Hello and thank you for yourquestion. Based on your photograph, you are a great candidate for a tummy tuckwith liposuction. This can be donethrough a low and short incision, all completely below the bikini line. The belly button can be designed to looknatural and have no scars on the exterior. Your muscles can also be plicated resulting in a flat abdomen. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
Scar length and positioning are determined by what is would take to achieve the best, tightest, flattest abdominal wall. If there is a low transverse or horizontal scar it can be extended to each side- only as far as needed to create the best result. Scars should be only as long as necessary and never longer. Before closure - the vertical inside muscle- can be tightened to assist in the flattening process. Be sure to seek an experienced Board Certified PS for in person exam