Mini Tummy Tuck: Q&A
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Mini Tummy Tuck with Liposuction Better Than Tummy Tuck Alone?
I had three pregnancies, the last being twins. I weigh 144 pounds and I'm 169cm tall. I am considering a Tummy Tuck and my surgeon suggests a Mini tummy tuck with a float belly button, as I have minimum loose skin above the belly button. He will do Liposuction above and below the belly button and the sides. Do you think this will give me a better result?
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14 Doctor Answers |
Asked by
40yearolmumoffour
in Australia
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Mini tummy tuck vs. full tummy tuck
It is almost a certainty that after having had four children the deep layer ("muscles") called the fascia is ripped. This causes a bulge in the abdomen. Almost always, this bulge extends well above the belly button. For an optimal result, this bulge must be tightened.
The problem with the mini tuck is that the fascia is not tightened above the belly button. That creates a "mini tuck look" where the bottom of the abdomen is flat, and the top bulges out. This is an...
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A mini tummy tuck with "floating " of the belly button can give the experienced surgeon good
Exposure to the upper abdoman, which you would need in order to address the laxity of the abdominal wall muscles after multiple childbirth. Basically, the mini tuck removs less skin, focusing on the lower abdoman. In combination with liposuction above the navel, a very nice result can be achieve. If the muscles need to be repaired, the belly button can be detached at its deeper atrtachement so that the rectus muscles can be tightened all along the abdoman. This would...
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Candidates for mini tummy tuck with liposuction
Based on the information you provided, it is difficult to determine whether you are a good candidate for a mini tummy tuck with liposuction. A photo would be helpful to diagnose your issues and concerns. Many women who have experienced pregnancy, especially with twins, would benefit significantly from a full (standard) tummy tuck. It is important that you understand the difference between the 2 procedures. A full tummy tuck involves repair of the rectus muscles which have been...
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Different types of tummy tucks for different women
The type of tummy tuck really depends on your individual anatomy, but in general if you have had multiple pregnancies, the muscles of your abdominal wall have stretched and loosened, and should be tightened during your procedure. You surgeon needs to evaluate your skin, fat, and abdominal wall muscles, and then design the procedure that will work the best for you. This may very well be just a mini-tuck with liposuction, but my guess is that your muscles need to be addressed as well...
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Floating belly button is not great
Most women who have had multiple kids are usually not great candidates for a mini-tummy tuck and liposuction. Often they have a diastasis( weakness) of the midline muscles that need to be treated from top to bottom. A mini will not give you exposure for the upper abdomen. Floating the belly button usually does not look great. They often look too low.
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Personally, no.
First, I don't like the "float' part. I have seen this and the umbilicus is very low and doesn't look good.
Next, a mini tummu tuck is designed to correct abdominal wall weakness only between the pubis and umbilicus. The incision is usually similar to a full tt.
For the record, a mini-tummy tuck + lipo + modified tummy tuck.
Based on your description, especially with large twins, I can't imagine that your muscle layer DOESN'T need repair above the umbilicus. Without the repair,...
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Customize your tummy tuck to your needs
Mumoffour:
The fact that your plastic surgeon has evaluated you means his or her suggestion is probably right. In general, your history of 3 pregnancies and twins suggests that you need a procedure that:
tightens lax abdominal wall / muscle support;
removes loose skin, particularly from the lower abdomen, and
addresses any excess subcutaneous fat in the remainder of the abdomen.
If you need all three and the operation your surgeon plans helps all three, you're set.
A...
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Mini Tummy Tuck with Liposuction or Tummy Tuck only
Allow me to join the chorus of my colleagues expressing extreme skepticism and urging caution.
We RARELY IF EVER see a woman who delivered 4 children and especially twins whose rectus abdominal muscles have not been splayed sideways as a result. I have never seen such a woman among the thousands I have examined.
If you undergo a mini tummy tuck without full correction of the muscle separation / diastasis the outcome will AT BEST be average but would commonly be below average and...
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Both a full tummy tuck and simultaneous liposuction of the abdomen will give you the best results
It is very unlikely that any thing but a full abdominalplasty will give someone like you who has had three children and weights l45 pounds, a good result. I would encourage you to find a plastic surgeon who combines that with liposuction of the abdomen and fixation of the superficial fascia to the deep muscular fascia. This will minimize the discomfort, speed up your recovery and do away with the need for a drain. This is a newer procedure which I have been doing with much better,...
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Mini Tummy Tuck vs Full
A full abdominoplasty will usually lead to a better result than a mini. There are more risks and down time with the full procedure. Many of my patients choose the mini, however, and are very pleased with results. The pros and cons of each should be discussed with your plastic surgeon.
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Benefits of Mini-Abdominoplasty with umbi float
Of course only your plastic surgeon has examined you and so he/she is in the best position to make a recommendation. When there isn't much skin laxity above the bellybutton, then a full abdominoplasty isn't often possible without having the scar too high. So the option of a mini, with repositioning the bellybutton about an inch lower, is often a good option in tha situation. When the lipo is done the skin will be looser, so the idea is to take up that laxity by moving the umbi down. It's a...
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Be careful and be sure
The mini with floating belly button and upper abdominal lipo should be considered with caution. Certainly if you are the ideal candidate for that procedure, go for it. BUT, some patients who do that procedure as a compromise to longer scars end up with a less than ideal result,i.e. they still have excess skin and they have an abnormally low belly button.
I would suggest getting another opinion to see what another examining plastic surgeon thinks.
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Mini vs full tummy tuck
If you have confidence in your surgeon, then you can feel comfortable that his recommendation will achieve your goals and expectations. Most women who come to me after 3 pregnancies and thinking they can "get by" with a mini tuck are best served with a full abdominoplasty to get them the best results, especially if their "diastasis" or separation of the rectus muscles extends above the belly button and/or that have skin laxity here.
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Mini tummy tuck sometimes better than full tummy tuck
Most of the patients I see would truly benefit more from a full tummy tuck than a mini. However, there are a few individuals who are excellent candidates for the mini or hybrid/marriage abdominoplasty. Lack of suprumbilical cutaneous laxity is one good indication. Therefore this may be an excellent option for you.
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