Why would I have a vertical scar for a tummy tuck? (Photo)

Hello,
The vertical scar your consultants are referring to is the scar left from the circular incision in your skin where it was attached to your belly button. This is because you don't have enough skin to transpose far enough downward to excise that small defect along with the excess skin.  I am not opposed to that small vertical scar at all, and do it frequently; it is infinitely more aesthetically pleasing than placing the long horizontal scar of the tummy tuck too high, or floating a belly button too low.  However, in your case you should know that no surgery is completely predictable, including a tummy tuck. Additionally, although photos don't tell the whole story, your major issue appears to be fat, not skin excess or loss of skin elasticity (you said you don't have stretchmarks). Therefore assuming there is nothing more going on than what is apparent by photos, you should do very well with liposuction.  The reason you feel lipo is so unpredictable is because there are so many unqualified, poorly trained, and inexperienced doctors performing it (fact), many of whom are very busy, thanks to social media and the increased ability to market oneself (opinion). Add to that the high likelihood that said doctors are more likely using high energy devices (opinion) - Vaser, laser, radiofrequency - which can unpredictably melt fat and cause thermal injury (fact).  Regardless of the surgery, having it performed by a surgeon who is not only properly trained and skilled, but also extremely experienced - decades preferably - will most likely lead to a predictable result (fact). 

many surgeons will mention the possibility of s small vertical segment from a tummy.  I have done many tummy tucks like yours and have never needed a vertical scar.  I think it can be done with the standard scar only but some plastic surgeons might want to make sure you are aware of it being a possibility.

Hello,thank you for your question. Based on photos alone, it doesn't appear that you have much excess skin on the abdomen which means trying to pull skin from your belly button, all the way down to the bikini line, may not be possible. If you want your horizontal scar to be low, the vertical may be necessary to close up the space where belly button was. You could consider a modified or mini tummy tuck as well.I recommend that you discuss this thoroughly, in person with your plastic surgeon so that you feel good about the plan.All the best