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All You Need to Know About A Plus Size Tummy Tuck

By: Oklahoma Plastic Surgeons

The perspective around tummy tucks is evolving. For many years, plastic surgeons adhered to a general guideline that patients with a BMI over 30 or 31 were not suitable candidates for tummy tuck surgery. However, standards are changing for patients in need of a plus-size tummy tuck.

This procedure is becoming increasingly popular and allows non-traditional candidates to improve their comfort, confidence, and overall health. Ahead, we will discuss everything you need to know about a plus-size tummy tuck but if you’re left with any questions, please contact our team today.  

Can Plus Size Patients Get a Tummy Tuck?

As with any candidate, patients undergo a

and evaluation before scheduling their surgery, including plus-size patients. The primary aim of a plus-size tummy tuck is the reduction of excess skin and abdominal fat. This is particularly relevant for patients who exceed the 20 to 30-pound “ideal weight” range.

If a plus-size person’s weight does not meet the general criteria for a regular tummy tuck, your doctor will need to evaluate additional health circumstances prior to surgery. If the surgery is deemed safe and feasible for the patient, plastic surgeons may be open to scheduling a tummy tuck; if not, the patients would be suggested an alternative route, such as liposuction.

What Is the Plus-Size Tummy Tuck?

What differentiates a plus-size tummy tuck, also known as a high-BMI abdominoplasty, is that it is specifically designed for individuals with BMI over 30. The customization of the procedure focuses on redefining and reshaping the abdominal area by:

  • Addressing excess skin
  • Tightening underlying muscles
  • Contouring the waistline for a more balanced silhouette

The tailored surgical approach accommodates the unique anatomical features of individuals with higher BMIs, ensuring safety and effectiveness.

BMI for a Tummy Tuck

BMI can vary among individuals and weight fluctuations can affect surgical results. Ideally, patients with BMI under 30 and no underlying medical conditions are the average candidates for a tummy tuck. Typically, it is advisable for patients to undergo a tummy tuck after achieving a stable weight that they can comfortably maintain, to ensure the procedure has lasting benefits. 

Why Does Weight Matter?

In most aspects of life, weight may not hold any significant importance, however, when it comes to a plus-size tummy tuck, it becomes essential to evaluate patients based on their weight. This is because overweight and obese patients are more likely to experience complications during and after invasive surgeries. Since a tummy tuck is an elective procedure, it is crucial to minimize any potential risks to ensure patient safety and well-being.

Benefits of a Plus-Size Tummy Tuck

Patients can achieve transformative benefits with a plus-size tummy tuck. The following are some of the key advantages: 

  • Enhanced Appearance: Excess skin removal and a tightened abdomen improve the body shape and contour.  
  • Improved Comfort: Reducing excess abdominal skin alleviates discomfort caused by skin irritation or infections that may occur in skin folds.
  • Boosted Confidence: Patients may experience a significant improvement in self-esteem and develop a positive self-image. 

Criteria and Consultation for Plus Size Tummy Tuck

For patients classified as obese, plus-size, or overweight, several factors are assessed to determine the candidacy for the procedure. When a patient schedules the consultation, considerations similar to those following are included for a plus-size tummy tuck.  

Overall Physical Health

A patient’s overall health determines whether or not they can qualify for a plus-size tummy tuck. Having serious health conditions can complicate the surgery or healing process for patients. Conditions such as poorly controlled diabetes or other chronic illnesses are evaluated during the consultation.  

Smoking Status

Smoking poses increased risks during surgery. It is a well-documented risk factor for complications, and individuals who are overweight or obese may be especially susceptible.

Weight Loss History

Patients who have made substantial efforts to lose weight, often shedding 50,100 or even 150 pounds or more pursue a plus-size tummy tuck to deal with the excess abdominal skin. Excess skin often hinders their ability to exercise and pursue further weight loss.

If such people have good overall health and meet other criteria, then efforts are made to accommodate these individuals in order to assist them in their weight loss journey. A tummy tuck can not only remove the excess skin but also help overcome weight loss plateaus.  

Fat Distribution

Weight distribution varies from person to person, so it is important to assess how someone carries extra weight before a tummy tuck. If the extra weight is mainly in the thighs or buttocks, it might not impact the surgery.

However, significant fat in the abdomen can complicate the procedure and recovery. Additionally, if the abdominal muscles are too loose or stretched, they may not be suitable for tightening, which is a key part of the surgery.

