Hi I am 5'2" and 110 lbs. I have loose skin and my abs are separated from 2 pregnancies. I was wondering if I would need a full or a mini tummy tuck?
Mini or Full Tummy Tuck After Pregnancy?
Doctor Answers 34
A Mini Tummy Tuck vs. a Full Tummy Tuck
Tummy Tuck Post Pregnancy
How to Decide Mini Vs Full Tummy Tuck
“Mini” tummy tucks can benefit patients who have a small amount of excess skin and fat or protruding of the lower abdomen. Liposuction may be used alone or in conjunction with a tummy tuck to benefit selected patients. A pubis lift can reduce the redundant pubis skin or excess amount of hair bearing tissue.
Mini-abdominoplasty tightens the lower abdominal wall skin only (shortest scar). Liposuction or an Umbilicoplasty can also be performed at the same time if desired.
Modified abdominoplasty addresses conditions usually below the umbilicus where the muscle wall and the abdominal skin requires repair. Variations of this procedure depend on each patients needs.
Standard abdominoplasty tightens all of the abdominal wall skin and muscles (standard scar). It also reshapes the belly button.
Extended abdominoplasty tightens the abdomen and the flanks or sides (longest scar extending around the hips/flanks towards the lower back).
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Mini or Full Tummy Tuck After Pregnancy?
In order to explain the difference we first must understand the anatomy of the abdominal wall and what happens as we age and the changes that occur with weight gain.
First the skin. The skin quality can range from normal to very lax and redundant. It can retain much of it's elasticity or it can be stretched and have lost the ability to retract. We see this loss of elasticity after considerable weight gain then loss or often after pregancy. The telltale signs of lax skin are stretch marks (stria). Simply put, these stria are tears in the deeper layer of the skin called the dermis. If there are a lot of stretch marks and the skin is loose, then there are few options other than to remove the excess skin. If this loose skin is mostly below the belly button then a mini tummy tuck is appropriate. For those with loose and lax skin that extends above the belly button, a full tummy tuck would be a better option. I can not determine from the lateral photograph you sent which would be more appropriate.
Next we have to consider the deeper layer, the fat. If there is little fat and this is mostly located in the lower abodmen, then a mini tummy tuck is appropriate. If there is more diffusely located fat and there is a lot of fat above the belly button then in order to achieve a good result one would need either direct excision (full tummy tuck) or liposuction. If just using liposuction with loose or lax skin then there will be drooping of the skin. A full tummy tuck is preferred. Again, without a full set of photographs and/or an in person consultation it is impossible to advise. However, you do not seem to have much adipose tissue to worry about.
Finally, we must consider the underlying muscles. With with pregnancies there can be weakening of the abdominal wall muscles as you described in your case. This is called "rectus diastasis" which means seperation of the paired long muscles in the middle of the abdomen (your six pack abs). This problem can not be corrected with exercise. Usually correction of these changes require a full tummy tuck, but if the upper abdomen only requires muscle repair, termed plication, then it can be done with a mini tummy tuck. It requires more time, effort and expertise and sometimes some special equipment. Your surgeon can help you decide after a physical examination if this is possible.
I hope this helps.
The Difference Between a Mini and A Full Abdominoplasty
Mini or Full Tummy Tuck
MINI OR FULL TUMMY TUCK
Be well and good luck!
In most cases full
Mini or full tummy tuck after pregnancy?
Once you are ready for the procedure, I would likely recommend a full tummy tuck with abdominal wall tightening. This would remove the excess skin/soft tissue and stretch marks while contouring your belly. The mini tummy tuck has limited usefulness and limited candidates as it truly only addresses excess skin in a small area above your pubis. It will not address your abdominal wall and the tightening of such, frequently needed after pregnancies to achieve a shapely abdominal wall. While the recovery time is shorter, the benefits afforded to you by a full tummy tuck are much greater and will optimize your result. You should consult with a board-certified plastic surgeon well-versed in body contouring procedures at anytime to go over options to assist you in deciding which procedure(s) would be right for you. Best wishes!
How Much Skin Is Left?
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.