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Being overweight, is it possible to have a tummy tuck now and a second one after losing the excess weight?

Q:

I've gained a lot of weight throughout my four pregnancies.  Most of the weight came off after the first three pregnancies although none of it did after the fourth pregnancy.  Since then I have non-stop skin rashes and infections under the fold of my stomach.  Can I have a tummy tuck now even though I'm still overweight, and would need another tummy tuck after I finally lose the additional weight?

A:

It is possible to have a tummy tuck while still overweight and have another after losing weight; however, there are a number of reasons why this is a bad idea. Although the abdominoplasty can help jump start weight loss, you still have to modify your diet and exercise routine to maintain the weight loss. Surgery is more dangerous when you are overweight. Finally there is the cost, and the fact that a second tummy tuck is more complex and has increased risks and problems. Therefore, I would suggest gradually modifying your diet and losing the weight first. Either way, see a plastic surgeon with significant experience in abdominal contouring.

R. T. Buchanan, MD

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