T-cut tummy tuck really necessary? (photo)

There a variety of tummy tuck scars, each with their trade-offs.  Typically the longer the scar, the more skin tightening you can achieve.  Based on your photos, I would recommend the traditional tummy tuck scar where the incision is hidden in your underwear line.  If there is not enough skin to remove the entire skin between the belly button and the incision line, then you may need to a small vertical incision where the belly button hole is closed in a vertical line.  This might be the inverted "T" incision that your plastic surgeon was referring to.

Thank you for your pictures and question. It appears you would be a good candidate for a traditional abdominoplasty. I do not think you need a large vertical scar based on your pictures but sometimes a small vertical scar is needed at the bottom of the abdomen if the scar is placed very low and the patient does not have much loose skin. It is best that you get clarification and another consult if you wish.

A regular tummy tuck would provide you with a nice result based upon the pictures.Kenneth Hughes, MDLos Angeles, CA