Beverly Hills Tummy Tuck

Who Is The Best Candidate?

“Doctor, can you do a tummy tuck for me to reduce my weight?” I hear this comment too often therefore I decided to clarify the relation between abdominoplasty and weight loss. When we gain weight, the excess amount of fat is stored not only under the skin but also inside the abdominal cavity. The excess fatty deposits under the skin can be determined by the “Pinch Test”. A simple pinching of the skin of your abdomen will tell you if the fat under your skin is reasonable or too much. Try pinching the lower abdominal skin with your fingers. If the pinch test is more the 1 ¼ “, you simply have too much fat stored under the skin.

The fat storage inside the abdominal cavity can be determined by the “Push Test”. Ask someone to push your abdomen in with their hand. If the tummy goes in flat you are ok, but if your abdomen can not be pushed in you most likely have too much fatty deposits internally.

By performing the “Pinch Test” and the “Push Test” I can determine if a patient is a good candidate for a tummy tuck or should first consider a weight loss program.

The fat inside the abdomen is called intra-abdominal or visceral fat while the fat outside the abdomen under the skin is called extra-abdominal fat.

Patients with excess extra-abdominal and intra-abdominal fat are basically too overweight and therefore are not good candidates for a tummy tuck surgery. If such a person gets a tummy tuck the skin may become tighter but the abdominal bulge will not go away.

Abdominoplasty tightens the weakened abdominal muscle and removes the excessive overhanging lower abdominal skin. In reality the weight you loose after a tummy tuck is the weight of the excised skin and attached fat. This could be anywhere between 5-10lbs. The most I have removed is 22lbs from a morbidly obese patient who had undergone gastric bypass surgery followed by a massive weight loss.

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