FB Pixel Skip to main content

 Female abdomen excess skin

A tummy tuck, also known as an abdominoplasty, is the very common and effective plastic surgery procedure employed to help rejuvenate the appearance of the abdomen. By tightening the muscles and tissues of the abdominal wall, removing excess skin and fat and contouring the remaining tissues, a flatter, tighter and more shapely abdomen can be obtained. The result can be a dramatic improvement in the appearance which you can be very happy with. Weight loss and targeted exercising can’t, by themselves, lead to this result.

Now there is evidence of another benefit of having a tummy tuck: the possibility of long-term weight loss. An unexpected twofer!

Wouldn’t that be nice!

Whether or not there is a relationship between long-term weight loss and body contouring procedures like tummy tucks and lower body lifts (for massive weight loss or MWL) has been pondered in the past but has not been scientifically investigated. Now, a pilot study conducted in the Los Angeles area and just published in the February 2013 issue of the Plastic and Reconstructive Surgery® journal lends credence this possibility.

This clinical study evaluated 20 women for short and long-term weight loss after having undergone an abdominoplasty. Multiple factors were considered and assessed in order to detect any correlations. After one year, fourteen of the twenty women had maintained a weight loss in excess of the amount of tissue resected in surgery. Their average body mass index (BMI, which is derived from weight and surface area) was around 30 (considered borderline obese) prior to their tummy tucks and decreased to 23 at one year (18.5 to 25 is considered to be normal). Those whose BMI was greater than 24.5 were more likely to lose weight than those less than this number.

There was also a positive correlation between the amount of tissue removed during surgery and long-term weight loss. Those who had more than 4.5 pounds removed were more likely to have this result as compared to those who had less than 4.5 pounds removed. (Of course, the amount of tissue removed at the time of surgery was accounted for in the weight loss calculations.)

Two factors may play a role in this long-term weight loss following tummy tuck surgery. First, it was discovered that three quarters of the women who maintained this lower weight experienced an increased sense of satiety (fullness) either after eating or throughout the day. Therefore, they ate less.

The second factor may be that by removing the fat cells contained in the resected tissue, there could be a reduced stimulatory effect on the appetite centers in the brain. The reason for this is that these fat cells release a variety of hormones which are known to enhance one’s appetite. Fewer fat cells results in lower levels of these hormones which translates into less stimulation of these centers – and less eating, fewer calories.

Ultimately, larger scale studies will need to be performed in order to more definitively corroborate such a positive relationship between tummy tuck surgery and long-term weight loss.

Wouldn’t it be wonderful if we eventually determine that an abdominoplasty is not only great for your appearance but also beneficial for your weight and health?

Abs –solutely!

For more information on a tummy tucks, lower body lifts for massive weight loss or for any other plastic surgery procedure that I perform, please call my office at 480-451-3000. You can also arrange for a complimentary consultation with me as well.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

 

 

 

 

Request an Appointment

A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.