I had a gastric bypass in 2007. Do I Need a Vertical Incision for my Tummy Tuck? (photo)
Doctor Answers 5
Will you need a vertical incision?
With your photos provided and the scarring that you already have, the answer is YES and I would be very critical of anyone trying to do a tummy tuck on you without one. This would be the safest way to manage your tummy and give you the best chance at a good result.
Previous abdominal surgeries and scars complicate abdominoplasty
You have had multiple abdominal surgeries. You have impressive amount of redundant skin on your abdomen. Abdominal surface is uneven.
You will need vertical as well as low abdominal crease operation to address all above issues.
Do I Need a Vertical Incision with My Tummy Tuck?
Your photo suggests that a vertical incision would be highly advisable as part of your tummy tuck.
Massive weight loss patients such as yourself may also wish to consider the lower bodylift (ie. belt lipectomy) as an even more powerful alternative for contouring the circumferential lower torso.
Please see an experienced Board Certified Plastic Surgeon with significant experience in body contouring after massive weight loss for an evaluation and discussion of your concerns.
Larry Fan, MD
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Yes, Without a Doubt you need a vertical incision
Due to your previous abdominal surgery and your depressed scar tissue, it appears that a vertical incision as well as the lower abdominal incision will be indicated in your case. I recommend that you discuss this in great detail with your plastic surgeon as to have realistic goals and expectations.
Patients with heroic amounts of excess skin of the abdomen might do best with both the horizontal and vertical incision.
Photograph demonstrates the patient with a sizable amount of surplus skin including the vertical scar in the midline. The best overall contour would probably be obtained within extended abdominoplasty that includes a vertical incision and horizontal incision.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.