Full or Reverse Tummy Tuck for Upper Abdomen Laxity?

If you had a mini tummy tuck usually the belly button base is cut and this takes away the blood supply form below.  When a full tummy tuck is done the belly button is cut all the way around form the skin and surrounding tissue.  The belly button could easily die.  This is the issue in your case.  The surgeon who you like very much can look at the op note and answer this question.  I have never like the reverse tummy tuck results and scar.  Your upper abdomen does not warrant that procedure.

Thank you for your question. Based on your photos you will achieve your body goal with a full tummy tuck combined with intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area.
Kind regards,Dr. Emmanuel Mallol Cotes.-

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.