I had a tummy tuck 22 months ago to get rid of the saggy skin and stretch marks that I got after three pregnancies. I ended up with a high incision and noticeable scar around my belly button. I was thin and "fit" going into the procedure. I am now considering a revision and would like to know all of my options. My skin is still tight from the previous procedure although I do have some laxity around the belly button area. I welcome all opinions.
Answer: Anchoring sutures Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.
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Answer: Anchoring sutures Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.
Helpful
June 29, 2013
Answer: Lowering abdominoplasty scar
Problem scars around the umbilicus and positioning of the low transverse scar after an abdominoplasty. The umbilical scar is really he cherry on the ice cream sundae when it comes to abdominoplasty surgery. It is the most visible scar and most plastic surgeons are very careful to create a nice, aesthetically pleasing scar. Everything can be done correctly and a small percentage of patients will make a bad scar. Your scar may lower over time. I always have my patients pull up as hard as they can in the pre op room and I mark the incision to be 6 cm above the top of the superior labial area. This keeps the scar in low position.
Helpful
June 29, 2013
Answer: Lowering abdominoplasty scar
Problem scars around the umbilicus and positioning of the low transverse scar after an abdominoplasty. The umbilical scar is really he cherry on the ice cream sundae when it comes to abdominoplasty surgery. It is the most visible scar and most plastic surgeons are very careful to create a nice, aesthetically pleasing scar. Everything can be done correctly and a small percentage of patients will make a bad scar. Your scar may lower over time. I always have my patients pull up as hard as they can in the pre op room and I mark the incision to be 6 cm above the top of the superior labial area. This keeps the scar in low position.
Helpful