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Who Is a Candidate for a Tummy Tuck or Abdominoplasty?

By Dr. Sean Younai

Men and women who have loose, hanging skin and weak abdominal muscles with a protruding belly are candidates for a full Tummy Tuck or Abdominoplasty. On the other hand those who have a firm abdomen, but who have redundant lower abdominal skin folds are better served with a Mini-Tummy Tuck, also known as a Mini-Abdominoplasty.

There are several life changes that cause your abdominal wall to lose its strength and tightness, and to develop excessive, loose skin. Examples of these are pregnancy and massive weight loss -- such as the large weight losses from Gastric Bypass or “Bariatric” surgery.

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Pregnancy

Almost all women develop stretch marks and loose lower abdominal skin as a result of pregnancy. They often complain of a lower abdominal pouch that protrudes and is unsightly when wearing tight clothes or low-cut shirts.

Especially during the last months of pregnancy, the rapid growth of the uterus stresses the lower abdominal wall and skin. Rapid stretching causes the deeper layer of skin to break, thereby forming stretch marks centered mostly in the lower abdomen, and covering the flanks and hips. The rapid stretching also causes the separation and stretching of the abdominal muscles that give the belly its core strength. The resulting weakness causes a pouch to develop in center of the abdomen. Because there is no longer adequate muscle support, exercise and dieting are ineffective in tightening the abdomen.

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    Massive Weight Loss

    Men and women who have lost large amounts of weight by any means, including those who have dieted or have lost it through “Gastric Bypass” -- also known as “Stomach Stapling” or “Bariatric Surgery” -- are often left with folds of skin that hang like an apron. This is not only demoralizing for those who have gone to the effort of achieving a significant weight loss, but it also makes personal hygiene, exercising and wearing normal clothes difficult.

    About the Author

    Dr. Sean Younai is a Board Certified Cosmetic Plastic Surgeon with experience in all aspects of tummy tuck surgery and body contouring, including large-volume-liposuction. Dr. Younai practices at the California Center for Plastic Surgery (http://www.beautifulfigure.com ) and recieves patients from Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, Bakersfield, and Oxnard.

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