Is a circumferential tummy tuck needed? (Photos)

Question

Had a consultation today and the doctor said I needed a Circumferential tummy tuck, and that it would help with my back fat better than what Lipo would. I’m not sure if that’s correct or not. I don’t feel like I have that much loose skin as it’s not necessarily saggy as it’s just fat hanging off me. He said doing this procedure would get rid of my bat wings and my apron belly.

Cem Berkay Sinaci, MD · Answer

Hello, both opinions are correct, your desire matters. But when I look at the photo I feel that I recommend an extended tummy tuck instead of circumferential, and lips 360. Regards.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your inquiry and for sharing your pictures. Considering the details provided, I would strongly recommend a circumferential tummy tuck, also known as a 360 lower body lift or belt lipectomy.
This procedure involves making an incision low on the abdomen, extending over the hips and around the back, in the shape of a belt. The muscle is then repaired, and the skin tightened, giving you a more flattened abdomen. As the incision is carried over the hips and buttocks, it will lift and reduce these areas, leading to a more harmonious contour.
Liposuction might result in excess hanging skin if performed in these areas without a lift. A circumferential tummy tuck or lower body lift will tighten the skin and permanently remove any excess fat and loose hanging skin.
This comprehensive approach should give you a well-rounded, more defined result. Please consult a board-certified plastic surgeon to discuss your options and determine the best action.
Sincerely,
Dr. Katzen

Alan Gonzalez, MD, FACS · Answer

Hello @Creative486952, thank you for your question. Every specialist has his or her own criteria. I believe that a tummy tuck with a very low scar and smaller scar, from hip to hip just above the pubic area rather than a circumferential tummy tuck is a better option. Our technique for tummy tuck utilizes advanced technology and progressive methods that focus on making the incision as small as possible, resulting in minimal scarring. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. The first way to answer this is to see what your priorities are - if you are not bothered by your back, then you absolutely do not need to do a procedure there. That said, your photos do show great liposuction candidate areas (for lipo 360) in addition to the tummy tuck. The skin quality appears very good (no stretch marks, loose/crepey skin). In our practice, usually patients who have had bariatric surgery/massive weight loss will we strongly recommend a circumferential procedure to address the exacerbated skin laxity that is present on both front and back.

George Marosan, MD · Answer

Thank you for your question and photos. As a Total Definer surgeon, I would recommend a full abdominoplasty and VASER liposuction of your torso 360 degrees. You will also need fat transfer to the buttocks and hips to give you an hourglass shape. These are advanced techniques and should consult with a board certified plastic surgeon experienced in advanced body sculpting techniques for best results. Good luck.

Ronald J. Edelson, MD · Answer

Circumferential tummy tuck is an option but not entirely necessary in your case. Personally I would  just do the tummy tuck and lipo your hips.

Wess Cohen, MD · Answer

Thank you for your question. A circumferential body lift is one option. However, you would be a good candidate for an extended tummy tuck, slightly longer incision than a standard tummy tuck, but not circumferential, combined with liposuction of your flanks and back. This will help you to get rid of your access, abdominal tissue while sculpting your flanks and back. Good luck

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for 360 Liposuction. This will treat your unwanted fat and contour your shape. You will also need a tummy tuck to remove the excess skin but do not need a circumferential lift.

Daniel Barrett, MD · Answer

Dear Creative486952,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ahmad H. Ahmadi, MD · Answer

You have excess skin on the abdomen that ends at your hips.  There is also fatty tissue in the torso.  You are a great candidate for an extended tummy tuck and lipo like a lipotuck.  A circumferential incision will not give a better result but just a longer scar.

Is a circumferential tummy tuck needed? (Photos)

Answers (18)

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