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Vertical Incision Abdominoplasty

I would like to know if anyone ever had abdominal skin reduction with and up and down incision using () from 1 side of the abdomen to the other side of the abdomen with the skin removed between them and the abdominal muscle repaired? I want to have the procedure done but I do not like the long scar across the lower abdomen.

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abdomen incision

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12 Doctor Answers | Asked by MaryRN in Coshocton,Ohio

Doctor Answers (12)
Community Comments (1)

Vertical scar tummy tuck

If you have a long narrow abdomen, you might actually get more skin off with a vertical scar rather than a horizontal one. Most wouldn't want this though because vertical scars never heal as well as horizontal ones and they are impossible to hide.

Vertical or horizontal Tummy Tuck Scar?

Hi Mary About your tummy tuck plans... No one likes the idea of having a scar. But everything we do is a trade. Most people are very happy to have a scar they can hide beneath their panty or bikini line with a tight flat belly, instead of excess skin hanging out above your bikini. As far as the vertical scar. I always reserve this for patients with a Lot of horizontal laxity of their skin at the mid abdominal level. Most commonly I use this for patients who have lost a lot of weight, usually mor more

Vertical incision abdominoplasty will result in lousy flattening and pooch

To best understand what you are asking IMAGINE the excess tummy skin was cloth but that you were working simultaneously on 2 DIFFERENT layers of cloth and that the ultimate outside appearance depended on how alterations to these layers affected the OVERALL appearance. A Tummy Tuck (Abdominoplasty) is first and foremost a tightening of loose abdominal muscles. As the tightening is done and the muscles are moved to the center - so is the skin that is attached to them. BUT -- the skin does NOT... more

Vertical Abdominoplasty

Removal of abdominal skin using a midline incision is not unheard of at all. It had been proposed over 30 years ago. And it does make more sense from a blood supply/anatomic standpoint. It's a straight shot to repairing the muscles and the skin is easily removed. The only downside is recreating of an esthetically appealing belly button is difficult.

Vertical scars in abdominoplasty

The vertical scar is not a substitute for the horizontal scar that goes across the lower abdomen. But it is sometimes added to the horizontal scar in patients who have a large amount of excess skin. This is rare, but does sometimes occur in patients after gastric bypass surgery or in those who lose over 100lbs. It used to be more common when "open" gastric bypasses were common, and patients already had a vertical scar present.

Tummy tuck can be done with vertical incisions

Tummy tuck can absolutely be done with an up and down incision. In fact, this is often done for massive weight loss patients. A more typical horizontal incision is more easily hidden under clothes, but there are some indications for doing a vertical incision. You should see a plastic surgeon who is certified by the American Board of Plastic Surgery. During the consultation, you should express your concerns about the lower abdominal transverse incision. The surgeon should be able to help... more

Possible

Uually the vertical component is just that- a component of the operation, and usually, there is a horizontal component. Most ps's don't really like the vertical part because it ususlly doesn't form a scar as nice as the horizontal one, and you can't hid it beneath underpants, etc. sek

Abdominoplasty Scars

In and of its own, a vertical alone is not done because that is not where the majority of patients have issues with as far as skin redundancy and excess goes. Fleur-de-lis abdominoplasty is an option in patients with a lot of loose and excess skin as in patients after massive weight loss. This involves removal of skin in a horizontal and vertical vector. What I believe you are referring to is just using a vertical incision which in the mind of many is not acceptable when compared to... more

Vertical incision abdominoplasty

Though rarely requested, the vertical abdominoplasty, occurs in 5% of all Tummy Tuck surgeries. Make sure you use an experience board certified Plastic surgeon to perform this. Best of Luck!

Vertical tummy tuck incsions

SEE VIDEO FOR SAMPLE TUMMY TUCK PATIENT BY CLICKING "MORE": Yes this has been done and is typically combined with a horizontal incision and carries the lovely eupehemistic title the "fleur-de-lis" abdominoplasty mieaning the french lily symbol skin pattern excision. Most of my patients are terrified of the vertical scar and will do anything to avoid it. Therefore I do not use it commonly. About the only time I use this approach is in a patient with a pre-existing... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Vertical Abdominoplasty

The verical abdominoplasty is not uncommon. The type of abdominoplasty incision that is made depends on many facturs including previous scars, the dimension and direction of skin excess and patient preference. Your plastic surgeon should be able to go through all the options available and suggest what might be best for you.

Vertical incision abdominoplasty is sometimes useful.

Hi! 1) This is a topic of great interest to me, and I have written about it. You should know that the vertical scar can be quite noticeable. 2) When there is a LOT of excess skin, we sometimes use both a vertical and a horizontal scar. 3) Patients generally accept the scar very well, IF they love their new flat stomach.

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Comments (1)

aussiemum70 6 May 2013

Hello can i please get your expert opinion on this type of incision on a smaller framed person with not a great deal of excess skin- 63kg 176cm tall. I have recently had ex tt upper an lower and have necrosis and infection ( currently 6wks post) Unfortunatley had overseas so have had to seek help now from ps here. His opinion was that he was puzzled the surgeon would choose a incision of this type for me, that plus the lipo contributing to the prediciment i am in now :((( Do you agree-? At the momment have not had a debridement?(not sure if this is the right spelling) and am worried what is lurking under that black skin. Thanks

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