*Model
by Dr. Steven Wallach
Is an abdominoplasty (tummy tuck) enough?
Some massive weight loss patients can achieve a good contour from an abdominoplasty (tummy tuck) alone. This is more common in a younger patient with good skin elasticity and also in a patient that did not have to lose a lot of weight to begin. On the other hand, most patients will have laxity of the abdominal tissues that will extend to their flanks as well as their buttocks. A circumferential abdominoplasty improves the contour of all these regions.
After my weight loss I have noticed that I get rashes in my groin and flanks from the overhanging tissues. I have tried creams, powders, and other conservative measures but they do not get better. Will surgery that removes this overhanging tissue help?
This is a common complaint of many massive weight loss patients. Even though they lose a lot of weight, the tissues tend to sag more. As a result, the overhanging tissue tends to chafe more and rashes can develop. Removing the overhanging chafing tissues can significantly improve this problem.
I have an abdominal hernia will this affect the result of my circumferential abdominoplasty
Hernias are common in massive weight loss patients who have undergone gastric bypass or lap banding procedures. Often, the hernia repair can be treated at the same time as an abdominoplasty or circumferential abdominoplasty. Repairing the hernia is important so that contour deformities can be improved, and complications of hernias can be avoided such as bowel obstruction (blockage). The exposure obtained while performing an abdominoplasty or circumferential abdominoplasty makes it easier for the bariatric surgeon to repair the hernia. But, fixing the hernia takes priority and sometimes the hernia repair limits the ability to tighten the abdominal musculature as well as one would like.
Dr. Steven Wallach is a board-certified plastic surgeon in New York City specializing in aesthetic facial and body contouring, as well as reconstructive surgery. He earned his medical degree from NYU School of Medicine and completed advanced training at Albert Einstein College of Medicine/Montefiore Medical Center, followed by a prestigious fellowship in California. A past president of the New York Regional Society of Plastic Surgeons and former executive board member of The Aesthetic Society, Dr. Wallach is frequently recognized for his expertise, including in New York Magazine’s “Best Beauty Docs.” In addition to his clinical practice, he is an Associate Clinical Professor at Albert Einstein and regularly contributes to medical publications and national media. Known for his innovative techniques and compassionate care, he helps patients achieve natural, confidence-boosting results.
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