Loose Skin After Weight Loss, Tummy Tuck vs. Panniculectomy & Implant Myths | Dr. Matt Bindewald, MD, FACS
with Dr. Matt Bindewald, MD, FACS · Plastic Surgeon, San Antonio Plastic Surgery Center, San Antonio

Thinking about surgery after major weight loss, or wondering whether breast implants really have to be replaced every 10 years? In this episode of the Top Providers Podcast, Joe Brown talks with Dr. Matt Bindewald, MD, FACS, a plastic and reconstructive surgeon at San Antonio Plastic Surgery Center in San Antonio, TX. Dr. Bindewald covers: - How to choose a plastic surgeon, and why board certification matters - Red flags to watch for in a consultation - When to think about removing loose skin after weight loss - Tummy tuck vs. panniculectomy, and why a tummy tuck isn't weight-loss surgery - The 10-year breast implant myth, and signs it's time to get implants checked - What to stop in the weeks before surgery - His less-is-more approach to injectables This episode is for general information and isn't a substitute for advice from your own surgeon or doctor.
- 0:00Do breast implants really expire at 10 years?
- 0:53Welcome & meet Dr. Matt Bindewald
- 1:58How to choose a plastic surgeon
- 3:27Red flags in a consultation
- 4:13From Navy general surgeon to plastic surgery
- 5:00How engineering shapes his surgical planning
- 5:49Loose skin after major weight loss: when to act
- 6:50Tummy tuck vs. panniculectomy
- 8:04Why a tummy tuck isn't weight-loss surgery
- 9:24Breast reduction: common questions
- 10:31The first week of recovery
- 11:19The 10-year implant myth
- 12:24Signs it's time to get implants checked
- 12:56What to do in the weeks before surgery
- 13:56Gynecomastia: more common than you think
- 14:54A less-is-more approach to injectables
- 16:00What he wants patients to know
- 16:58Wrap-up
For general information, not a substitute for advice from your own doctor.
The guest
Booking details, hours and his full background live on his profile.
Clips from this episode
Under a minute each, cut straight from the interview.
Shorts0:34Do breast implants expire at 10 years?
Where the 10-year idea comes from, and why he doesn't suggest surgery on implants you're happy with. General information, not medical advice.
Shorts0:40Loose skin after weight loss: when to think about it
Why plastic surgery isn't a weight-loss procedure, and why he asks patients to be close to their goal weight before skin removal.
Shorts0:35Before surgery: what to stop first
Nicotine, blood-thinning medications and active weight loss in the weeks before an operation. Always follow your own surgeon's instructions.
Shorts0:25How to choose a plastic surgeon
Why he puts certification by the American Board of Plastic Surgery first on the list.
Shorts0:48Tummy tuck vs. panniculectomy
How the two differ: removing the overhanging skin, versus also repairing separated abdominal muscles.
Transcript
A reviewed transcript of this episode will appear here. Until then, the chapters above let you jump to each part of the conversation.
