Would you deny a tummy tuck procedure because a patient is "too skinny?" (Photo)

We were taught in our residencies that there were two types of tummy tuck, mini tucks and full tummy tucks.  However the mini tuck is a poor operation for most post-pregnancy patients as it does nothing for the fascia in the upper abdomen.There are in fact many more types of tummy tucks, especially well suited for thinner patients or patients who had a limited weight gain during pregnancy.Because you have a bulge in your fascia (also known as separation of the muscles, or diastasis recti), it is advisable to tighten these muscles.  Liposuction by any technique will not do the trick as the fascia will not respond to tightening unless sutures are placed.You would most likely be best served by a lower abdominal incision, with full tightening of the abdominal fascia.Much of our practice is geared to the 'in-between' tummy tucks.It would be a shame to make a hip to hip incision relatively high on the abdomen just to access the upper abdominal fascia, when, with special instrumentation, it can be accessed from a C-section type incision.

Each operation is tailored to the patients presentation and her needs and expectations. If you have loose muscles from having a baby, these can be tightened just enough to give you your flat tummy back, without changing your overall figure. Usually, tightening has to be from your rib cage to your pubis. The amount of extra skin you have will determines the length of your scar.
You might consider getting a second opinion from a board-certified plastic surgeon and see if there are any other ideas he can put on the table.

Being "too skinny" is not a contraindication for a tummy tuck. Although I can't appreciate the skin laxity in the lower abdomen, you could have a tummy tuck via a small suprapubic incision with VASER liposuction to better define the waist line for you. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.