By Steven J. Rottman, MD – Board-Certified Plastic Surgeon, Baltimore, Maryland
After pregnancy, many women in Baltimore notice changes in their abdomen that don’t fully respond to diet and exercise. Loose skin, stretch marks, and weakened abdominal muscles (diastasis recti) are extremely common—and often frustrating.
A question I hear frequently in my Baltimore practice is:
“Can laser treatments fix this, or do I need a tummy tuck?”
The answer depends on your anatomy, the severity of changes, and your goals.
Understanding Post-Pregnancy Abdominal Changes
Pregnancy affects the abdominal wall in three primary ways:
Skin laxity (loose, stretched skin)
Localized fat deposits
Muscle separation (diastasis recti)
Each of these requires a […]
BySteven J. Rottman, MD– Board-Certified Plastic Surgeon, Baltimore, Maryland
Medications such as Semaglutide (Ozempic®, Wegovy®) and Tirzepatide (Mounjaro®, Zepbound®) are helping many patients achieve dramatic and life-changing weight loss.
While these medications are highly effective, rapid or significant weight reduction often leaves patients with excess, loose skin that cannot be corrected with exercise alone.
At our practice, we are seeing a growing number of patients seeking plastic surgery after GLP-1 weight loss to restore natural body contours. Many have lost 50–100+ pounds and are ready for the final step in their transformation.
As a breast and body contouring specialist in Baltimore, I frequently help […]
I was referred to Dr Rottman by another plastic surgeon because I was interested in getting breast augmentation. I was advised that he specialized in breast augmentations and simply he was the best surgeon to go to. And that was from one of his peers.
My first visit with Dr Rottman solidified the referral. He was extremely professional, and completely on top of all the newest advancements in augmentations. I felt I had done my research before my visit, and he was still able to teach me some things and make me aware of some things I didn’t think about. […]
This article is part of a weekly Q & A blog series by Steven J. Rottman, MD, a Baltimore Top Doc, and double board certified plastic surgeon. This is published in syndication on Mink + Rich, Baltimore’s premier destination for wellness and beauty. This Q & A portion is on Plastic Surgery and Loose Skin.
Dear Dr. Rottman,
Over the last year I have lost in excess of 100 pounds following bariatric surgery. While I am thrilled to have lost the weight and to be freed from the burdens of chronic illness, I can’t help but feel unhappy with the excess loose […]
This is an important question that I receive quite often from patients who may wish to combine treatment of the abdomen, flanks, and hips during a single procedure. While combining the two procedures can produce dramatic results, the major consideration is to combine them safely and minimize risk to the patient.
So, what are the risks of a combined procedure?
The overall health of the patient as a whole is important, taking into account their age and other risk factors. A surgeon might perform liposuction in several areas in a young, healthy patient at the time of abdominoplasty. In older patients with […]
