Does it look like I would require a vertical incision during a tummy tuck? (photo)
Doctor Answers 18
Vertical incision and tummy tuck
Does it look like I would require a vertical incision during a tummy tuck
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Tummy tuck candidate
Do I need a vertical incision for a Tummy Tuck
Good Result, Yes - Vertical Incision, It Depends.
This depends two things: 1) How stretchable is the skin above the belly button since this must stretch enough to allow the belly button opening to be pulled down far enough so that it can be removed when the excess skin is cut away. 2) It also has to do with how far it is from the belly button to the cross-wise incision, since a long distance will increase the chance that the skin above the belly button opening will not stretch enough to allow removal of the belly button opening.
To judge these two factors, you'll need to visit with a plastic surgeon so that the doctor can examine you, test the stretch of your skin, and make an informed prediction as to whether or not you'll have a vertical scar. Sometimes, though, things may work out differently in surgery than expected. The looser the skin above the belly button and the shorter the distance between the belly button and the cross-wise incision, however, the less likely you are to need a vertical scar.
I hope this somewhat lengthy answer is of help!
Re-establish Your Scar Priorities
You are not the only one who tries to avoid a vertical closure of the umbilical defect; most of my colleagues do too, to the great disservice of the patient when they get their horizontal scar placed too high. You are a great candidate for a tummy tuck, and if your horizontal incision is placed where it should, you will have a vertical scar, which will look like a fine little stretch mark in your lower abdomen.
Proper placement of the horizontal scar should not vary from patient to patient; it belongs in the border between the abdominal and thigh aesthetic units, and no more than 2 inches above your genital commissure. This will lead to the best cosmetic result possible, and is based in the same principles that guide placement of face lift scars.
Go visit a few ABPS certified/ASAPS member surgeons that perform body contouring procedures. Also consider surgeons that perform progressive tension sutures and drainless tummy tucks.
Best of luck!
You our will do well. Go to a board certified plastic surgeon. Good luck!!