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Having an extremely large abdomen and weighting 300 pounds, would I be a good candidate for a tummy tuck?

Q:

I weigh 300 pounds and have an extremely large abdomen.  Would I be a good candidate for a tummy tuck?

A:

The simple answer to your question about being a good candidate for a tummy tuck at 300 pounds and with an extremely large abdomen, is NO! Abdominoplasties are done to remove excess skin on the outside of the abdominal muscles and to tighten the muscle when there is not an excess of fat under the muscles. Most people your weight will have a significant amount of fat under the muscle, especially with an extremely large abdomen. You need to lose a significant amount of weight down to at least a BMI of 28 or below. At that point, you will have significant excess abdominal skin but your intra-abdominal fat will be reasonable. Then a tummy tuck would be reasonable.

R. T. Buchanan, MD

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