How Far Up Do Mini Tummy Tuck Sutures Go?

In a mini tummy tuck, do the sutures finish just before the belly button, or do they finish under the belly button?

Doctor Answers 3

Sutures in the muscle during a mini tummy tuck

Traditionally, the suturing of the muscles during a mini tummy tuck goes up to the belly button. If one wanted to, they could lift the skin above the belly button and sutures could be placed there, but it is not as easy to do as during a full tummy tuck.

Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Mini Tummy Tuck and Muscle Repair?

Thank you for the question.

Muscle plication suturing done during mini tummy tuck surgery generally extends from the belly button down to the pubic bone. This has to be done judiciously to avoid an increased intra-abdominal pressure that would result in bulging/prominence of the upper abdominal wall.

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  for patients seeking abdominal contouring surgery to work with a well experienced board-certified plastic surgeon to obtain advice (based on good ethics and judgment) to  improve  their 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 1,485 reviews

Mini-tummy Tuck and Sutures

Dear Purplearms,  This is a hard question to answer since there are so many variations of mini-tummy tucks out there.  In most techniques, the incision is very low, just above the pubic area, and horizontal, side-to-side- not up and down.  This allows the incision to hide in swimwear and undergarments.  On occasion, the plastic surgeon will tighten the lower abdominal muscles through this same incision but those sutures are deep under the skin and fatty tissues and not on the outside.  Typically if these muscle tightening sutures are used in a mini-tummy tuck, they run from the navel down to the pubic bone.

I would recommend consulting with a board-certified plastic surgeon who can better address your concerns after a complete examination and medical history review.  Hope this helps and best of  luck.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
4.7 out of 5 stars 83 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.