Mini vs typical abdominoplasty

Steven H. Williams, 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!


Steven H. Williams, MD
11 months ago

A mini abdominoplasty (where there is no incision around your belly button) will not address significant skin excess in the upper abdomen.  The dissection of a mini goes to about the level of the belly button, pulling the skin inferior to the belly button tight.

It is usually not effective in addressing upper abdominal skin.

You may have limited options in the short term as there may not be enough skin for a full abdominoplasty at this point.  However, time may help both the appearance of your upper abdomen as well as your potential for a full abdominoplasty revision.

5 of 5 found this helpful
Helpful?
Post your question

Write a comment on this question

After submitting, you will be asked to join or sign-in

Comments for unregistered users are moderated and generally will be posted if they are on-topic and not abusive. For more information, please see our Community Guidelines

IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.