I had my first consult today and the doctor suggested a mini TT. I am concerned I wont have the results I want as he said he would only be removing the skin from my belly button and below. He did say he would repair my diastasis and umbilical hernia. Is it possible to get a flat result with a mini TT like when I am sucking in, picture below? I was told that if I did opt for a full TT that I would have a small vertical scar from my old belly button. Should I get a mini or full TT?
How Do I Know if a Mini or Full Tummy Tuck is Right for Me? (photo)
Doctor Answers (14)
Mini or Full Tummy Tuck
This is a common question. Rather like the question: "Do I need a mini-facelift or a full one."
As patients, we all want the least amount of surgery and yet obtain the maximum benefit. The answer here is easier than usual since you have provided such excellent photographs.
Although some benefit could be gained from a mini tummy tuck, or some version of it, the biggest bang for the buck for you would be a formal tummy tuck where all the problems can be addressed.
Scar position is vital and may be designed around your favorite bikini.
Tummy Tuck-Mini or Full How to Decide
Thank you for your question.
Your concerns are quite correct. You do have a lot of loose skin and a mini Tummy Tuck will pull your belly button down and not improve the upper abdomen.
I also think it is unwise to try to repair a Diastasis and Umbilical Herni through a Mini Tummy Tuck. This will change the contour of the muscles under the skin and likely accentuate the loose skin of the upper abdomen.
From your photos it appears that you have plenty of excess skin to undergo a Full Tummy Tuck.
Full or Mini Tummy Tuck?
Thank you for the question and pictures.
Based on your pictures and description of your goals you will benefit from full tummy tuck surgery.
In my opinion, the mini tummy talk is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides. It is not unusual to see patients who've had mini tummy tuck surgery present for revisionary surgery.
It is important for patients seeking abdominal contouring surgery to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to improve their chances of a successful outcome and minimize the need for further surgery.
I hope this helps.
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How Do I Know if a Mini or Full Tummy Tuck is Right for Me?
You have received a lot of good information below. IF you need a small vertical scar from the old belly button site it is better than making the horizontal scar higher. I find when I undermine the abdominal skin up over the lower ribs and close with progressive tension sutures we rarely need that vertical scar. Call around and find a surgeon who uses the progressive suture technique. It is quite common. I'll bet you get a great new look.
Mini TT vs full TT abdominoplasty questions
You can see from the below answers most PS feel you need a full TT to get the full result. I'm glad your PS told you about the vertical scar as I'd have told you that as well. If they keep the scar low you may realize a great bikini look, nice and flat/taut. You wouldn't be happy with a mini, I suspect. Best of luck to you.
TT as bigger the abdomen as bigger the scar dimension/tan ancha la paciente tan grande la incision TT
you are a perfect patient to realize a mini TT and realize besides, umbilicoplasty plus abdominal rectus diastasis correction.
mientras mas delgada es la paciente la cicatriz del TT sera mas chica y mas corta y por ahi mismo se puede realizar la umbilicoplastia mas la correccion de diastasis de rectos
Most patients do better with full tummy tuck rather than mini
A mini tummy tuck only improves the appearance of the lower abdomen and most patients do better with the full tummy tuck (abdominoplasty.) There are a few patients who get good results with a mini but this has to be dtermined based on a personal examination and discussion of your goals.
Flat tummy after full tummy tuck
If you want a chance to have a flat tummy like you show on the "sucking in" photo, then you need a full abdominoplasty. Only the full version can tighten up the muscle layer like that. Based strictly on your photos (and, of course, an exam is necessary to be sure), you have enough skin laxity in the lower abdomen to warrant a full abdominoplasty as well.
Full vs mini tummy tuck
Based on the photos you provided I think you need a full tummy tuck. The photos however, are no replacement for proper examination. Mini tummy tuck is a very limited procedure where the skin of the lower abdomen is resected and there is limited undermining of the skin. Remember less surgery is less results. With full tummy tuck, there is more undermining, the muscles are plicated (approximated) in the midline, the umbilicus is addressed and the waist is improved. It is difficult from the photos to tell if you will need a vertical scar, that is determined with examination.
Mini vs. full Tummy Tuck
I think the consensus of this panel so far is that you need a full tummy tuck. I agree. It will best enable you to address the diastasis recti and the umbilical hernia. While the scar may be a little larger, I think that is the better way to go. Mini tummy tucks have their place. It is rare that we do them. I think the indications are folks with just a very little floppy skin that they want to get rid of. All told, in your particular case the full Abdominoplsty will most likely be your better choice. Make sure you tell your concerns to your Board Certified Plastic Surgeon.
Web reference: http://www.jjrothmd.com/procedures/tummy-tuck-abdominoplasty
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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