Full or Reverse Tummy Tuck for upper abdomen laxity?

I had a mini Tummy Tuck 2 years ago, and now I'm unhappy with my upper abdomen area (above the belly button). I want a more smoother, tighter look. To correct this, my surgeon has recommended a reverse Tummy Tuck. I'm scared to death of how the scar is going to look since my breasts are set far apart (I had breast implants in 2000 as well). That's my main concern.

He also said he would recut from my mini Tummy Tuck and perform a full Tummy Tuck, but the results wouldn't be as accomplished this way as it would be from a reverse tuck. I'm really torn here and need some advice. I fully trust my surgeon, I'm just wanting to make sure that I make the right choice in which direction to pull my skin. I'm leaning towards the recut.

Full or Reverse Tummy Tuck for upper abdomen laxity?
5 answers to “Full or Reverse Tummy Tuck for upper...”

A: Traditional Tummy Tuck vs. Inverse Abdominoplasty

Manish Raj Gupta, MD

Upper abdominal laxity can usually be successfully improved even with a "full' tummy tuck (abdominoplasty), but in some severe cases (usually after massive weight loss) a reverse tummy tuck may be suggested by the surgeon. However, it is very important to note that the scars from a reverse tummy tuck... more

A: I'm not a big fan of the reverse tummy tuck

Lisa B. Cassileth, MD

If you want the home run result, I think you will get it with liposuction or VASER of your whole torso, and convert to a full tummy tuck. Your torso seems the area where you carry your extra weight, so really thinning this area out will have a big effect on your overall look, including the sides and love... more

A: Reverse Tummy Tuck can correct your upper tummy fullness

Brooke R. Seckel, MD

Scrappy, An upper tummy tuck or reverse tummy tuck through incisions placed beneath your breasts is the best solution for excess skin of the upper abdomen following a mini lower tummy tuck. The results can be excellent as long as you are healthy with good blood supply. I would not use this approach if you are... more

A: Reverse abdominoplasty may be logical but imperfect

Robin T.W. Yuan, MD

It appears that you do not have significant upper abdominal laxity or redundant rolls, only relative laxity. If your laxity is due to pregancy, then it is logical that there has been some stretching out of the upper abdomen and if you pulling the upper abdominal tissue upwards it should give your abdomen a... more

A: Reverse Tummy Tuck not advisable for your case

Daniel Reichner, MD

Scrappy, I would strongly advise against the reverse tummy tuck in your case. You're absolutely right about the scar in the middle - it is very obvious - connecting both breasts. Don't add an extra, visible and long scar if you don't have to. I think you are a good candidate for a full... more

Comments

Geena
1 post
11 May 2009

My plastic surgeon recommended a reverse tummy tuck for me and said the scars would be under each breast, but not across the middle. I asked about a resulting middle bulge and he said that could be eliminated by pulling the skin diagonally out versus straight up. He also said he could eliminate the dropping of the scar by fixing it in place to deeper tissue. Do these things sound possible/reasonable?

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