Tummy Tuck Revision: Q&A
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Dissatisfied with my TT Results- Why is It a Problem to Extend my Incision?
I am currently 1.5 yrs post op from having a Tummy tuck. My plastic surgeon although very kind and highly qualified was very conservative with my tummy tuck. The biggest problem with my TT is the ends, I have excess skin and fat that form a roll over the top of my underwear. I am sure I needed an extended tummy tuck but wasnt advised of it. When seeing him again and asking if he could extend the incision to address the extra skin and hip fat he declined doing so but instead suggested a LBL.
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9 Doctor Answers |
Asked by
ChargergirlTM
+2
Extending the incision
While extending the incision is possible, its important to access the amount of tissue that extends around your back. A thorough examination by a plastic surgeon will give you the best answer. Its not simply how much that can be pinched between your fingers. Also important is the skin quality. Best of luck and thanks for the question.
Tampa Plastic Surgeon
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?Extending the TT?
I may be in the minority here, but looking at your after photo in the standing position, I am seeing what I would consider to be a nice result. There is skin excess around toward the edges of the incision, but from the photos I see this does not have a visual component--only when you grab the skin is it apparent. I might feel differently if I could see some excess on a side or back view.
The skin will always buckle when you bend forward or sit. You will not likely find a photo of a...
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Extended tummy tuck or body lift
To decide which procedure is better for you depends, to a large extent, on your examination findings. The photos you provided gives us an opportunity to provide you with surgical options. You have to discuss with you plastic surgeon the advantages and disadvantages of each procedure and see before and after photos for each procedure.
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Revision Tummy Talk Options?
Thank you for the question and pictures.
Whether you choose to extend the tummy tuck incision or proceed with a lower body lift will depend mainly on your goals. Communicate these goals clearly with your plastic surgeon and understand the limitations of extending the scar only. If after communicating your goals you feel that the more limited operation will achieve the results you are looking for you should proceed with the “smaller” of the operations (therefore minimizing...
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Tummy tuck
I think that either option would be reasonable given your appearance in your photos. The difference between extending the tummy tuck or converting it to a body lift is really a matter of degree. Both procedures will involve lengthening the scars you currently have. The body lift will involve a scar going all the way around your back but will also provide more skin tightening than simply extending the tummy tuck. If you feel,comfortable with your plastic surgeon, I...
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Skin folds
Dear ChargegirlTM,
From looking at your post operative pictures, it appears that you have skin folds due to excess fat in the upper and lower abdomen, lower chest, hips and waist. You will benefit from liposuction of these areas. This procedure will thin out and tighten the skin in a way that will improve dramaticaly on your condition or totally eliminate it. Talk to your doctor about it or consult with a board crtified plastic surgeons who has significant experience in...
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Limitations of Tummy Tuck
The results seen in your photos demonstrate the limitations of tummy tuck surgery. Your skin lacks elasticity (stretch marks are best clue), so skin that is tight while standing will not contract like an elastic when you sit, and thus the roll. No surgery can overcome the loss of skin elasticity.The roll that extends across your side and back will require an excision completely across your back ("lower body lift" is a misnomer, but the term is applied to this...
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Always chose the incision that gives you the result you want.
Hello,
It's hard to know what would have been the ideal surgery for you without the before photos. I always remind my patients that they should choose the incision length that gives you the best result. I suspect that extending the incision around the sides abd onto the back us what would correct the situation you describe.
All the best,
Dr Remus Repta
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Lower Body Lift
The problem with your abdominal skin excess is that it extends so far around onto the back that a circumferential Tummy Tuck (LBL) is necessary. It probably should have been done initially as the result you have is pretty predictable with only a standard TT. You will always have a roll when sitting. The best the surgery can do is make it flat when standing. If it was that tight when sitting you would never be able to stand up straight.
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