Extreme Weight Loss Fix

Updated November 2025

Medically reviewed by Dr. Anh Tuan Truong

Triple Board-Certified Cosmetic Surgeon

It’s a brand new year, and a lot of people are focused on fitness, step counts, and scale victories. But if you’ve already done the hard work and lost a significant amount of weight, you know the story doesn’t always end there. Even with clean eating and consistent workouts, that loose, hanging belly skin can stick around and feel like a constant reminder of your “before” body. That’s where a tummy tuck after weight loss can make a real difference.

What happens to your belly after major weight loss?

When you gain a lot of weight or go through pregnancy, your skin and abdominal tissues stretch to make room. After you lose the weight, especially after multiple pregnancies, the skin doesn’t always snap back. You might notice:

  • Loose, hanging skin that folds over your waistband
  • A “deflated” lower belly despite being at a healthy weight
  • Stretch marks and skin that feels thin or crepey
  • Muscle separation (diastasis recti), which can cause a stubborn pooch

Unfortunately, no amount of crunches, planks, or clean eating can remove extra skin. Diet and exercise are still essential, but they can only change what’s under the skin, not the skin itself.

What does a tummy tuck after weight loss actually do?

A tummy tuck (abdominoplasty) is a surgical procedure that removes excess skin and tightens the abdominal wall to create a flatter, smoother, and more toned-looking midsection.

At Chicago Breast & Body, a post-weight loss tummy tuck can:

  • Remove loose, hanging skin from the lower and sometimes upper abdomen
  • Tighten separated abdominal muscles for a firmer core
  • Refine or revise prior C-section scars when possible
  • Create a natural-looking belly button instead of a stretched or distorted one

ou can think of it as “finishing” the work you started with your weight loss. You’ve put in the effort. The surgery helps your outside match how strong and healthy you already feel inside.

Real patient story: Tummy tuck after kids & weight loss

Dr. Truong’s patient had two C-sections and gained about 50 pounds with each pregnancy. Over time, she got serious about her health for both physical and mental reasons. She committed to HIIT 5 days a week and weightlifting 4 days a week. At 5’3″ and 128 pounds, she felt strong and happy with her body overall… except for her flabby belly. Despite all her work, that extra stomach skin just wouldn’t go away. After seven years of research and “too many consultations to count,” she found Chicago Breast & Body.

“I used to be a full size 24 and after losing weight a size 16. I was happy with my new size and weight loss. However, when I looked in the mirror, I wasn’t happy with my hanging stomach. After having done lots of research on tummy tucks, I made an appointment with Dr. Truong. When I arrived for my appointment, I was extremely nervous and had a millions questions circling through my mind. I was greeted by a great staff. I only waited maybe five minutes before I was called back. When Dr. Truong came into the room he was so pleasant. Through an exam and conversation he was able to understand what I wanted and let me know what he could do for me. In fact he answered those million questions without me having to ask them. He was very thorough. I was so impressed and at ease that I scheduled my tummy tuck that day. Two weeks later I had my procedure. I couldn’t have asked for a better experience. Dr. Truong and the entire staff were there for me every step of the way. I am extremely happy with the results. It’s amazing how the scar has healed. I am considering another surgery in the future. Should I have it done, I will fly to see Dr. Truong at his new office in Chicago. Scheduling Note: I want to say that I never waited more than 10 minutes for an appointment. The staff was very good about scheduling correctly so that there were not long wait times.””It’s only right I leave a review since I’ve been on here for years reading other reviews. Thanks to all the women who posted their stories! Please feel free to ask me any questions!! I has 2 c-sections and gained about 50 pounds with each pregnancy. Two years ago I became serious about my physical health cause it really helps with my mental health. I do HIIT 5 days a week and weightlifting about 4 days. I’m 5’3, 128 pounds and besides my flabby belly I am very happy with my body. I’m less than an A cup but I’ve never had any bobbies so that didn’t bother me. So after 7 years of research I decided to do this for me. I’ve had too many consultations to count but after speaking with Monika (the patient navigator of some sorts) I knew I had the right place. I felt heard and understood. There was no pressure to make a rush decision. We had a Zoom consultation and stayed online over and hour. She is truly wonderful and I know I wouldn’t have picked Chicago Breast and Body if it wasn’t for Monika. Once I agreed, paid a $1k deposit, I was scheduled to meet with Dr. Truong. I’ve read a few reviews about his lack of bedside manner. He wasn’t warm and fuzzy, didn’t seem like he particularly liked this part of his job but he was confident and slightly arrogant. That’s what I need in a surgeon. We don’t have to be BFFs but can you do the job? He told me exactly what I needed and didn’t. I did not need lipo and he would try to use the c-section incision. I didn’t leave thinking, “I love this guy”. Rather, “this is the guy”. I just new he understood what I wanted (no weird belly button or too taunt abdomen). After I was given a surgery date and had pre-op labs most of my contact was with Jolina (medical assistant). Another very kind and lovely human being. Every time she called to check on me I had a mini panic attack and she talked me off the edge. Both her and Monika are angels. So that’s my pre-op story. I’ll be sure to post my journey. Updated on 1 Apr 2022: Healing has been great after the 3 month mark! This post is mainly to praise Dr. Truong and his staff. The follow up has been extremely pleasant. From 1 week post op to my my 6 month check-up, I have had nothing but a great experience. He calmed my nerves with the in-office drain removal procedure (which did not hurt at all!!) and at the appropriate time encouraged me to stop walking hunched over (I was scared to stand straight but at 6 weeks he said it was mental and I’d be ok). Dr. Truong has been receptive to my feedback and consistently asks my opinion while addressing my concerns. I’d say the first 2 months are brutal but by 3 months I was getting closer to normal. I went back to work after 2 weeks and wish I would’ve taken 3. As far as my results, I couldn’t be happier! I have a natural looking belly button and my incision is healing beautifully (the incision pic is 3 months po). I do still have soft tissue swelling after eating a salty meal or prolonged standing but with a little rest that resolves. I’m no longer wearing a faja and I feel 100%. I have been cleared to return to the gym and plan to get back ASAP! This procedure was more physically and emotionally challenging than either C-section but I’d do it again in a heartbeat. There is no one I’d trust more that Dr. Truong! I could’ve gone somewhere else and saved maybe $3-5k and I likely would’ve paid more in revisions. Him and his team are worth every dollar.”

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Photo of Anh-Tuan Truong, MD, FACS

Anh-Tuan Truong, MD, FACS

Medically reviewed by Dr. Anh-Tuan Truong, MD, FACS – Triple Board-Certified Cosmetic Surgeon certified by the American Board of Surgery, the American Board of Cosmetic Surgery, and the American Board of Facial Cosmetic Surgery. With over two decades of experience, Dr. Truong specializes in advanced breast, body, and facial procedures, is a member of the elite Dr. Miami Squad, and serves as an Officer & Board Trustee for the American Board of Cosmetic Surgery.