Can I do lipo with rectus muscle plication then instead of pulling the skin down, only remove skin that sits below belly button?

Hi and thank you for your question regarding if you can get a tummy tuck with muscle repair and liposuction with the skin only the skin below the belly button resected. I can tell you that the procedure you're describing is a variation of the traditional tummy tuck, but it's important to understand that each patient's situation is unique, and the surgical approach must be tailored to individual needs and goals.

Lipo 360 with rectus muscle plication, or repair, involves liposuction of the entire abdominal area along with tightening of the abdominal muscles. Combining this with a partial skin excision only below the belly button is possible, but its effectiveness will depend on the extent of skin laxity and your desired outcome.

In some cases, a modified tummy tuck or a mini tummy tuck can achieve the desired results without removing skin above the belly button. However, it's crucial to have a thorough consultation with a board-certified plastic surgeon to determine the best surgical approach for your specific case.

During your consultation, your surgeon will assess your individual goals, examine your abdominal area, and discuss your surgical options. Based on this evaluation, they can recommend the most appropriate procedure to address your concerns and achieve the desired results. Remember that each patient's anatomy and surgical goals are unique, so the best approach will vary from person to person.

If you are getting muscle repair, the abdomen will have to be dissected up to the sternum to give proper plication. I wonder why you don't want your upper abdomen touched (I understand it's not fatty). Please seek a board-certified plastic surgeon and thoroughly discuss your concerns with him/her.

Thank you for your question and I wish you the best of luck.

Sincerely,
Dr. Katzen

Dear msantana0726,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Interesting……... Can’t really say without photos or evaluation but some patients might qualify. That said, even if they do qualify, it would probably not their best option. If you are interested in having full tt results WITHOUT A BELLY BUTTON SCAR… it is almost impossible. Maybe a mini tt plus an inverted mini tt both with muscle repair.
Send some photos for an evaluation to see if this is a good option for you.
Best wishes,
Dr. Miguel Mota

Thank you for your question. This would be a mini tummy tuck with a rectus plication. Not all plastic surgeons offer this, as it requires some specific instruments and techniques to be able to tighten the muscle all the way up to the xiphoid. You should know, that depending on how much the lower belly tissue needs to be removed, your belly button will get pulled down. This can lead to an unnatural result. Good luck.

What you are describing is a mini tummy tuck. It can be done if you’re a good candidate for it. However it doesn’t come close to accomplishing what a full tummy tuck does

Hello!
What you are describing is a Mini Tummy Tuck. Incision at the pubic line, not around belly button. Removal of lower abdominal/upper pubic skin, muscle repair and liposuction. This is a great way to improve core and aesthetics!
Be sure to see a board certified plastic surgeon for consultation. You can find one at plasticsurgery.org.

I appreciate your desires and it certainly may be possible to remove just skin below your belly button without pulling all the skin down. Essentially this is a mini tummy tuck. However to properly plicate the abdominal wall muscles, skin dissection must continue above the belly button to allow exposure to do the plication. Come see me or another board-certified plastic surgeon in our area to explore the best options for you.

What you are describing is a mini tuck, and it can be done. Only skin below the belly button is pulled down with the excess removed, and the lower half of the abdominal muscles are tightened.

You are somewhat describing a mini tummy tuck in your description. Some liposuction can be added for further contouring. The best way to determine if you are a candidate is to visit with a board certified plastic surgeon near you for a consultation. I've also included a video that I hope you find helpful.

I'm a little lost, but understand your request. I do not do Lipo 360 and lift the anterior abdominal flap at the same time for fear of losing a portion of lower abdominal skin postop. In order to plicate the upper rectus abdominus muscle, the umbilicus must be released to gain access. This will leave a small scar around the belly button. If desired, the lower abdominal skin may be stretched, then excised and closed. The liposuction would have to be done post-op if desired.
Dr. Taranow