What are my options to fix indentation from horizontal skin laxity? (Photos)

Question

I’m currently a 30 y female who lost 130 pounds at age 22 and underwent a long line tummy tuck to remove excess skin (as well as breast reconstruction which also didn’t yield good results.) Ever since the procedure I have had a large horizontal indent above my belly button. I’m aware that this is because the surgeon pulled my skin down and it didn’t fix the horizontal skin issue. I should have gotten a full fluer-dis-lis procedure. Even when I got to an underweight BMI, the large indentations were still there. I wanted to know what my options could be.

Mehmet Ozdemir, MD · Answer

Hi and thank you for your question.
Based on your description, you are suitable for a reverse tummy tuck. This procedure can address upper abdominal skin laxity and help improve the horizontal indentation.
A consultation with clear photos is necessary to confirm the best approach for you.
Hope this helps!

Guray Yesiladali, MD, FEBOPRAS · Answer

As you mentioned, this condition is related to horizontal laxity that typically develops after significant weight loss. Standard abdominoplasty techniques are often insufficient in these cases because the excess is not only vertical but also transverse.
To properly address horizontal laxity, a fleur-de-lis abdominoplasty is required. This technique includes a vertical incision extending from the lower chest toward the pubic area, incorporating the umbilicus. It allows removal of excess tissue in both horizontal and vertical directions.
Without this vertical component, achieving adequate tightening in cases of significant horizontal redundancy is generally not possible.
A detailed examination is necessary to confirm the degree of laxity and plan the appropriate surgical approach.
I wish you a smooth planning process and a result that restores both contour and comfort.
&mdash; Güray Yeşiladalı, MD

What are my options to fix indentation from horizontal skin laxity? (Photos)

Answers (2)

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