Why don't more doctors do endoscopic tummy tucks?

Endoscopic surgery is a real advance in many areas of plastic surgery.  However, when there is extra skin and fat to be removed, as in a typical tummy tuck, then endoscopy has NO role to play.  There are almost no cases in my over 25 year experience that would have benefitted from this type of operation.  I have seen perhaps one patient who only had muscle weakness following delivery, who did not have any extra skin to get rid of.

So called  "Heat therapy" can only minimally tighten tissues.  I have invested hundreds of thousands of dollars in these technologies over the years, so I know what I am talking about.  The results of non operative heat therapy are very very modest, and they have very very limited use.  A patient with loose excess tummy skin will almost always benefit from a full tummy tuck.  It is a very satisfying operation with extremely high approval ratings.

The endoscopic abdominoplasty is indicated for patients who have no loose skin, minimal excess fat of the lower abdomen and bulging of the abdominal wall. The endo TT as a small incision in the pubic region that allows for no skin excision. As most patients seeking TT have some skin laxity to deal with, the endoscopic procedure is the least commonly perfomed.  In our own practice we have performed 5 different types of abdominoplasties based on patients wishes: endoscopic, reverse, midline, mini, and standard. Please see our website to see what would be best for you.