I had a TT with BA 1 year ago and I thought my tummy would be flat. I still have a pooch and my mons pubis is very rounded. I did not gain any weight. Is it possible to have a flatter tummy and mons pubis or is this just my anatomy? I just learned the doctor could have done a mons pubis lift but did not. Do I need a TT revision, mons pubis lift, both or will sculpsure give me the look I want? I really don't think I could do another major surgery but I am disappointed with my results. Thank you
Answer: Do I need a TT revision, mons pubis lift or both? Will sculpsure give me the results I want? Thank you for your question and photos. Based on these photos you do have relatively good shape, but the scar placement and quality detract greatly from the results. You had a "standard" tummy tuck, which might've been acceptable 20 years ago. Your incision is too high ,leaving you with a large pubic area that you perceive as sagging. Do not allow anyone who offers to do a pubic lift. You need the opposite, lowering your incision to the pubic area and shortening the pubic area. Your belly button has outside hypertrophic scars as well. These are the results of poor surgical technique, no progressive tension sutures, placing all the tension on the skin closure which results in hypertrophic scars.If you were my patient, I would redo your abdominoplasty (+/- muscle repair, depending on a physical examination), liposuction of the abdomen, back, waist and hips, lower the scar, reduce the pubic excess, remove your belly button completely. This can be reconstructed later with practically no visible scar.Sculpsure will not give you the results of a great tummy tuck with better scar quality and placement.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.See attached web reference.
Helpful 1 person found this helpful
Answer: Do I need a TT revision, mons pubis lift or both? Will sculpsure give me the results I want? Thank you for your question and photos. Based on these photos you do have relatively good shape, but the scar placement and quality detract greatly from the results. You had a "standard" tummy tuck, which might've been acceptable 20 years ago. Your incision is too high ,leaving you with a large pubic area that you perceive as sagging. Do not allow anyone who offers to do a pubic lift. You need the opposite, lowering your incision to the pubic area and shortening the pubic area. Your belly button has outside hypertrophic scars as well. These are the results of poor surgical technique, no progressive tension sutures, placing all the tension on the skin closure which results in hypertrophic scars.If you were my patient, I would redo your abdominoplasty (+/- muscle repair, depending on a physical examination), liposuction of the abdomen, back, waist and hips, lower the scar, reduce the pubic excess, remove your belly button completely. This can be reconstructed later with practically no visible scar.Sculpsure will not give you the results of a great tummy tuck with better scar quality and placement.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.See attached web reference.
Helpful 1 person found this helpful
Answer: Do I need a TT revision, mons pubis lift or both? Will sculpsure give me the results I want? Hello.
Helpful
Answer: Do I need a TT revision, mons pubis lift or both? Will sculpsure give me the results I want? Hello.
Helpful
March 10, 2020
Answer: Revision TT Your scar seem to be placed too high. It would be possible to lower your scar without moving your belly button. However, only on the basis of in person evaluation one could give you good idea what result you should expect from liposuction of abdomen/mons and revision/lowering the scar. Good luck.
Helpful
March 10, 2020
Answer: Revision TT Your scar seem to be placed too high. It would be possible to lower your scar without moving your belly button. However, only on the basis of in person evaluation one could give you good idea what result you should expect from liposuction of abdomen/mons and revision/lowering the scar. Good luck.
Helpful
March 10, 2020
Answer: Revision tummy tuck I do not think sculpture will help what is bothering you. It appears your scar is high and it has thickened a bit. To address the mons area I would suggest revisional abdominoplasty to lower the scar, however this will give you a little vertical scar to maintain your belly button in a natural position. The benefit is the entire scar will be lower and the excess skin you can now pinch can be reduced. I woudl need to do a full exam to best address that but if it can't be completely treated using the horizontal incision vertical incisions in the bikini line can be made to remove the extra skin. Also if the muscle sutures in teh abdomen has loosened, these could be redone at that time as well.
Helpful
March 10, 2020
Answer: Revision tummy tuck I do not think sculpture will help what is bothering you. It appears your scar is high and it has thickened a bit. To address the mons area I would suggest revisional abdominoplasty to lower the scar, however this will give you a little vertical scar to maintain your belly button in a natural position. The benefit is the entire scar will be lower and the excess skin you can now pinch can be reduced. I woudl need to do a full exam to best address that but if it can't be completely treated using the horizontal incision vertical incisions in the bikini line can be made to remove the extra skin. Also if the muscle sutures in teh abdomen has loosened, these could be redone at that time as well.
Helpful
March 8, 2020
Answer: High Scar, Puffy Mons Area It seems you scar is high, doesn't follow the natural curves of yor pelvis, and the pubic area if too full. It may be possible to lower the scar, improve it';s appearance, and reduce the size of the pubic area.It all depends on the amount and elasticity of the remaining skin, so a good exam is needed. Get a few opinions...not all tummy techniques are the same.
Helpful
March 8, 2020
Answer: High Scar, Puffy Mons Area It seems you scar is high, doesn't follow the natural curves of yor pelvis, and the pubic area if too full. It may be possible to lower the scar, improve it';s appearance, and reduce the size of the pubic area.It all depends on the amount and elasticity of the remaining skin, so a good exam is needed. Get a few opinions...not all tummy techniques are the same.
Helpful
