Unhappy with tummy tuck results - do I need extra skin tightening or Renuvion? (photos)

Question

I’m a 51 year old women 5’0 125lbs. Very unhappy with my TT results. I’m not sure extra skin tightening or renuvion? I’m sad and embarrassed with my results. Any recommendations will help.

Gerald Minniti, MD, FACS · Answer

Although your result is considered 'within the standard of care', a legalistic term, your results represent a very unartful execution of a tummy tuck. Not only did you get a very high transverse scar, you got a vertical scar that is contiguous with the umbilical scar and the transverse scar, all with residual skin laxity. The only fix is a complete revision of the tummy tuck. This would be the only means of smoothing and tightening the skin, and it will also lower your transverse scar, possibly by as much as two inches at the midline.

Randal Haworth, MD, FACS · Answer

Based on your photo, you may benefit from Macroneedling or Collagen Induction Therapy.

Best of luck !

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos, I see the reasons for your unhappiness. This is a very poor outcome with poor planning of the operation. You do have excess loose skin and fat above the belly button, you have a very high abdominoplasty scar with a full vertical component and poorly done contouring with liposuction. I would recommend redoing your abdominoplasty, lowering the scar and VASER liposuction 360 degrees to create a feminine shape. I do have the Renuvion, but I would not utilize it in your case, since it will not remove your poorly placed incisions/scars. Any superficial skin treatments will note solve your issues either. Yes, you can spend lots of money on these partially effective or minimally effective treatments, but at the end of the day, you will need your surgery redone. This is not a "revision". See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Connie Hiers, MD, FACS · Answer

I would suggest trying liposuction with Renuvion to your upper abdomen. During the tuck, liposuction cannot be done in the area of the tuck for safety to your skin.

Camille Cash, MD · Answer

I'm sorry you are unhappy with your tummy tuck results.  An in person evaluation is best, but from the photos it appears a revision would be needed for improvement.  Visit with a few board certified plastic surgeons near you to listen to varying opinions on how best to proceed.

Mats Hagstrom, MD (license on probation) · Answer

The importance of provider selection.
Plastic surgery outcomes are usually a combination of the patient’s candidacy for the procedure in the first place combine with the skill and experience of the providers.
Both these variables are probably equally as important
The following are some general guidelines to help find the best provider.
Patients should be very careful in voting plastic surgeons, and I generally recommend having multiple consultations before considering scheduling surgery
To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. 
Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider.
There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. 
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. 
The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery.
Best,
Mats Hagstrom, MD

Unhappy with tummy tuck results - do I need extra skin tightening or Renuvion? (photos)

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