29 Year Old Male: Mini vs Standard Tummy Tuck?

What do you think? Three times in my life (I'm 29, male) I lost and gained weight, every time for more than 30 kg. The result; look at the pictures. Do I need a mini or a standard tummy tuck? Ps. From 2 years I'm going to the fitness. Thanks

Doctor Answers 16

Full tummy tuck candidate

Consider removal of skin to tighten area. If you have lower belly looseness then you could get a tummy tuck where just the lower section fascia is tightened. If fascia is not loose then lipo. In weight loss patients the answer is usually a tummy tuck. But n exam is needed. Good luck!

Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

Standard vs mini tummy tuck for a man

Congratulations on your weight loss!  It's difficult to completely assess your abdomen based on that photo.  If your only concern is loose skin below your belly button, then you may be a candidate for a mini tummy tuck. However, most people who lose a significant amount of weight will need a full tummy tuck if they want to achieve the flattest, tightest abdomen possible.

I hope that helps and wish you all the best!

James Knoetgen, III, MD
Fresno Plastic Surgeon
4.8 out of 5 stars 59 reviews

Tummy tuck Surgery

 In my opinion, the mini tummy talk is an  operation that  produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides. It is not unusual to see patients who've had mini tummy tuck  surgery present for  revisionary surgery.
It is important to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to  improve your chances of a successful outcome and minimize the need for further surgery.
I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,503 reviews

Mini or full tummy tuck

Without an exam it is difficult to tell what would be best for you. You  may just need a mini tummy tuck to remove excess skin from below or a full if there is alot of laxity above the umbilicus.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Re: Mini tummy tuck vs full tummy tuck (abdominoplasty)

The choice of either a mini tummy tuck or full depends on what you are ultimately trying to achieve through surgery and whether the laxity is both above and below the umbilicus or concentrated within the area below the umbilicus. With a modified abdominoplasty you can still take out a significant amount of skin as long as you maintain an umbilicus to pubis distance of roughly 12.0cm – 13.0cm, so keep that in mind when making your final decision. 

If you are satisfied with the quality of the skin tightness in your upper abdomen, then a modified abdominoplasty - which would free up some of the tissue above the umbilicus but keep the umbilical stalk in place - would be adequate. If on the other hand there is significant laxity above the umbilicus, then you would require a full tummy tuck to achieve a totally flat appearance. 

William F. DeLuca Jr, MD
Albany Plastic Surgeon
4.9 out of 5 stars 184 reviews

Tummy Tuck is an Excellent option after large weight loss

Hi there-

Because of the large amount of weight you have lost, and the significant amount of skin in excess, and just as importantly, because of the poor quality of the remaining skin, you would be best served with an abdominoplasty (full tummy tuck).

Good luck!

Armando Soto, MD, FACS
Orlando Plastic Surgeon
4.8 out of 5 stars 160 reviews

Mini or full?

Basically if you have extra skin above your belly button combined with laxity of the abdominal wall a full abdominoplasty would tend to give you a better result with the downside of an umbilical scar.  A mini abdominoplasty is best for removing a limited amount of skin below the belly button and some lower abdominal tightening but due to the fact that the belly button is not released, the amount of skin removed is limited.  Clearly this would be best assessed on physical exam but looking at your picture it looks like you have enough extra skin to warrant a full abdominoplasty procedure.

Leslie D. Kerluke, MD (retired)
Vancouver Plastic Surgeon
5.0 out of 5 stars 4 reviews

Mini versus full tummy tuck

It appears as though you may just need a mini tummy tuck to remove the excess skin your are holding in the photo.  However, it's hard to tell you exactly how long the incision will be without actually examining you.  Make sure you get a good understanding as to the difference between the two operations.  A full tummy tuck will remove much more skin if you have enough, but with a much longer scar.  A mini tummy tuck won't remove as much skin, but the scar is much shorter.  Either way, good luck!

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 202 reviews

Full or mini tummy tuck

Judging from the skin laxity in the picture, you would benefit from a full "skin" tummy tuck. Depending on the condition of the muscle, you may not need a diastasis repair. Try core strenghtening prior to surgery .

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Mini vs. Full Tummy Tuck

If you want complete correction of this excess skin, you need a full Tummy Tuck. A mini-tummy tuck is always an undercorrection of skin excess, as only about an inch or 2 can be removed from right above that superior pubic hairline. Scars will result around the belly button and  low hip to hip for the full procedure vs about 18 cm in the lower abdominal area  for the mini. So it depends also what you are willing to accept with regard to scar length.

Hayley Brown, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 90 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.