I had one done on 5/6/2010 and as of today I still have laxity in my lower abdominal area especially with folds on both lateral sides. What do you suppose happened did they not pull enough or cut enough should the incision be extended longer/laterally initially? Can you have a full after a mini has been done? What options do I have now?
Can You Have a Full Tummy Tuck if a Mini Left You with Skin Laxity?
Doctor Answers (10)
When to revise a mini tummy tuck
It will take at least 6 months to a year for you to see your final results from a mini tummy tuck. It takes that long for all the swelling to resolve and for your incisions and surgery to completely heal. I strongly advise you to wait at least 6 months before considering a revision or a full tummy tuck.
You should stay in communication with your plastic surgeon and discuss your goals and concerns. I hope that helps and wish you all the best.
Can one have a FULL Tummy Tuck after an Unsatisfactory MINI Tummy Tuck
Can one have a FULL Tummy Tuck after an Unsatisfactory MINI Tummy Tuck? - It Depends on the remaining skin laxity.
In Surgery, the first operation holds the best chances for success. Subsequent revisions may be successful but have higher rates of failure due to scarring and other limiting factors. With a Tummy Tuck, skin laxity determines if the belly button can be relocated higher without a vertical scar (for where the belly button opening used to be).
In your case, it is hard to say what the best course may be without an examination, much less a photograph. Folds on the sides can mean extra fat, extra skin or both. Neither of which can be adequately addressed with a Mini Tummy Tuck which is designed to smooth a small amount of skin excess under the belly button area.
Mini tummy tuck helpful for very few women.
It sounds to me like you need to wait a few months, and then consider a well performed full tummy tuck. It is not as scary as it seems.
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Mini tummy tuck doesn't really do what's needed.
I agree with Dr. Esmailian. Usually, even in thin women, a full abdominoplasty approach is needed to restore the patient to prepregnancy state. I have seen a number of women who were disappointed with the 'mini' operation their surgeon did.
Full tummy tuck after mini is possible...Except...
You certainly can have a full tummy tuck after a mini but I would wait at least 5-6 months to let everything settle down and heal. You may be happy with the result in the end and not want to go through a full tummy tuck.
The exception to this is if the doctor released the belly button from inside and changed the location - lowered it. In that case the plastic surgeon must be aware and you can have a problem with belly button dying from lackof blood supply.
Scar revision following tummy tuck
The real question: is the loose skin to the outside portions of the incision or just above it. If it is the latter, then a scar revision can treat these. Wait at least 3-4 mnonths before revision. IF it is loose skin above the scar then that is more difficult and may require a full or mini revision but wait at least 4 months.
Full Tummy Tuck after a Mini
I usually tell my patients that a mini tummy tuck gets mini results. If you are interested in a big improvement then a full tummy tuck is what is needed.
I would wait until you are about 4-5 months out from surgery. If you are still unhappy about your results afterwards, then yes you can get a full tummy tuck done. You may only need excision of the lateral "dog ears".
Just be patient and see how things look later.
MIni Tummy Tuck May Mean Mini Result
My practice is focused on breast and body procedures, and I have probably done 5 mini tummy tucks in 10 years. There are just very few women who are truly good candidates for "minis."
The most common reason for this is excess skin off to the sides of the incisions by the hips. Failure to remove this by using a long enough incison results in "dof ars" or residual skin laxity off to the sides.
The correction is either extension of the incision, or conversion of the mini into a full tummy tuck. A lot depends on the condition of the muscles and whether or not they were fully repaired as part of the original surgery.
Dog ears after a mini tummy tuck may be improved by liposuction or scar revision
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