Hello In 2023 I had an atypical stomach operation and I am not satisfied. I have been through 2 pregnancies, one of which was a twin pregnancy. The skin both above and below the bellybutton level was/is very loose/soft. I also got an umbilical hernia, and my stomach also seems to go inwards at the abdominal muscles. 1. Do you think I could have had a big tummy tuck? 2. Can I have a new operation, that Can make the result better? In relation to bellybutton, scar, loose skin, muscles?
Answer: Tummy tuck From the submitted photos it appears you would benefit from a standard tummy tuck. This will address excess subcutaneous fat and skin as well as correct abdominal wall laxity. It appears that would have been the best recommendation before your initial surgery as well.
Helpful
Answer: Tummy tuck From the submitted photos it appears you would benefit from a standard tummy tuck. This will address excess subcutaneous fat and skin as well as correct abdominal wall laxity. It appears that would have been the best recommendation before your initial surgery as well.
Helpful
July 12, 2024
Answer: Tummy tuck It appears you have enough excess skin to undergo a tummy tuck, which will excise the old scar. Best Wishes, Gary Horndeski, M.D.
Helpful
July 12, 2024
Answer: Tummy tuck It appears you have enough excess skin to undergo a tummy tuck, which will excise the old scar. Best Wishes, Gary Horndeski, M.D.
Helpful
July 12, 2024
Answer: Detailed Evaluation and Conclusion Hello; During your surgery, an incomplete transverse incision was made at the belly level. When I look at your first appearance, with Lipoabdominoplasty; it looks like a Full Abdominoplasty and muscle repair can be done at the same time. When such a surgery is performed; in the best case scenario, at underwear level; an incision scar; in the worst case scenario; at the level of underwear, an incision scar and in the midline; placed perpendicular to it; you would have another incision scar; which is around 3-4 cm long. Currently, it is not possible to do this; because, there is no looseness left in your upper abdomen; as well as a horizontal incision at the level of the belly button; it limits for all possible surgery options. An incision; that is made at the underwear line; with the incision above; there is a possibility of tissue necrosis; which is developing in the area in between. Due to this reason, even if a Mini Tummy Tuck procedure is attempted; there would be a risk of developing necrosis.
Helpful
July 12, 2024
Answer: Detailed Evaluation and Conclusion Hello; During your surgery, an incomplete transverse incision was made at the belly level. When I look at your first appearance, with Lipoabdominoplasty; it looks like a Full Abdominoplasty and muscle repair can be done at the same time. When such a surgery is performed; in the best case scenario, at underwear level; an incision scar; in the worst case scenario; at the level of underwear, an incision scar and in the midline; placed perpendicular to it; you would have another incision scar; which is around 3-4 cm long. Currently, it is not possible to do this; because, there is no looseness left in your upper abdomen; as well as a horizontal incision at the level of the belly button; it limits for all possible surgery options. An incision; that is made at the underwear line; with the incision above; there is a possibility of tissue necrosis; which is developing in the area in between. Due to this reason, even if a Mini Tummy Tuck procedure is attempted; there would be a risk of developing necrosis.
Helpful
July 10, 2024
Answer: Abdomen With a vertical incision in the middle of your abdomen, the blood supply would be cut to a good portion of your skin in the lower abdomen and could risk death to that area. I would advise again any tuck unless a vertical tuck is done. You could have this middle "tuck" redone and extend the scars. However, you might get some good results with minimally invasive skin tightening like Renuvion that uses plasma energy. I am not certain why a full or mini tuck was not done instead which would have dealt with the excess skin.
Helpful
July 10, 2024
Answer: Abdomen With a vertical incision in the middle of your abdomen, the blood supply would be cut to a good portion of your skin in the lower abdomen and could risk death to that area. I would advise again any tuck unless a vertical tuck is done. You could have this middle "tuck" redone and extend the scars. However, you might get some good results with minimally invasive skin tightening like Renuvion that uses plasma energy. I am not certain why a full or mini tuck was not done instead which would have dealt with the excess skin.
Helpful
July 8, 2024
Answer: Revision Tummy Tuck to Address Skin Laxity and Muscle Tightening Hello Enthusiastic791587, Thank you for your question and for sharing your concerns. Given your history of two pregnancies, including a twin pregnancy, it's understandable to have loose skin both above and below the bellybutton, as well as an umbilical hernia and muscle laxity. A revision tummy tuck can indeed help address the issues you're experiencing. During the revision, the surgeon can remove excess skin to tighten the abdomen. Additionally, muscle plication can be performed to ensure that your abdominal muscles are tight and to correct any rectus diastasis (separation of the abdominal muscles) that might be contributing to your concerns. This procedure can also improve the appearance of your bellybutton and the placement of scars, providing a more aesthetically pleasing result. It’s important to consult with a board-certified plastic surgeon who has experience in revision surgeries to discuss your specific goals and to ensure the best possible outcome. I wish you the best in your journey towards achieving your desired results. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS
Helpful
July 8, 2024
Answer: Revision Tummy Tuck to Address Skin Laxity and Muscle Tightening Hello Enthusiastic791587, Thank you for your question and for sharing your concerns. Given your history of two pregnancies, including a twin pregnancy, it's understandable to have loose skin both above and below the bellybutton, as well as an umbilical hernia and muscle laxity. A revision tummy tuck can indeed help address the issues you're experiencing. During the revision, the surgeon can remove excess skin to tighten the abdomen. Additionally, muscle plication can be performed to ensure that your abdominal muscles are tight and to correct any rectus diastasis (separation of the abdominal muscles) that might be contributing to your concerns. This procedure can also improve the appearance of your bellybutton and the placement of scars, providing a more aesthetically pleasing result. It’s important to consult with a board-certified plastic surgeon who has experience in revision surgeries to discuss your specific goals and to ensure the best possible outcome. I wish you the best in your journey towards achieving your desired results. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS
Helpful