Full or Reverse Tummy Tuck for Upper Abdomen Laxity?

When
patients have loose saggy upper abdominal skin following mini-abdominoplasty
correction usually always requires conversion to a full abdominoplasty. This procedure involves raising a flap to the
level of the ribcage. The skin is then
advanced in a downward direction and the excess skin is removed at the level of
the lower abdominal incision.An
umbilical transposition is an important part of this procedure.Your picture suggests redundant upper
abdominal wall loose skin.A full
abdominoplasty can remove excess upper abdominal skin and tightens the
abdominal wall muscles.It avoids
additional incisions that potentially compromise the blood supply to the
abdominal wall and decreases the potential for skin necrosis.If you’re considering abdominoplasty
revision, consultation with a board certified plastic surgeon is
appropriate.This surgeon should be able
to formulate a treatment plan that addresses your anatomic findings and
achieves your aesthetic goals.

In my opinion, given the limited information here in your photograph. I believe you would get an improvement with a full tummy tuck. You still may have some residual laxity in the upper most abdomen but I believe that is preferable to the results or risks of a reverse abdominoplasty.