Age 26, 1 child by C-Section: Mini or Full Tummy Tuck? (photo)
Doctor Answers (10)
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Mini or maxi
Dear Miss Tee26, Thank you for submitting your pictures. Congratulation on a solid gut feeling. You are absolutely correct. Mini tummy tuck will leave you quite unhappy and you might end up later with full tummy anyway , but with double recovery time and increased cost. My observation from your pictures is as follows : skin and muscle laxity from the chest bone to the pubic bone and diffuse strech marks. The only way to give you a flat stomach, tight skin, narrow waist and a beautiful belly button is via full tummy tuck. Any compromise like mini tummy tuck or other modification will be less than optimal. Consult with a board certified plastic surgeon who has lots of experience in that procedure. Check the before and after to make sure that you like the results. Best of luck, Dr Widder
Mini or Full Tummy Tuck?
You may want to consider a short scar tummy tuck, which will have the same length scar as the minitummy tuck but will remove about twice as much skin as well as allow tightening of the abdominal wall. Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tucks each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA
Mini vs. Full Tummy Tuck
Thank you for sharing your photos. Based on your loose skin and muscle around the belly button and upper abdomen, I recommend a full tummy tuck. You will obtain a much smoother contour.
Thank you for you question. It is difficult to give accurate recommendation without an in office exam. When I evaluate the abdomen, I assess:
1. The amount of loose skin
2. The volume of fatty tissue
3. The degree of muscle laxity.
I evaluate this in each of 3 areas:
1. Upper Abdomen
2. Area around the Belly Button
3. Lower Abdomen
MINI TUMMY TUCK: If a patient has loose skin, fatty tissue, and muscle laxity limited to the Lower Abdomen, then I recommend the mini tummy tuck. In order to qualify for this, the patient must have good skin and muscle tone in their upper abdomen and area around the belly button. I will frequently perform liposuction of these areas with my Mini Tummy Tuck to enhance the overall contour.
FULL TUMMY TUCK: this is for patients who have loose skin and muscle laxity of the upper abdomen, belly button area, and lower abdomen. This procedure tightens all 3 areas with a bikini line incision. I often encorporate liposuction with my full tummy tuck as I feel it offers a superb end result.
EXTENDED TUMMY TUCK: This works well for patients who have loose skin that extends over the hip bone into the flank area. I will perform extensive liposuction and skin excision to the hip and flank area combined with full tummy tuck.
BODY LIFT/BELT LIPECTOMY: this is essentially a 360 degree tummy tuck which involves removal of loose skin and fatty tissue of the lower back and buttocks, in addition to the extended tummy tuck.
I wish you a safe recovery and amazing result!!
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Mini vs. full tummy tuck
You are correct, I think you would do best with a full tummy tuck. Please see a board certified PS to learn more about your options.
Mini or Full Tummy Tuck?
Based on your history and photographs, I think you will do better with full tummy tuck surgery.
In my opinion, the mini tummy tuck 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.
I hope this, and the attached link, helps.
So Many Tummy Tucks...Which to Choose??? Ask Dr Ellen
Don't make this your second opinion, go get a face to face 2nd opinion!
As you can see from the wide range of opinions posted here, there are are many choices and all of them are on target. The responsibility however, is for you to evaluate all of the compromises that go with each choice and decide what you can live with long term.
Another thing... Is having more kids and option??? You have a long window of opportunity ahead of you. The last thing you want to do at 26 is have any tummy tuck if you are thinking in that direction. Give some thought to thinking long term and maybe wait til your sure kids aren't in your future- at that point you will likely be a great candidate for a full tummy tuck, get the result that meets your expectations and have next to no compromises that will muddy your decision making.
Thanks for asking! Dr Ellen
Mini or Full Tummy Tuck
If you are trying to get as many of the stretch marks off of your abdomen as possible then a full abdominoplasty with a higher incision would be appropriate. If the stretch marks are not as much of a concern, but the roundness of your abdomen is your main concern, then a modified abdominoplasty with a short scar but full tightening of the muscles would give you a nice flat abdomen with a lower, shorter scar. Either way, you will see nice improvements in the shape of your abdomen. Best of Luck Dr Harrell
I would be in favor of a minilipectomy. You may have a significant diastasis of your rectus muscles, above and below your umbilicus. This can only be determined on examination. If so I make a small incision above the belly-button to repair the upper part of the diastasis and still do a miuni lipectomy with liposuction, repair diastasis, and excision of excess skin in the lower abd. where the c-sectyon scar is located.
The photos you submitted suggest an upper abdominal diastasis. Given this I would recommend a full abdominoplasty for the best result. A consultation with your BCPS would be advised.
Based on the photos you sent, there seems to be significant abdominal wall laxity above the umbilicus. A full tummy tuck would address that laxity better since a mini will only address the laxity from the umbilicus down. A physical exam is very important for someone like you because the quality of the tissues, muscle tone, etc. all are considered when making that decision. Be sure you tell your surgeon exactly what you want as a result and don't be concerned whether it is a "mini" or "full". Best wishes.
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.