How soon can I have adominplasty after having gastric bypass. Stomach is really flabby.

Question from Alabama, AL: How soon can I have adominplasty after having gastric bypass. Stomach is really flabby.  Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore: Congratulations on your journey to weight loss and “improved” health. Unfortunately, it leaves a lot of skin behind that does not tighten and must be removed. ​ ​It is generally recommended to wait 1 year to lose and stabilize your weight prior to beginning the skin reduction process. You will also need to optimize your nutrition to reduce the risk of break-down complications. There are various options for tummy recontouring following massive weight loss. These options are dependent on your skin laxity and the areas of liposuction contouring you wish or need. You can consider:
  1. a traditional tummy tuck where the ab muscles are tightened, the sides are liposuction contoured, the excess skin is removed, the mons lifted and a new belly button is created.
  2. a panniculectomy / lipo-sculpting where the large lower roll of tummy skin is removed and the upper tummy and sides and / or back are reduced with liposuction.
  3. a body lift used with patients who have super-skin excess and the tummy, sides and back skin are lifted with or without muscle tightening.
  4. liposuction of the circumferential trunk for body contouring.
Please consider a well experienced, Board Certified Plastic Surgeon to evaluate your needs and consider these options with you. ​All the best!
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