I've already had a mini tummy tuck, but still have a lot of laxity in the upper abdomen. Surgeon suggest reverse tummy tuck. If I choose this option, would I be able to opt for a full abdominoplasty if I am not happy with the results? Or there won't be enough skin left to pull after the reverse tummy tuck? I think I would have needed a full TT to start with, but my doc insisted on a mini TT and now I am not happy with the results.
Reverse Tummy Tuck Vs Full Abdominoplasty
Doctor Answers (15)
Mini tummy tuck vs full tummy tuck vs reverse tummy tuck
Full Tummy Tuck versus Reverse Abdominoplasty
It would be difficult to give you the most optimal answer without examing you. Based on the picture here are the two opions: Full tummy tuck with a vertical scar or Reverse abdominoplasty (which may not improve the lower abdominal contour completely). Good Luck
Reverse Tummy Tuck vs Full Tummy Tuck
Thank you for your question.
A Reverse Tummy Tuck would not be optimal for two reasons:
- Bad scars under breasts
- Risk of skin necrosis-since your first tummy tuck removed some blood vessels from your Tummy skin, the skin is now relying on blood flow from above-a Reverse Tummy Tuck could damage these upper blood vessels and reduce blood supply to your abdominal skin.
A Full Tummy Tuck would have been your best option first time. The problem is that you may need a vertical scar for a Full Tummy Tuck now.
Get a second opinion from a Board Certified Plastic Surgeon.
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Full TT vs. reverse TT
While both approaches can get rid of upper abdominal laxity, I prefer a full tummy tuck for the following reasons:
1) You don't get a second scar, just a longer version of the lower abdominal incision, which is well hidden in underwear & swimsuits.
2) Usually, the lower abdominal skin is in worse shape than the upper abdominal skin, so it makes sense to remove the more damaged area with a full TT.
3) There's a risk of messing up the inframammary fold area and its symmetry with the reverse tummy tuck.
4) If you have a reverse tummy tuck and have lower abdominal laxity in the future, the blood supply issues become worrisome for revision surgery.
All the best,
Full tummy tuck versus a reverse tummy tuck
Based on your photograph I believe a full tummy tuck is your best option. The can be accomplished by extending your previous mini-TT scar and aggressively elevating and removing skin from the anterior abdominal wall. A reverse TT will leave you with a fairly unsightly scar across the lower chest wall. I reserve this proceedure for patients who are undergoing a full breast lift procedure concurrently.
Neil Zemmel, MD
Not a good candidate for mini abdominoplasty
Unless you had your mini tummy tuck years ago, and you abdomen looked much different, you were a very poor candidate for a mini tummy tuck. For a mini tummy tuck to get good results, you need to have little to no skin laxity in the upper abdomen. You clearly have a lot of excess skin in the upper abdomen. I concur with the other reviewers that a full abdominoplasty is your best bet. Although it may not completely resolve the laxity in the upper abdomen, it will markedly reduce it. You also have dog ears on your lower abdomen from your previous procedure that would be reduced in this procedure as you would get a longer incision.
Reverse vs.standard tummy tuck after mini tummy tuck.
There are a few issues at work here. First, you would need to be examined. How much extra skin is present, etc. You already have a scar ont he abdomen, (the lower tummy tuck), which may hamper things. At first glance. I would suggest the full tummy tuck. If you can get the result you want through a scar that you already have, that is a good thing.
Depending on central looseness of skin, you may need a vertical incision as well. The reverse abdominoplasty may make a later standard abdominoplasty very difficult. It also has the downside of the scar in the midline under the breasts.
Web reference: http://www.jjrothmd.com
Reverse tummy tuck is for specific situations
I agree with other docs. You would benefit from a full tummy tuck and there is no reason not to do it as far as I can tell. I reverse tummy tuck will also give a good result. However, as mentioned, the scar will cross the midline and can be visible if wearing a v-cut or low cut top. This is usually reserved for women who also want a breast augmentation; instead of throwing away the excess abdominal tissue, it is rotated into the breast for an augmentation. At this point, I do not see the reason to do this for you, unless there are other factors of which I am not aware. Hope this helps.
Tracy M. Pfeifer, MD, MS
A full abdominoplasty would have been your best first option
A full tummy tuck probably still remains your best option. I would only recommend a reverse abdominoplasty if you were planning work on your breasts as well. Get a second opinion.
Web reference: http://francisnyplasticsurgery.com/abdominoplasty.asp
Tummy Tuck VS. Fleur de Lis Tummy Tuck Vs. Reverse Tummy Tuck
Regarding; "already had a mini tummy tuck, but still have a lot of laxity in the upper abdomen. Surgeon suggest reverse tummy tuck. If I choose this option, would I be able to opt for a full abdominoplasty if I am not happy with the results? Or there won't be enough skin left to pull after the reverse tummy tuck? I think I would have needed a full TT to start with, but my doc insisted on a mini TT and now I am not happy with the results."
A mini- Tummy Tuck WAS the wrong answer and in my opinion casts a serious doubt on your surgeon's experience.
I am not a big fan of reverse Tummy Tuck (Abdominoplasty). It leaves a highly visible scar without the ability to take in midline skin excess. A Full Tummy Tuck will raise the sagging Mons pubis and flatten much of the tummy but will not take the upper midline skin excess. In my opinion, a Fleur de Lis (vertical scar) Tummy Tuck would be the best compromise and give you the flattest tummy but at the cost of a vertical midline scar and a transverse scar.
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.
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