Is There a Procedure to Pull Skin on Upper Abs?

Question

I had a Mini tummy tuck 5 years ago with some Liposuction on my upper abs.  My abdominal muscles are in very good shape, however, I now have some loose skin and dimpling on my upper abs.I have heard about reverse tummy tucks.  Is there a procedure to just pull the skin on my upper abs (no fat removal, no muscle repair)? Help!

Otto Joseph Placik, MD · Answer

A reverse tummy tuck is an option that is NOT popular due to the scar but may be suitable for your unique situation. Discuss this after consultation with a plastic surgeon.

George Marosan, MD · Answer

If you would've had the correct operation the first time, we would not be having this discussion. A mini tuck always leaves under tightened upper abdominal muscles or loose skin above the belly button. This would be a reason for a reverse tuck. Although in theory it makes sense, in practice it will leave you with a visible scar that often will not stay hidden under the breast crease (also crosses the midline between the breasts and this is always visible). If this is minimal skin looseness a non surgical skin tightening can be used, like Thermage, but to get the best outcome you would need a full abdominoplasty without muscle repair using your previous incision. Recovery will be much shorter and less painful without the muscle tightening.

Steven Wallach, MD · Answer

While a reverse can lift the upper abdominal tissue, you will have scars under the breasts and often across the sternum. You are probably better off having a full tummy tuck.

Allan J. Parungao, MD · Answer

You have already heard that the reverse tummy tuck is not universally acceptable as a solution to your problem.  Your best bet would be to consult with your plastic surgeon and discuss a revision which may include: a full tummy tuck, laser liposuction, a skin tightening treatment (such as Thermage) or a combination of these options.  It's impossible to give an exact recommendation without meeting you personally.  Good luck in your search.

Christopher L. Hess, MD · Answer

Mini tummy tucks will tend to leave a small amount of excess skin in the upper abdomen.  It's usually around the belly button.  It's very difficult to get rid of this skin and I'm sure you don't have enough for a full tummy tuck.  Sometimes some of  excess can be removed using an incision around the top of the belly button but not much.   Sorry I can't me more of a help.

Is There a Procedure to Pull Skin on Upper Abs?

Answers (8)

Answer: Reverse tummy tuck

Answer: Reverse tummy tuck

Answer: No

Answer: No

Recommended reading

Everything you need to know about Mini Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.

Is There a Procedure to Pull Skin on Upper Abs?

Answers (8)

Answer: Reverse tummy tuck

Answer: Reverse tummy tuck

Answer: No

Answer: No

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Recommended reading

Everything you need to know about Mini Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.