Do I need a T-incision tummy tuck?

The fleur de
lis abdominoplasty removes excess skin in the transverse and vertical
dimensions.This leaves the patient with
a vertical scar.The full abdominoplasty
only removes excess skin in the vertical dimensions.The vast majority of patients who
require a vertical incision during abdominoplasty have undergone massive weight
loss.Occasionally, patients who already
have a vertical incision can benefit from this approach to avoid longer
transverse incisions.We rarely see patients outside of
these groups who require T incisions during abdominoplasty.It’s important to realize that no two
patients are ever exactly alike.For
this reason, it’s important to evaluate the amount of excess skin in both the
transverse and vertical dimensions.It’s
also important to evaluate the underlying muscle tone and the amount of
subcutaneous and intra-abdominal fat that’s present.In your case it’s virtually
impossible to make a specific recommendation without pictures or a physical
examination.For this reason, it’s
important to discuss your concerns with your plastic surgeon.In some cases, a second opinion may also be
helpful as well.

As the abdominoplasty procedure evolves the incision lines change and go back to some of the original techniques.  That is, not all tummy tuck patients are alike and sometimes a customized approach must be made to accommodate the patient and achieve the best cosmetic result.

The T incision is sometimes necessary to address significant horizontal laxity that some patients present with. Without a photo, its impossible to comment on your anatomy. However, if your surgeon feels that this extensive procedure is important for an optimal outcome, he probably knows what he's talking about.