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Because each person's situation is at least a little bit different, there is more than one approach to tummy tucks but some version is likely to be best when there is loose skin in the upper abdomen. Variations include the full tummy tuck (most often best), a mini (used when the only loose skin is in the lower abdomen), and a reverse tummy tuck (not commonly done but may be considered when the only loose skin is in the upper abdomen.) A personal consultation is needed to determine which of these is best for you.
It's difficult to say without photographs, but loose skin on the abdomen is best treated with some type of tummy tuck. A full tummy tuck uses an incision low on the abdomen, and a second incision around the belly button to remove excess skin from the tummy. This also gives your surgeon the opportunity to tighten the abdominal wall. The abdominal wall can be stretched during pregnancy.In person consultation with a plastic surgeon will help you determine how best to proceed.
A tummy tuck can address the loose skin on your abdomen, leaving you with a more contoured, firmer look. A consultation with a board certified plastic surgeon will help give you additional information about this procedure, such as risks and benefits, as well as confirming if it is the right procedure to help you achieve your surgical goals.
Excessive loose skin over the abdominal area usually requires a tummy tuck. Of course a consultation and examination would be required to answer your question definitively. A tummy tuck procedure addresses loose abdominal skin, excess fatty deposits and can remove stretch marks below the umbilicus if they are present. Many women who are small and thin require tummy tuck following pregnancy and childbirth. Unfortunately, weight loss and exercise cannot correct excessive loose skin on the abdomen.
Without pictures or a physical exam, it is very difficult to be able to accurately answer this question. However, in general, loose skin of the upper abdomen is best treated the same way as for the lower abdomen--through a low transverse tummy tuck scar. Any bulging of the belly wall that you may have could also be corrected if you have separation of the muscle from previous pregnancy. There are some nonsurgical (laser) techniques that can also be used to tighten skin without the need for a scar but in my experience having used various lasers, the results are usually somewhat disappointing. Best of luck if you chose to have surgery!