Stay the course and give it time…you are only a few days since your tummy tuck revision!

Stephen A. Goldstein, MD answers: Loose and saggy upper abdomen after Tummy Tuck

I had a full Tummy Tuck 6 months ago. After the procedure, my surgeon told me that since my belly button was 'high' to begin with, he was able to leave it intact after the Tummy Tuck. My fear is that this really translates into, "I didn't remove as much skin as I should have." I now have a taut lower abdomen, but the entire area above my navel is loose and saggy. Last week, my surgeon performed laser skin tightening on my upper abdomen (his solution). I am not at all convinced that this will remedy the problem. Is this a normal result, or am I right to have expected better? I am not overweight and I have done regular abdominal workouts both pre and post surgery. Thank you!


Stephen A. Goldstein, MD
11 months ago
By Stephen A. Goldstein, MD - Denver Plastic Surgeon

Thank you for your question. Stay the course and give it time…you are only a few days since your tummy tuck revision.

A standard tummy tuck corrects three tissue layers of the abdominal wall: loose skin, excessive fat, and separated abdominal wall muscles. Typically, the tightest and flattest abdomen is seen following a tummy tuck procedure.

The procedure you underwent was not a standard or formal tummy tuck but rather a shortened variation of one, termed a mini-tummy tuck. This term is used because it is not as an extreme surgery and it is usually performed faster, associated with a shortened downtime and recovery, and potentially with fewer complications.

It is essential that your goals and expectations be realistic understanding the short comings of this operation, because a mini-tummy tuck may be a compromise in cosmetic results.

I would strongly recommend that you continue to follow-up with your treating surgeon. After all, he/she knows you the best and understands what technique was surgically employed. Be open and direct when discussing your concerns.

Moreover, remain patient as your final results will not be seen until six months or more. I hope this helps!

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