Loose skin - reverse or TT or both? I really don't want the upper scar (Photos)

Question

Hi, so i had a lot of scarring on my tum & wanted lipo to see what skin was left after fat had been removed, I knew it would look wrinkled & bad, so aware of the stage I was going to be at now. I have skin left over now so can see what needs to be taken away. 1 surgeon said (who hasnt seen me in person) a normal TT would get rid of everything & slim my top. However the surgeon who did the lipo on me is saying I need a Reverse TT & mini TT, but I really dont want the upper scar??

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether to choose a reverse tummy tuck, a traditional tummy tuck, or both, especially considering your concerns about the upper scar.

Based on the details you've provided, I think you'll do great with a traditional tummy tuck (TT) and you don't need a reverse tummy tuck. A standard tummy tuck should be sufficient to remove the excess skin and slim down your upper abdomen, achieving a smoother contour from the lower ribcage to the pelvis. This procedure focuses on tightening the abdominal muscles and removing excess skin and fat, which seems to align well with your goals of enhancing your figure while avoiding additional scars above the breasts, which are typical with a reverse tummy tuck.

Additionally, to enhance your results and give you an even more contoured figure, liposuction of the superior iliac crest (the upper pelvic area) can be an effective adjunct. This targeted liposuction can help refine the waistline and blend the contours seamlessly from your tummy tuck.

It's important to have a thorough consultation with a board-certified plastic surgeon who can assess you in person. Discuss your aesthetic goals and concerns, particularly about scarring and the extent of the procedures. A good surgeon will help you understand the potential outcomes and tailor the surgical plan to best suit your needs while minimizing unwanted scars.

Remember, every patient's body and surgical outcomes can vary, so choosing a surgeon who listens to your concerns and clearly explains what can realistically be achieved is crucial.

Sincerely,
Dr. Katzen

Daniel Barrett, MD · Answer

Dear misskpx,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Carlos Mata, MD, MBA, FACS · Answer

In your case a full tummy tuck (traditional tummy tuck) might be the most suitable option. A full tummy tuck can address both the upper and lower abdominal areas, removing excess skin and tightening the abdomen.The surgeon who performed your liposuction suggests a combination of a reverse and mini tummy tuck, but if the upper scar is a significant concern for you, it's important to communicate this clearly. Each surgical approach has its pros and cons, and the key is to find a balance between achieving your aesthetic goals and the extent of surgical intervention you're comfortable with.

It's crucial to discuss your concerns and preferences in detail with a board-certified plastic surgeon, preferably in person, so they can provide a tailored recommendation based on your specific case, skin condition, and the results of your previous liposuction.

Salvador Garcia, MD · Answer

Hello, I am Dr. Salvador Garcia, if you have a lot of sagging from the shoulder upwards, the treatment is Reverse TT with a scar in the center of the bust, if you have sagging from the shoulder downwards, the treatment is a TT.

Camille Cash, MD · Answer

From your photos a standard tummy tuck is advised. This should adequately address the excess skin both above and below the belly button.  It would not need to be combined with a reverse tummy tuck.  See a few board certified plastic surgeons for consultations to listen to varying opinions.

Loose skin - reverse or TT or both? I really don't want the upper scar (Photos)

Answers (9)

Answer: Hello, it all depends

Answer: Hello, it all depends

Answer: Considering options

Answer: Considering options

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Everything you need to know about Tummy Tuck

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Loose skin - reverse or TT or both? I really don't want the upper scar (Photos)

Answers (9)

Answer: Hello, it all depends

Answer: Hello, it all depends

Answer: Considering options

Answer: Considering options

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Recommended reading

Everything you need to know about Tummy Tuck

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