Is this revisable without converting to an open book tummy tuck? (Photos)

Question

In March 2025 I had a fleur-de-lis tummy tuck to address loose skin after losing over 50kg (110lb). My expectation was that when I sit down with or without clothes, the skin above my bellybutton would not fold over the way it does. I had a follow up consultation with my surgeon who advised the only way to remove this skin is with an open book tummy tuck which would require a scar across my ribs just under my breasts and my bellybutton would be stretched out and look unnatural. I'm struggling to accept this response and hope you might be able to provide me a second opinion. Thank you.

Daniel Barrett, MD · Answer

Dear Rational174013,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

One of the less frequently mentioned problems with body contouring surgery  is loss of skin elasticity due to long lasting obesity (stretching). This results in skin redundancy and folding some time after initial excision surgery (abdominoplasty, thigh lift, breast lift). Skin, which was tight for few months after surgery,  becomes stretched and folds in the areas where deep scar (belly button, abdominoplasty scar)  is fixed to the deep fascia/muscles. That very frequently calls for additional skin excision, liposuction or combination of these. Hope this helps.

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