Will a mini tummy tuck (with existing upper abdominal scar) suffice? (Photos)

Question

I went for a consultation regarding a tummy tuck and scar revision for a pre-existing upper abdominal scar, (pyloric stenosis). I have had two c-sections, and I am most concerned about my stomach area between the two scars so to speak and the unpleasant 'shelf' on both. Following the consultation, a mini tummy tuck was recommended coupled with Vaser liposuction. The Dr. will rectify the upper scar, but I'm wondering if the results would be better served with a full TT?

Harry T. Haramis, MD, FACS · Answer

In my experience, you do not to have lax skin or muscle to warrant a tummy tuck.Also, that high scar limits the tummy tuck due to skin blood supply disruptions.  That high scar will remain as well.You appear to have great skin and muscle tone, so I don’t see how a tummy tuck would add to results.Rather, Vaser of full abdomen will remove stubborn fat including the area between your scars, making them less noticeable.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Richard Baxter, MD · Answer

A full tummy tuck carries some risk due to the upper abdominal scar. A mini would only help the lower abdomen. Consider liposuction, with subcision of the scar and fat grafting to elevate it. It sounds like your surgeon may have hit on the best plan.

Jonathan Saunders, MD · Answer

how far across is that abdominal scar. generally pyloric stenosis scars are quite short??  I think you have too much loose skin for a mini tuck and not enough in order to create only one scar low down.   we would need to discuss and set the limitations  good luck

Kenneth Hughes, MD · Answer

A mini TT involves removal of a small amount of skin and fat below the belly button that addresses only the lower portion of the abdomen.  This procedure applies to very few patients and is appropriate only for patients who have loose skin at the inferior aspect, or bottom, of the abdomen.  If patients have loose skin above the belly button or a muscle laxity, a short scar or full TT would be more appropriate. A physical exam would be necessary to determine what procedure is most appropriate for you to achieve the results you are seeking.

Daniel Barrett, MD · Answer

Dear WilRuz5,
it is hard to tell for sure without an examination. Based on your photo, it doesn't look like you have much loose skin. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Will a mini tummy tuck (with existing upper abdominal scar) suffice? (Photos)

Answers (5)