I've consulted with 3 board certified plastic surgeons & all 3 have a different opinions as to what I need done. I'm 42 yrs, 5'2, 108 lbs. & have 2 children born via C section (2 1/2 yrs & 16 mos). One surgeon suggested a mini TT with Vaser lipo to upper abdomen & flanks, another a full TT no lipo & the other a full TT with lipo of the upper abdomen only. This leaves me confused, don't know what to base my decision on. Please help, would greatly appreciate opinions, what do I need done? Thanks!
How to Choose a Surgeon for a Tummy Tuck when Opinions Differ? Confused! (photo)
Doctor Answers (14)
A full tummy tuck may be your best option.
Thank you for your question and photographs. You are in excellent shape and should get an excellent result from a tummy tuck.
I do understand your confusion and it is understandable that you have received a different opinions
You are not overweight and do not have much excess fat under your skin so I would eliminate the need for liposuction unless you want it in the flank area.
A mini tummy tuck will remove the loose skin below your belly button and allow for a very low incision near the pubis. However a mini tummy tuck will not allow tightening of the skin above your belly button and will not allow for the reconstruction of the belly button area. The lipo is often done with a mini to compensate for inability to address the upper abdomen and around the belly button.
A full tummy tuck will require an incision that is a little higher than the pubic hairline. This incision can usually be covered with a two-piece bathing suit but certainly not a string bikini.
The benefit of a full tummy tuck is that the upper and lower abdominal skin will be tightened and the belly button area restored. However the disadvantage of a full tummy Tuck is a scar that is a little higher.
Keep choosing best surgeon trough ASAPS page
doing at same time vasser lypo plus, TT ,teach you a great knowledge from both surgeons than proposed this combined surgery to you, they are thinking the best for you ,but to do that .represents years of knowledge and experience, people than do not knows , enough simply did not know than this mixed procedures might be realized, so more clear or dont?
How to choose
I personally prefer the full tummy tuck over a mini tummy tuck in most situations. Because you do not look like you have excessive fat, liposuction may not be needed. However, it may be suggested by some if contouring was seen as desired. As I'm sure you know, nothing can take the place of a face to face exam with a patient, and it sounds like you've got a good start by seeing several board certified plastic surgeons. It often helps to look through before-after photos so you have a real sense of their work as they've probably performed the same procedure(s) recommended to you on other patients as well.
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Combining liposuction with tummy tuck is not necessary with BMI = 20
At 5’2 and 108 lbs you are thin (BMI=20) and your photographs show very little fat. The mini tummy tuck removes a small amount of skin and a full tummy tuck removes a larger amount of skin. Liposuction removes fat only and does nothing with the skin. Liposuction is combined with tummy tucks when additional fat needs to be removed, otherwise a tummy tuck suffices. Therefore, I recommend Abdominoplasty alone. If you are not planning future pregnancies, there is a new technique called Abdominoplasty with Mesh Reinforcement. The mesh augments the mechanical strength of the abdominal wall, results in early satiety, weight loss and maintains the reduced weight.
Gary Horndeski, M.D.
Abdominoplasty opinions difffer
I would not even consider a mini-abdominoplasty you will be disappointed with the limited results from this procedure. You have enough redundant abdominal skin and laxity of the anterior abdominal wall that a standard abdominoplasty will yield the best result. There may be some compromise on the length of the incision and any associated liposuction but most plastic surgeons would get the job done correctly. There will always be differences in opinion between surgeons. This is what makes plastic surgery challenging. Each operation is different.
Choosing the right plastic surgeon for tummy tuck when you have diffrent opinions
Well you are on the right path when choosing a surgeon who is board certified but who would you choose if the surgeons have different opinions? Look for a surgeon who makes the incision below the bikini line, make sure that the belly button looks natural and nice and make sure that you read the reviews past tummy tuck patients have left. Look at the clues and you will find the right plastic surgeon. Good luck.
3 Different Opinions...Who to Choose?
Dear Elsa300, You have started your journey the right way by visiting BC plastic surgeons. There are a variety of ways to get a good result and there is not always a black and white answer to every question. Ultimately it is your decision to choose the surgeon and procedure that makes most sense to you. I would suggest that you look at pre- and post-op photos from each surgeon showing the procedure that each one is suggesting. Finally, from what I see in your photos, I would recommend a full TT with skin resection. I usually reserve conservative upper abdominal liposuction for patients with much thicker skin flaps than you appear to have. Good Luck.
You need a medium sized tummy tuck incision but a full muscle repair.
When you are upright it does not appear to be as obvious the excess skin as when you are bending over. When you are bending over it appears there is a lot of loose skin extending to above the belly button. You are in an intermediate group where you may consider removing just enough skin of the lower abdomen to address the excess skin. This will result is a medium length incision. However the skin elevation should go all the way up to the Xiphoid to allow the skin to redrape properly. The muscle should be repaired from Xiphoid to the pubis as well as the oblique muscles. This should give you a very flat abdomen. Doing this technique will not have any scars around the belly button but will relocate your belly button 1 cm lower than it is now. This should not be noticeable to you. Also the skin flap will not be under as much tension so should heal better than a full tummy tuck scar. And since you have a long torso the scar can be placed very low and will not pull up as high as a full tummy tuck. I really don't see the need for a lot of liposuction as you appear quite thin. I would only do some light feathering lipo to make sure all contour areas are smooth.
Plastic Surgery - Art and Science
Thank you for your question. I'm glad to hear you have been visiting with board certified plastic surgeons only. Yes, there can be a variety of opinions on how to best treat you. Plastic surgery is not cookie-cutter - its not one size fits all. There is indeed a science to cosmetic plastic surgery. There is clinical evidence to support treatment recommendations and to guide what not to do and what do to. But there is also an art to plastic surgery. And there is variance amongst artists on how best to proceed. This is what I suggest you do:
1. visit with board certified PS (members of the American Society of Plastic Surgeons)
2. review your surgeon's before/after photo galleries. that speaks volumes about their work
3. pick the surgeon and his/her staff with whom you feel most comfortabe
4. have your procedure done ONLY in a fully accredited surgery center or hospital.
Based on your photos, given this significant skin laxity, I would likely recommend a full tummy tuck to treat your loose skin.
I hope this is helpful. Best wishes.
Type of tummy tuck
You were offered 3 very valid options. In my opinion you need a full tummy tuck if your skin laxity is both above and below the belly button, if you have stretch marks all the way up to the belly button and if you need your muscles repaired (pulled back together) both above and below the belly button which is usually the case after 2 pregnancies. I am very selective about who is a candidate for a mini tummy tuck especially since the scar is usually just as long and most women need to have the muscle repair. You can grab your skin and pull down from about halfway below the belly button to the pubic area and assess whether or not you feel the skin above your belly button is still loose. In some cases you need to have the whole abdominal wall tightened but have limited skin to pull down in which case I will opt to keep your scar nice and low (where your c section scar is) and give a small vertical scar down low in the midline. Ultimately you should choose the board certified plastic surgeon you are most comfortable with and who's explanation or reasoning makes the most sense to you. Good luck!