Weight loss after the hourglass tummy tuck - Hourglass Tummy Tuck
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Weight loss after the hourglass tummy tuck


Weight fluctuations are one of the factors that can have a strong impact on the aesthetics of our bodies. In some cases, the changes in aesthetics that occur with weight loss or weight gain affect just some of the body’s features or—when they are more significant—can affect the whole body. When we put on weight, the skin all over the body will stretch to accommodate the excess weight. When this weight is lost, the skin might become saggy and loose as after a certain age, it can be difficult for the skin to retract on the new contours due to the loss of skin elasticity.

While plastic surgery can’t be used for weight loss purposes, it can certainly improve and enhance the appearance of the body after weight loss occurs. The weight of the patient is very important when considering the eligibility for plastic surgery, and it is often recommended for the patient to have a normal or close to normal weight and not to plan any further weight loss or weight gain after the procedure is performed.

In this article, we will discuss the hourglass tummy tuck procedure and how an ulterior weight loss could affect the results.

The hourglass tummy tuck

The procedure is high in demand nowadays as it is one of the most (if not the only) solution for patients wanting to get a flat and firm tummy and an hourglass figure all at the same time.

The tummy tuck is often recommended for patients who have had multiple pregnancies and are left with an unsightly appearance of the abdomen. It is also for patients who had bariatric surgery or followed a different type of weight loss program. It is true that the sagginess of the skin on the lower part of the abdominal area can also occur with aging and there are patients who resort to this procedure as a result of this; however, a vast majority of patients interested in undergoing the tummy tuck are people who have suffered weight fluctuations and are now trying to regain a beautiful and youthful appearance of their midline.

When meeting the plastic surgeon for the pre-operative consultation, prepare to discuss many things about your lifestyle choices, medical history, current medication or potential allergies. Also, it is during this time that the plastic surgeon will give you all the details about what the procedure entails. During this consultation, your plastic surgeon will also ask about your reasons for undergoing this type of procedure and what you want to achieve with it, but also whether you are planning to have more children in the future and if your weight has been stable for more than six months.

While undergoing the tummy tuck is a great option to get back the body you had before gaining weight, the recommendation is to wait at least six months (preferably a year) after the weight loss has occurred. Keeping the same weight for a longer period of time means that the weight has stabilized and potential weight fluctuations could be avoided in the future, with a bit of an effort from the patient.

So, what happens during the hourglass tummy tuck and how is the body affected by this procedure? The procedure begins after the patient is under the effect of the general anesthesia that will keep him unconscious throughout the surgery and hence not feeling any pain or discomfort. Since the procedure can take up to five hours in complex cases, the comfort of the patient during the operation is very important.

The first step is to perform liposuction to reduce the thickness of the adipose layer on the tummy and the flanks. What happens during a traditional tummy tuck is that the plastic surgeon will only work to remove the excess skin and strengthen the muscles of the abdominal wall. This means that the layer of fat that is in the abdomen and the adipose pockets on the flanks won’t be affected by this procedure at all. This is the reason why many patients are not satisfied with the results of a traditional tummy tuck, even if the procedure was a success in medical terms. The truth is that after a traditional tummy tuck, the patient can be left with a rectangular shape because the fat on the flanks is not addressed. Moreover, the tummy will be firm, but if there is a considerable layer of fat on the tummy, the waist won’t be much slimmer. This is the reason why patients resort to the hourglass tummy tuck to achieve superior results and sculpt their bodies in a pleasant way.

Liposuction is performed to reduce the circumference of the waist by reducing the layer of fat in the area and also removing the localized fat deposits on the flanks. This will result in a slimmer waist and a nice curve between the hips and the waist due to the remodeling of the flanks. However, liposuction is important from another point of view as it is through this method that the plastic surgeon will collect the amount of fat required for the fat transfer to the hips, which is the last stage of the procedure.

After liposuction, abdominoplasty will be performed. In most cases, two incisions are required. After the excess skin is removed, the wounds are sutured and the plastic surgeon will start with the fat transfer that is meant to add more volume to the hips and create the curves most women want.

Weight loss after the hourglass tummy tuck

The results of the hourglass tummy tuck can be visible immediately after the procedure; however, it can take three to six months to evaluate the final results properly. This time is necessary to allow the swelling and bruising to disappear. Moreover, after the fat grafting to the hips, the body will absorb a part of the fat injected during the first months, and this can be as much as 30%. This means that the final results can be very different from the initial results visible in the first few weeks post-op. Once the results have stabilized, the patient will notice that the tummy is now flat and firm, the hips are curvaceous, and the waist is slimmer. The results of the procedure can be easily sustained for a longer period of time if an ulterior pregnancy or weight fluctuations are avoided.

If weight loss occurs after the hourglass tummy tuck, the aesthetic results of the procedure might be affected. While most people would consider weight loss a good idea whenever it might happen, this can be a problematic issue after plastic surgery. If significant weight loss occurs after the hourglass tummy tuck, there is a risk for the abdomen to develop saggy skin once again and also for the hips to lose some of their newly found volumes. Of course, the hips won’t become like they were before the hourglass tummy tuck, unless the weight loss is considerable.

Many patients ask how many kilograms we are talking about when we say that the weight loss might affect the aesthetic results of the hourglass tummy tuck. Each patient is different, and the overall weight of the patient is important when making an assessment, but generally speaking, weight fluctuations of over 2 kg per month can trigger an alteration of the results achieved with the plastic surgery performed.

If the patient loses more than 5 to 10 kg after the hourglass tummy tuck procedure, chances are an additional procedure will be required to correct the aesthetic flaws occurred and restore the beautiful body of the patient.


The weight of the patient is an important factor to consider not only before and after the hourglass tummy tuck, but most plastic surgery procedures performed nowadays. Weight fluctuations are also one of the causes that trigger the unsightly appearance of the abdominal area in the first place, so if weight loss occurs after the hourglass tummy tuck, the aesthetic results might be negatively affected. In other words, the tummy might become saggy again and the hips might lose some of their volume achieved with the fat grafting. The fat grafted in the hips will behave like any other layer of fat in the body. This means that when weight gain occurs, the layer might become more voluminous. When weight loss is triggered, the layer will be reduced.

To preserve the beautiful results of the hourglass tummy tuck, it is important for the patient to keep a stable weight with little fluctuations. Otherwise, additional procedures might be required to correct the aesthetic flaws that might develop over time. Sustaining the results of the hourglass tummy tuck can be done by following the recommendations of the plastic surgeon and keeping a balanced eating regimen.


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