What Are The Different Types of Tummy Tuck? What Is Best For My Case After Massive Weight Loss?
- Asked by Tess in Mississippi in Senatobia, MS
- 1 year ago
I have heard the tummy tuck called extended, anchor cut, fleur de lis and full abdominalplasty. Can you explain the difference in these, when they are use and if there is a cost difference between them. Can any of them be used when having a lower body lift? I had open RNY bypass surgery six years ago and lost 150 lbs. I am now considering plastics to finish what I started. Tess
A Full Tummy Tuck is usually required after Masive Weight Loss
After Massive Weight Loss there is usually a large amount of loose skin lefft on the abdomen. A Full Tummy Tuck which ioncludes reconstruction of the Umbilicus or Belly Button is usually required for the best result. THe Mini Tummy Tuck will not remove enough skin.
See my photos of Full Tummy Tuck and check the link below for a review of the different types of Tummy Tuck Procedures.
What are the Different Techniques of Tummy Tucks used for Body Contouring after Large Weight Losses?
Congratulations on your large weight loss!
Whenever people lose large amount of weight they usually end up with somewhat different appearances. The amount and width of skin sag determine the procedure needed to take in and contour the skin.
FULL TUMMY TUCK - an incision is placed in the transverse groin / abdominal crease (which is covered by most underwear fashions) from onterior hip to the other anterior hip. Through this incision / future scar the muscles are tightened and excess tummy skin is removed. After the upper tummy skin is fulled down, the belly button is exited through its old position through skin which used to be positioned higher.
EXTENDED TUMMY TUCK - as above but the incision is carried further along the sides to remove a wider amount of loose skin and fat.
FLEUR DE LIS (Lilly Flower) / INVERTED T / ANCHOR TUMMY TUCK (Abdominoplasty) - refer to the scar pattern where in addition to the transverse scar seen with the above tummy tucks, we add a vertical scar. This is done in people whose weight loss left them with a significant amount of loose, hanging skin above the belly button. In such cases, the other tummy tucks would not entirely flatten the abdomen. To remove a wide span of excess upper abdominal skin an additional vertical scar limb needs to be added to the Full Tummy Tuck resulting in the Anchor / Inverted T or Lilly Flower pattern.
To learn what may best be done in your case you should look for experienced Plastic surgeons in your area and see him / her in consultation.
The Best of Luck.
Peter A. Aldea, MD
Tummy Tuck after Massive Weight Loss?
Congratulations on your significant weight loss; you should be very proud of this accomplishment.
Many patients who have experienced significant weight loss are left with significant redundant skin on the face, extremities, and torso. This “excess” skin serves as a constant reminder of their earlier days when they were overweight. Often patients are anxious to remove the signs of “what used to be”. As you stated, patients wish to “finish what I started”.
Although there are many different types of tummy tuck operations, most patients who have experienced 150 pound weight loss are candidates for either a full tummy tuck or an extended tummy tuck. The extended tummy tuck procedure is essentially the same operation as a lower body lift.
In order to obtain advice more specific to your situation, it would be best for you to be examined by a well experienced board-certified plastic surgeon. Ask to see lots of examples of his/her work with previous patients who have undergone massive weight loss.
Web reference: http://www.poustiplasticsurgery.com/weightloss.htm
The different varieties of tummy tuck
Yes, there are many types of tummy tuck. Yes, the tummy tuck can be incorporated with and is part of a circumferential lower body lift. This is yet another type of tummy tuck called the belt circumferential abdominoplasty where the scar goes all the way around, front and back. Sometime a vertical component can be added to the front, sometimes referred to as a fleur de lis.
Giving it a name is not as important as picking the right procedure(s) for you to give you the right contour that looks good for your body. When the procedure is customized and tailored to your needs, the surgeon will usually adjust the price to reflect the actual amount of surgical time it is going to take to complete the procedure.
To help determine what might be best for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.
Body Contouring After Massive Weight Loss
As you can see, several physicans have noted that body contouring after massive weight loss is quite a bit different than plastic surgery after pregnancy. This is because your skin has most likely withstood multiple weight gain-loss cycles and thus has more damage. With your a00+ lb weight loss, there is also often a circferential excess of skin/ Weight loss patients who have had a RNY also have unique nutritional needs that must be addressed to ensure proper healing.
Many plastic surgeons specialize in baritaric plastic surgery, and books such as "Total Body Lift" or "Bariatric Plastic Surgery" may be helpful resources.
Many Options Exist for Weight Loss Patients
You are correct that many options exist for improvement in your body contour, and while (considering your excellent success losing weight) many of these options will undoubtedly be available to you, there is no doubt that one or two of the options will be better for you as an individual.
Which is best for you will depend on many things, including your current appearance, your goals for appearance, recovery, experience, etc
It is therefore not possible, and would be irresponsible, to recommend one option over another to you without the benefit of a careful consultation and physical examination.
Your best bet is to find a talented and skilled surgeon certified by The American Board of Plastic Surgery, and with a lot of experience in all of these options, and visit for a consultation.
Web reference: http://www.DrArmandoSoto.com
Tummy tuck after massive weight loss
Tummy tuck after massive weight loss is most often more than that, and can involve a full circumferential lift, a midline reduction, incorporate a pubic lift. There are books published on body contouring after significant weight loss. One source is the ASPS website under their video education section. Rather that try to find out about all procedures, get some good consultations to see what fits your particular needs.
Best of luck, peterejohnsonmd.com
Web reference: http://www.peterejohnsonmd.com
Body Lift After Massive Weight Loss
Congratulations on achieving your 150 lb weight loss. The best solution for removing the left over excess skin is different for each person. A lower body lift gives more improvement than an abdominoplasty or extended abdominoplasty alone. You can see improvement in areas adjacent to the trunk, such as your back and thighs and groin. The fleur de lis approach is used primarily in people that already have a large midline upper abdominal incision. The cost is generally proportional to the amount of time the surgery requires to perform, not by the length of scar. Come to a consultation with an open mind. Identify a plastic surgeon with much experience in treating the massive weight loss population certified by the American Board of Plastic Surgery. Do not allow your bypass surgeon, a general surgeon to do your abdominoplasty.
Web reference: https://www.maryleepetersmd.com
Lower Body Lift Often Best Procedure After Massive Weight Loss
A regular tummy tuck does not address the excess skin in the flank areas, buttocks, lateral thighs, and back. Significant amounts of the excess skin in these areas can be removed, however, with a lower body lift. This procedure extends the tummy tuck incision circumferentially and is a much bigger operation and is more costly.
Abdominoplasty after massive weight loss
Various techniques in abdominal contouring are categorized by resulting pattern of scars, extent of dissection, or placement of tension. I prefer not to think within these categories since the categories are basically the organization of an infinite number of variations. These names should be the result of your planning, not the determinant of the surgery. That is, the surgery you will need to undergo is a product of the anatomy your have (i.e. intra-abdominal contents, muscle quality, skin and fat distribution, and general body type) and the goal you set for yourself with your surgeon. How to get from A to B will be your surgical blueprint and may, or may not, fit into these various named categories. In other words, customize the procedure to fit your individual situation.
Robin T.W. Yuan, M.D.