General Mentality About Surgery

Finally, patients must have realistic expectations regarding a plus-size tummy tuck. Although it is feasible to remove excess skin and some fat, a patient with a BMI of 39 or 40 should not anticipate results that lower their BMI to 23 or 24.

The Procedure Explained

A plus-size tummy tuck, including the overweight extended tummy tuck, is specifically designed to reshape and contour the abdominal area. At Oklahoma Plastic Surgeons, the procedure incorporates liposuction to further enhance the results.

To ensure you remain comfortable and pain-free throughout the procedure, you will receive general anesthesia. A board-certified anesthesiologist will monitor your vital signs closely, as safety is a top priority. 

The surgeon creates a horizontal incision above the pubic mound that extends from hip to hip — this will facilitate the excess skin and fat removal. Muscular repair is commonly performed to tighten the abdominal wall, resulting in a firmer midsection. The surgery is tailored to your specific needs, which is why various techniques are employed:

  • Standard Tummy Tuck: Best suited for patients with excess skin below the belly button.
  • Extended Tummy Tuck: Ideal for those requiring more extensive skin removal that wraps around the hips.
  • Fleur-de-Lis: Typically used for patients who have experienced significant weight loss, involving a vertical incision.

Recovery Timeline

Recovery times vary from person to person, however, you can expect the following after a plus-size tummy tuck.  

  • First 2 Weeks: They are limited to light movements, such as walking around the house. One may expect some swelling and discomfort as part of the healing process.
  • 2-6 Weeks: Patients may gradually return to normal daily activities as anticipated, although they should avoid vigorous exercise during this phase.
  • 6+ Weeks: Typically, most patients can resume all regular activities, including exercise, once your surgeon gives you the green flag. 

Post-Surgery Care

Following the surgery, patients will have dressings on the incisions, and also drainage tubes to help prevent fluid accumulation. It is crucial to adhere to the following post-surgery care guidelines:

Incision Care

Following your surgeon’s specific instructions for care for maintaining cleanliness and dryness around the incision area is important.

Activity

Surgeons would not recommend heavy lifting or strenuous activities for a certain period, so it is better to refrain from it. 

Medication

Take any prescribed medications, including pain relief and antibiotics, exactly as directed.

Compression Garment

Compression garments are essential to minimize swelling and provide abdominal support for improved recovery. 

How to Lose Weight Before a Tummy Tuck

If you identify as plus-size and wish to lose weight to reach your ideal size before undergoing a tummy tuck, consider the following effective strategies:

Consult a Nutritionist

For individuals struggling to lose weight, nutritionists can help by developing personalized meal plans that are both sustainable and effective. For successful weight loss, it is essential to focus on a diet that meets your nutritional needs. 

A nutritionist performs assessments to understand the patient’s unique body composition and designs a weight-loss program that aligns with the individual’s lifestyle. 

Prioritize Sleep

Getting sufficient sleep is essential for supporting weight loss efforts, while inadequate sleep is often linked to weight gain. Adults who achieve the recommended 7-9 hours of sleep typically have more energy for physical activities, improved metabolism, and better appetite regulation.

Engage in Daily Exercise

Along with a balanced diet, it is important to follow a consistent exercise routine that will aid in burning calories and losing excess weight. On average, individuals should engage in moderate physical activities for about 60 minutes, five days a week, to effectively lose weight. A blend of cardio and strength training exercises to maximize fat burning and boost metabolism.

Why Choose Oklahoma Plastic Surgeons for Plus-Size Tummy Tuck?

It is crucial to consider a reputable and skilled plastic surgeon when considering a plus-size tummy tuck.  At Oklahoma Plastic Surgeons, our team specializes in procedures tailored for plus-size individuals.  We ensure our patients receive top-tier care during their body contouring procedures.  With modern facilities and advanced techniques, we are sure to offer optimal results while keeping patient safety and comfort in mind. 

We are dedicated to supporting patients through their journey and focus on creating a positive and empowering experience from the initial consultation to post-operative care. With a strong commitment to excellence and a focus on inclusivity, Oklahoma Plastic Surgeons is a trusted choice for those seeking the best plus-size tummy tuck surgeon and transparent information regarding plus-size tummy tuck cost. Schedule your consultation today and learn how we can assist you on your journey.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.