retract on its own. Fleur-de-Lis abdominoplasty (tummy tuck) is one approach I use to remove this excess skin and the fatty tissue that sits with it. It is not a substitute for weight
After major weight loss, an abdominoplasty (tummy tuck) is rarely a small operation. The skin envelope is larger. The flap dissection is more extensive. Many of my post-weight-loss patients also need flank work or a circumferential approach. All of that affects how long you will be away from work. In