Surgery Friday and Want to Make Sure I Made the Right Choice? Full or Mini TT? (photo)

booked in for a Mini TT & Breast augmentation Friday!!!Feel like I let the Dr. talk me out of the full TT that I initially thought I would have.He thinks I am a better candidate for mini and that I would like the results better.(smaller scar, my own belly button)but after reading a women's stories who ended up booking mini and were not happy with results.I am a 29yo mother of 4.I am 5'9" and 137lbs.suggestions. I need plication due to full diastasis above and below navel

Doctor Answers 17

Photos Suggest-- Full TT

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Pregnancy can result in dramatic changes in a woman’s body.These changes are especially noticeable in the abdomen where redundant saggy skin, weakened muscles and stretch marks may occur. Your pictures suggest that you might benefit from a full abdominoplasty but without a physical examination by an experienced plastic surgeon, there’s no way to know for sure.
If your excess skin is located below the level of the umbilicus and your muscle weakness is also at this level, you might be a candidate for a mini-abdominoplasty.
Unfortunately, the separation of your muscles and your redundant skin suggest that you may need a full tummy tuck.

Modified Abdominoplasty Candidate?

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The key to success in aesthetic surgery is matching the right operation with the right patient.  You do appear to be a candidate for a modified abdomioplasty.  It the umbilicus is detached from the inside then the entire anterior abdominal wall can be repaired.  I try to stay away from partial fascial repairs as it can lead to unusual bulges in the future.  You have a most of your loose skin in the lower abdomen and this can be excised.  It is important to leave about 9 cm from the top of the mons area to the umbilicus to yield a nice aesthetic result.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Full or Mini Tummy Tuck

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The full and mini tummy tuck operations are really quite different.  A full tummy tuck allows the complete removal of the skin (with stretch marks) from above the butty button to the pubis, removal of subcutaneous fat of the upper abdomen, and tightening of the abdominal muscles.  The skin is pulled down to close and thus is tightened.  The longer scar is low and there is also a scar that surrounds the belly button.  On the other hand, a mini tummy tuck has a shorter scar because it removes less of the skin (and stretch marks), fat can still be suctioned, but muscle usually not tightened (they can in some cases).  Unhappiness may occur because the skin below the belly button might be tight, but the upper skin is not (held by the belly button).  Also, there may be a persistent bulge from the un-tightened muscles.  The choice depends upon your physical findings and your goals.  Your plastic surgeon can give you the best advice after an examination and discussing these limitations with you.  Be sure he/she shows you photos of patients like you so you can see what to expect. 

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

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Full Tummy Tuck

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The amount of skin laxity demonstrated in the photos suggests that you may be a better candidate for a full tummy tuck.  You need to discuss your desires and the pros and cons of each choice with your surgeon. Best wishes.

Full or Mini TT? (

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I would favor a full TT, but that is based only on photos--not comparable to the advice you would get based on an actual exam. I see some skin laxity above the navel which would otherwise go uncorrected. Because your navel is high, it may be that your surgeon did not want to suggest the possible need for a small vertical incision, since the skin above the navel may not reach down to a low TT scar. But an alternative is lifting the navel up with the abdominal skin, doing a full TT, and lower the navel a small amount.

Expect a nice improvement either way. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Full or mini tummy tuck

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Thanks for your questions and pictures.  Based on what I can see in the pictures, I would likely recommend a full tummy tuck.  You appear to have very lax skin and if your diastasis extends well above the belly button, you will need full muscle plication.  You do have a high belly button and you may end up with a short vertical scar along with the traditional bikini line scar.  Make sure you discuss the plan fully with your surgeon before surgery and make sure you are comfortable with the decisions.  Good luck!

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 78 reviews

Mini or fully tummy tuck

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Thank you for your question about your tummy tuck.

  • Mini-tummy tucks mean different things to different surgeons.
  • To me, a mini-tummy tuck only repairs lower abdominal muscle, 
  • If your surgeon will repair muscle above and below the navel, I call it a modified tummy tuck - full muscle, limited skin removal.
  • Your bending photo suggests quite a bit of loose skin.
  • Discuss the plan with your surgeon again to be sure you agree on what surgery will do for you. Hope this helps. Best wishes.

Mini tummy tuck or Full Tummy Tuck

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Diastasis above the navel is hard to correct with a mini, but i have seen some PS do it. It doesnt matter what the procedure is called as long as it addresses the issues that concern you. I am sure your PS has considered all of them, but to be sure you may wish to have a chat with you PS. All the best

Mini vs Full TT

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Your photos here will tell the story with your exam. It is hard to second guess your PS as I have not done an exam on you. In my past, I have done limited TT on only a small percent of patients. This is simply a choice that needs to be made. Discuss this with your surgeon.You can go either way. Just make sure you are happy with your decision before you start. All the best

Your plastic surgeon knows best for mini vs full tummy tuck

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Although the pictures are helpful, only a plastic surgeon who has examined you in person can make a definitive recommendation. My guess is that because your belly button is high, the full tummy tuck is likely to leave an inverted "T" scar because there may not be enough upper abdominal skin to stretch down and keep the scar low without it. It is also possible that your surgeon is planning to do an umbilical float, which can improve the upper abdominal skin a little bit and allow for muscle plication all the way up. In general however the upper abdominal area is not improved much with a mini so make sure your expectations are appropriate.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.