Thank you for the question. A reverse abdominoplasty requires a unique patient with laxity isolated to only the area above the belly button. In reality, a reverse and a mini tummy tuck can be performed in conjunction to correct some laxity above the belly button and some laxity below the belly button. Keeping the incision only to the area under breast is possible with a reverse abdominoplasty but this will require moderate laxity of the upper abdomen. Perhaps one of the most important facets of a reverse abdominoplasty is the use of quilting sutures that blends the tension over a larger area and minimizes the tension on the skin closure on the breast fold.
All the best,
Dr Remus Repta