Tummy Tuck Procedure Options
Hello and thank you for your question. I would have to say that I agree with my colleagues in the lack of possibility that a complete skin recovery would be gained by exercise, diet or other self-initiated actions. There are various procedures that can help with all of this, and luckily some of them are quite simple and easy to heal from.A variety of tummy tucks are available. Patients who only need a tightening of the abdominal muscles or removal of a small amount of skin may be best treated with a “mini-tuck.” Patients who have undergone massive weight loss, on the other hand, will probably require more extensive surgery.
An abdominoplasty is usually done under general anesthesia. An incision is made along the lower abdomen at about the pubic hair line, and another incision is made around the belly button which stays attached to the muscle.
Mini-abdominoplasty tightens the lower abdominal wall and skin below the umbilicus, belly button, only (shortest scar).
Modified abdominoplasty addresses conditions where just the muscle wall or just the abdominal skin requires repair.
Standard abdominoplasty tightens all of the abdominal wall skin and muscles above and below the belly button. The scar can be altered or lowered to be hidden by most panty lines and bathing suits. (Standard scar).
Extended abdominoplasty tightens the abdomen and the flanks or sides (longest scar extending around the flanks onto lower back.)
A general anesthetic is most common, although mini-tucks may be done with local anesthetic and intravenous sedation. A standard abdominoplasty is generally an outpatient procedure, but extended abdominoplasty may require a short hospitalization of 1–2 days.
Tummy tuck after pregnancies
Thank you for your question and photographs.It is important when looking for a plastic surgeon for a tummy tuck that you find one who is board certified to obtain the best results possible. From the photos you have posted and your pregnancy history, you do look like a candidate for a tummy tuck to correct the loose skin and tighten the abdominal wall. During pregnancy, the diastasis muscle stretches out along with some weight gain. When I perform a tummy tuck, I tighten the diastasis rectus muscle which brings in the waist. I think you would be happy with the results from a full tummy tuck. If you are worried about the scar associated with a full tummy tuck, there are topical scar creams as well as laser treatments that can diminish the look of the scar and make it finer and less noticible. I hope this helps!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
Excess belly skin
having children are great. However they do a number to the women's body. Unfortunately you have both excess skin and muscle separation. Both of those will never go away with exercise. I'm sorry to say that. You are very healthy and in shape so congrats on that. You are a great candidate for a tummy tuck and muscle tightening and you will do amazing! Best wishes.
Should I go through with a tummy tuck or will I be able to repair my skin
There is nothing you can do to tighten the skin on your abdomen. It will require surgery to remove the excess skin I am afraid.
You would do best with tummy tuck- fixes your muscles, belly button hernia and removes excess skin
It is really hard to
give advice without examining patients with regards to abdominoplasties and the
many permutations and “versions” of them that get offered to patients. Briefly, if you have excess skin or laxity in
your skin and fat, removal of that tissue would be of benefit. If your muscle contour is not what it used to
be or it not optimal, a procedure to tighten your “core” may be necessary. This is especially important in the
post-pregnancy population as during your pregnancy, your muscles were forced to
adapt to a growing baby inside. Most
times, those muscles don’t go exactly
back to where they were before. Some
come back really darn close, but rarely to their exact pre-pregnancy
position. If you don’t have the
musculature issues addressed, and you only have the skin and subcutaneous
tissues removed, your contour will not be optimal and I believe you will be
dissatisfied with your results. It’s
paramount to fix the foundation (the musculature) before building the house.
The next question to
address is what to do with your belly button.
Depending on the amount of upper abdominal laxity, you may have your
belly button brought through a new place in your skin (belly button stays where
it is on your abdominal wall, but by stretching skin downwards, it needs to
come out in a new place or it would look tethered and not natural) or you may need to leave it where it is or potentially “float” it down
the abdominal wall an inch or two (it actually ends up being lower on your
torso than where it started). Decisions
about pre-surgery position of your belly button and tradeoffs between potential
scar placement vs. keeping your belly button in a naturally-appearing position
are used to determine that.
As you can see, there
are lots to consider when discussing abdominoplasties. You really need to discuss all of these
issues with a board certified plastic surgeon and see pictures of their
results. Who cares if someone does “drainless tummy tucks” if their results do
not look great. Likewise, tummy tucks
that are done overly tight do not look natural and defeat the purpose of having
your abdomen rejuvenated in the first place.
What good is getting a tummy tuck if you aren’t excited to show it
off? Hope this helps!