Most women seek to optimize their innate "hour-glass" shaping with either liposuction or a full tummy tuck. Tightening of the muscles, tension on the lax skin and selective liposuction can enhance your contour but will still be limited by your natural muscle contour. The benefits of a tummy tuck are quite significant however and likely to be very satisfying for appropriate candidates. The video above describes who is a good candidate for tummy tucks, lipo or both procedures. Regards.
Jon A Perlman M.D., FACS
Certified, American Board of Plastic Surgery
ABC-TV Extreme Makeover Plastic Surgeon
Beverly Hills, California
Based on the way you asked, I am assuming that by regular tummy tuck you mean removal of excess skin only, and that the Hour Glass tummy tuck would be circumferential liposuction as well as the tummy tuck. This is a technique that I use at my practice called the Timeless Tuck, which is circumferential liposuction, front and back, and the removal of excess skin. I would recommend seeing a board certified plastic surgeon to fully assess you and to see which treatment plan option would be best for you.
There are many different styles of tummy tuck. The terms you are using seem more like marketing terms than truly different types of tummy tuck. Be sure to discuss what type of surgery is right for you from a board certified plastic surgeon.
Thank you for your question. A tummy tuck with liposuction of the flanks and hips will improve the shape. The tummy tuck result will last a long time
unless you have fluctuations in weight or have another
child. I encourage you to make an appointment with a Board
Certified Plastic Surgeon to discuss all of your options. Best
All versions of a tummy tuck for women aim to produce an hourglass figure. Methods to accomplish this include liposuction of the flanks and muscle repair. The term "hourglass tummy tuck" is not recognized by most plastic surgeons because it implies something different than what we already do.
Thank you for your question. A TT tightens muscles and removes skin from the abdomen. The surgeon may be describing additional liposuction to the flanks to help create contour. Liposuction to the flanks often enhances the results of a TT.
There are a lot of ways to market tummy tucks, so not sure what am "hourglass" tummy tuck is, but an hourglass shape is the goal of most tummy tuck procedures.
A typical tummy tuck performed by a plastic surgeon would combine liposuction for contouring and shaping, removal of excess skin for tightening and an "internal corset" to repair the separation of your muscles to give you that "hourglass shape". Consult a board certified plastic surgeon. Good luck!
It is really hard to
give advice without examining patients with regards to abdominoplasties and the
many permutations and “versions” of them that get offered to patients. Briefly, if you have excess skin or laxity in
your skin and fat, removal of that tissue would be of benefit. If your muscle contour is not what it used to
be or it not optimal, a procedure to tighten your “core” may be necessary. This is especially important in the
post-pregnancy population as during your pregnancy, your muscles were forced to
adapt to a growing baby inside. Most
times, those muscles don’t go exactly
back to where they were before. Some
come back really darn close, but rarely to their exact pre-pregnancy
position. If you don’t have the
musculature issues addressed, and you only have the skin and subcutaneous
tissues removed, your contour will not be optimal and I believe you will be
dissatisfied with your results. It’s
paramount to fix the foundation (the musculature) before building the house.
The next question to
address is what to do with your belly button.
Depending on the amount of upper abdominal laxity, you may have your
belly button brought through a new place in your skin (belly button stays where
it is on your abdominal wall, but by stretching skin downwards, it needs to
come out in a new place or it would look tethered and not natural) or you may need to leave it where it is or potentially “float” it down
the abdominal wall an inch or two (it actually ends up being lower on your
torso than where it started). Decisions
about pre-surgery position of your belly button and tradeoffs between potential
scar placement vs. keeping your belly button in a naturally-appearing position
are used to determine that.
As you can see, there
are lots to consider when discussing abdominoplasties. You really need to discuss all of these
issues with a board certified plastic surgeon and see pictures of their
results. Who cares if someone does “drainless tummy tucks” or offers you an "hour glass tummy tuck" if their results do
not look great. Likewise, tummy tucks
that are done overly tight do not look natural and defeat the purpose of having
your abdomen rejuvenated in the first place.
What good is getting a tummy tuck if you aren’t excited to show it
off? Hope this helps!
A full tummy tuck is the standard of care. The hour glass is just a coined term that might be referring to limiting lateral dissection in an effort to encourage medicalization of your sides. Please see link below for your free cheat sheet on "7 keys to a great tummy tuck" which will address your question.
I have attached a video below that lays out the different types of tummy tuck -- mini and full. In general, most women are not good candidates for a mini especially if they've had children.
Dr. Sheila Nazarian
@drsheilanazarian on Instagram