Hi - I’ve heard I need a fully tummy tuck, a hybrid tummy tuck and now an umbilical float tummy tuck. What do you think? Part of me just wants to do nothing. I have a small umbilical hernia with no pain and minor diastisis. Also, do I need flank Lipo? Thanks!
July 30, 2023
Answer: Full tummy tuck or a Mini tummy tuck with “umblical float” or nothing Thankyou for your query. Based on your picture , the best technique for you, with minimal incisions, will be a repair of the umblical hernia with some liposuction of the flanks. You can get a non surgical skin tightening technique like ThermiTight or Bodytite for further shaping of your abdomen. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!
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July 30, 2023
Answer: Full tummy tuck or a Mini tummy tuck with “umblical float” or nothing Thankyou for your query. Based on your picture , the best technique for you, with minimal incisions, will be a repair of the umblical hernia with some liposuction of the flanks. You can get a non surgical skin tightening technique like ThermiTight or Bodytite for further shaping of your abdomen. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!
Helpful
July 28, 2023
Answer: What should I do. Too many opinions, inclined to do nothing. I like the do nothing option. Nothing, looking at you cries out to be done, and you can live just fine with a small asymptomatic umbilical hernia. The subtleties of the options you were told can be related to measuring the distance of xiphoid to pubis, dividing by 1/2 or marking 2/3 the distance down from xiphoid. Between those two marks, Hoyos, et al., PRS 12, 2022, says you figure out how much the umbilicus will slide down if released. If it does not slide down out of that zone, you can float the umbilicus, since that zone is an area where it will still look normal, even if floated down. Not sure I agree with this, I like the umbilicus where it came from. If there is sufficient upper laxity, say 4 cm, you can slide the skin up and remove it under the breast. However, that requires inframammary incisions, not so good unless you have had a breast lift with pre-existing scars.
Helpful
July 28, 2023
Answer: What should I do. Too many opinions, inclined to do nothing. I like the do nothing option. Nothing, looking at you cries out to be done, and you can live just fine with a small asymptomatic umbilical hernia. The subtleties of the options you were told can be related to measuring the distance of xiphoid to pubis, dividing by 1/2 or marking 2/3 the distance down from xiphoid. Between those two marks, Hoyos, et al., PRS 12, 2022, says you figure out how much the umbilicus will slide down if released. If it does not slide down out of that zone, you can float the umbilicus, since that zone is an area where it will still look normal, even if floated down. Not sure I agree with this, I like the umbilicus where it came from. If there is sufficient upper laxity, say 4 cm, you can slide the skin up and remove it under the breast. However, that requires inframammary incisions, not so good unless you have had a breast lift with pre-existing scars.
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