is Fascia tightening on the torso worth it?

Question

I had Diep surgery 4 years ago & was never thrilled with results. Specifically my question involves the stomach to include fascia tightening all the way up. vs just to my belly button. As it stands now, the bottom is tight & the top of my torso feels full and "loose". I'm worried that if I don't have significant diastasis, will I be to tight? Are the results worth the healing & pain,, flatter/strong torso, or a subtle result? im nervous!

David Branch, MD · Answer

Wingracie, it is difficult to determine how much you would benefit from muscle tightening without a proper exam. if you have significant diastasis with a bulging abdomen and are hoping to slim, tighten, and improve our waistline and you are ok with a longer recovery time then you would be a good candidate. I would recommend fascial tightening to a greater degree above your umbilicus than below if this is where it is loose. This is common after a DIEP flap if the fascia is simply closed and not plicated above and below. Hope this helps!

Camille Cash, MD · Answer

The muscle tightening is what allows the patient to achieve that flat, tight tummy appearance.  By tightening the whole abdomen, as long as it is indicated, it can provide a more uniform contour to the abdomen.  Visit with a board certified plastic surgeon.  After an exam and discussion of your goals a personalized surgical plan can be developed for you.

Gary M. Horndeski, MD · Answer

The most important part of a tummy tuck is the fascia tightening.  The fascia tightening extends from xiphoid high all the way to the umbilicus and from the umbilicus down to the pubic bone.  You may benefit from plication of the fascia from the top to bottom to increase the mechanical strength of the abdominal wall.  Mesh can also be used to reinforce the fascia.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Wingracie,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You did not post photos, so I recommend meeting with a board certified plastic surgeon and being examined. Then, you can discuss your concerns and options.

is Fascia tightening on the torso worth it?

Answers (6)

Answer: Tummy tuck

Answer: Tummy tuck

Answer: Abdomen

Answer: Abdomen

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Everything you need to know about Tummy Tuck

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is Fascia tightening on the torso worth it?

Answers (6)

Answer: Tummy tuck

Answer: Tummy tuck

Answer: Abdomen

Answer: Abdomen

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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.