Why don't more doctors do endoscopic tummy tucks?

Endoscopic procedures use a combinations of very small incisions and long instruments with a camera.  We have several procedures that can be done endoscopically, but unfortunately, tumm tuck is not one of them. This approach can tighten the muscles but cannot remove loose skin.  ANy laser or Radiofrequency device might tighten the skin a little, but not enough to make a tummy tuck unnecessary.  In this situation, stick with the tried and true procedure 0 standard abdominoplasty.

Perhaps for diastasis alone, but otherwise the endoscope has not been useful for tummy tuck, and no laser heating or other treatments will shrink the abdominal skin.
Best of luck,
peterejohnsonmd

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.