Mini or full tummy tuck or Laser Lipo? (Photo)

Hello Guinevere2021. Thank you for your question regarding the best procedure for your abdomen.

Based on your photos, stretch marks, and history of pregnancy, a full tummy tuck with muscle plication will be your best option. Here’s why:

Muscle Repair: Pregnancy often causes the rectus abdominis muscles to separate, a condition known as diastasis recti. A full tummy tuck includes muscle plication, which involves stitching these muscles back together. This not only flattens your abdomen but also strengthens your core, providing better overall support and posture.

Excess Skin Removal: A full tummy tuck removes a significant amount of excess skin, particularly beneficial if you have stretch marks and loose skin, which are common after pregnancy. A mini tummy tuck wouldn't address the upper abdomen or provide as much skin tightening.

Comprehensive Contouring: A full tummy tuck allows for more comprehensive contouring of the abdomen. It includes repositioning the belly button and tightening the entire abdominal wall, resulting in a smoother and more toned appearance.

Long-term Results: While non-invasive procedures like laser lipo can be appealing due to minimal downtime, they often don't provide the dramatic and long-lasting results of a surgical procedure. For significant changes and muscle repair, surgery is usually more effective.

Future Pregnancy: Since you mentioned the possibility of having another child in about five years, it's worth considering that another pregnancy could affect the results of your tummy tuck. However, many women still choose to undergo the procedure now to improve their quality of life and self-esteem. If you decide to go through with the surgery now, you can always plan for minor revisions if needed after future pregnancies.

In conclusion, based on your current condition and goals, a full tummy tuck with muscle plication will provide the most comprehensive and lasting results. This procedure will effectively address both the excess skin and muscle separation caused by pregnancy.

Good luck with your decision and future procedures!

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Addressing excess skin and stretch marks can only be corrected through an abdominoplasty or tummy tuck. If you do non-invasive lipo or liposuction it will leave the skin and will have a less than ideal appearance. A full abdominoplasty can help address the stretch marks and excess tissue and correct diastasis. A quality consult is important

Thank you for your questions and photos. From your photos, you would be a good candidate for a tummy tuck with liposuction. A tummy tuck will address excess skin & repair of the abdominal muscle. The abdominal wall can be weakened after pregnancy and (or) significant weight gain & loss. By repairing the muscle, not only does the appearance of your abdominal area improve, but your core strength as well. The repair of the muscle will cinch your waist like an inner corset, lift your pubic mons area and accentuate your curves. Liposuction will remove excess fat from unwanted areas with some skin retraction. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD
Double Board Certified Plastic Surgeon

South Barrington
Oakbrook Terrace
Orland Park