A common aesthetic concern many women have following pregnancy is the prominent bulge or “pooch” of the mid and lower abdomen that usually proves resistant to a healthy diet and exercise. In severe cases, this bulge can be so substantial that it can often cause one to still look pregnant.
This condition is caused by a combination of stretching of the muscles of the abdominal wall, the widening of the space between the left and right rectus muscles along the midline of the abdomen (medically known as diastasis recti), and the loss of elasticity and stretching of the skin of the mid and lower abdomen. These usually are the permanent consequences of the outward expanding forces occurring during pregnancy though there is some natural but limited tightening of the tissues in the postpartum period. This same condition can also occur as a consequence of a major weight gain followed by a substantial loss.
Diet and exercise can help shed weight, reduce fat and tone the muscles but they won’t tighten irreversibly stretched skin and muscle. The only effective approach is surgical intervention, as in a tummy tuck (abdominoplasty). During this popular cosmetic procedure, stretched muscles of the abdominal wall are tightened and repaired, and any excess skin present in the stomach region is removed resulting in a tighter and more sculpted contour.
In addition, such issues as ventral or umbilical hernias can also be corrected during an abdominoplasty. Liposuction can be employed elsewhere to remove persistent fat deposits in areas such as the hips, thighs and back.
If you are concerned about the excess skin and bulging of your abdomen following one or multiple pregnancies, or massive weight loss, I encourage you to consult with a board certified plastic surgeon to find out if tummy tuck surgery would be beneficial for your unique needs and aesthetic desires.
– Steven H. Turkeltaub, MD, PC
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.