American Society of Plastic Surgeons
For Medical Professionals
2 years ago

Pressure on lower belly

So I’ve gone through major weightloss; about 100 lbs. But I’m he more weight I lose, the more my body sags and all the lose skin on my tummy has fallen down and gathers at my lower belly and hip. Its almost like all the remaining fat has fallen in this area as well and there is always this uncomfortable pressure where it hangs. Could it be gravity that’s causing this pressure???

Procedure: Tummy Tuck
Location: Houston, TX

Replies 4

Chao-Chuan Wu

Of course it is caused by the gravity that your loose and sagged skin will hang at the lower abdomen, and my suggestion is that you find a plastic surgeon who is specialized in abdominoplasty surgery and have a thorough interview with the doctor.

Michael Freedland
ASPS Surgeon

Congratulations on that weight loss! Yes, it sounds like it is gravity causing your discomfort.

With regard to treatment, you definitely want the majority of weight lost before addressing the reconstruction of your body. I perform over 80 of these a year in my practice. Some patients are within 25 lb of their goal and we proceed. My thought is that those last few pounds are difficult to lose especially with all of the loose skin. Either way though, you could consult with a board-certified plastic surgeon for more information

Soumo Banerji

Congratulations on the weight loss! However you are experiencing an expected outcome of massive weight loss - excess skin. Instead of being smoothed out and held in place by the excess fat, it is now being pulled down by gravity and hanging low. This changes your center of gravity and causes you to feel pulled down and can cause rashes and back pain. Once you have reached your weight loss goals and are at a stable weight and health, I would recommend you consider a panniculectomy or abdominoplasty/bodylift. You should consider a consultation with a board-certified plastic surgeon that performs massive-weight loss body contouring procedures. Good luck and again congrats on the weight loss!

Michelle Copeland
ASPS Surgeon
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Thank you for sharing! Although its difficult to say without an in person examination, if you have good skin elasticity, you should be a good candidate for tummy tuck. Typical candidates for a full tummy tuck are women with drooping abdomens after pregnancy, women and men who've lost a great deal of weight, menopausal women, or older people with loose skin due to age. In a tummy tuck, the skin from the rib cage down to the pelvic area is tightened, and the belly button is moved up and secured in a new position. Tummy tuck, also known as abdominoplasty, can take 3 hours or more and if you’re having the procedure as an outpatient, you’ll be able to go home shortly thereafter. My patients generally return to work in two weeks. Note that you may walk and sit a little hunched over for a few days after the operation. Don’t even try to stand up straight during this time—you risk separating the incisions. I suggest making an appointment with a board-certified plastic surgeon for consultation.


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