Regarding: "Redo Mini Tummy Tuck to Correct Upper Abdominal Area?
Hi there, One week after Mini-Tummy Tuck to correct diastasis, PS removed 450 cc's and minimal skin, but I am left with the odd upper-abodminal area looking not as tight as the lower abs. The procedure was performed endoscopically with sutures all the way up the abdomen. At my fifth-day visit, the doctor's first words were "this is unacceptable"...The two options were that: 1) it was just swelling and it will decrease or 2) worst case scenario the issue was worse than he thought and would have to perform a full procedure. Can anyone offer advice or suggestions here?"
The absolute key to a winning treatment is a complete diagnosis and a "tick list" of all the deficiencies that need correction. Only by doing this inventory can a surgeon hope to correct all the interacting deficiencies.
In the case of the abdomen, women are seduced and sometimes mislead into believing that "non-invasive" and MINI-Tummy Tucks are every bit as good at addressing ALL the deformities of the post-pregnancy tummy as are the FULL and EXTENDED Tummy Tuck procedures. That is NEVER the case.
The same forces of stretch and aging which split the 6 pack (Rectus) muscles and cause "the pooch" also stretch the skin. The skin is not stretched uniformly. There is always more excess skin in the area of the belly button than above the pubis or the hips. As a result, in woman with moderate skin laxity (IE excess skin centrally extending to the sides) and an underlying muscle separation (Diastasis) which extends ABOVE the Belly Button, a MINI-Tummy Tuck is a problematic, sure to disappoint procedure. But, as you and thousands of others demonstrate, it is done way too frequently.
To restore the abdomen to its youthful flat appearance ALL the skin excess (not just the lower central portion) needs to be removed and the whole length of the diastasis (6 pack muscle separation) must be repaired NOT just the portion below the belly button. Finally, the length of the scar required to effect these changes depends on YOUR skin excess NOT on the surgeon's or your wishes in pre-determining the scar length.
Hope this helped.
Dr. Peter Aldea