How Do You Choose A Tummy Tuck Doctor
OMG. After reading all the responders' comments to your question of tummy tuck vs. umbilical float, I am totally confused, and I have done hundreds and hundreds of tummy tucks and a handful of umbilical floats myself. I disagree with the surgeons who say umbilical float is not a good operation and that you don't get a normal belly button. I have done it several times in very unique situations with positive and attractive results. That having been said, I personally think you could have a full on tummy tuck.
There, I have done it. I have added to the confusion. Here is my suggestion. Of all the Board Certified surgeons you have seen, who do you feel the most comfortable with, who has the best before and after pictures, who has given you the name of several of his patients and you have talked with them about their experience with his or her tummy tucks. To me, that is the answer. You don't want to pick the technique, you want to pick the surgeon.
You are going to trust this plastic surgeon with your life and your looks. Don't limit them as to what they can do for you. I love the internet. It has educated not only patients, but also surgeons. The problem is, there is so much information out there that patients are now making surgeons decisions.
You pick the surgeon, let the surgeon make the surgeon's decisions.
Floating umbilicus vs full tummy tuck vs hybrid tummy tuck
You have lots of fascial laxity and minimal skin laxity. You are in my opinion a poor candidate for a full tummy tuck because you will get a hip to hip scar just to fix the deep fascia, and that scar will be high and visible.
I hate the umbilical float procedure. It involves cutting off the belly button and moving it lower, then reattaching it. In my opinion, the belly button never looks quite rightl, usually flatt, and often even looks bizarre. While I do not perform the procedure, I have never seen a satisfactory result.
My advice to patients like yourself is to have a hybrid tummy tuck(R). This involves a C-section type scar, and full tightening of the fascia all the way up to the chest, with a small removal of skin. This procedure requires special retractors and sometimes endoscopic equipment. You are the classic candidate for that procedure.
It looks as though you also have a small umbilical lhernia, which should also be repaired.
Umbilical Float vs Vertical Scar WITH a Full Tummy Tuck
I think the way to go would be to use your old C section scar through which a full tummy tuck with a complete repair of your rectus muscle separation should be done. This will flatten the tummy and narrow the waist.
You also have a somewhat sagging Mons pubis - I would raise it to a youthful position and secure it to the muscle fascia to prevent more upward pull.
Finally, the decision on FLOAT VS VERTICAL scar should be made at the end of the case once everything else has been achieved based on the best cosmetic appearance.
Dr. P. Aldea
Floating umbilicus vs traditional TT
The floating umbilicus is a rare version of a TT. You don't have an easy abdomen but you do have substantial muscle laxity. Once this is proprly tightened, the umbi will rotate down a litle into a more normal position. I'd vote for a conventional TT, possible a slightly higher scar, no vertical scars at all because these look poor.
I think your would be a great candidate for a full tummy tuck. However, I would be interested to know how long its been since you have given birth to your twins. It is important for you to have healed from childbirth before embarking on this journey.Swelling from the uterus can take some time to resolve and you wouldn't want to get a tummy tuck while this is still taking place.
However, if adequate time has passed and you have been examined by your plastic surgeon of choice, I recommend a full tummy tuck using your C-section scar, repairing the rectus muscle separation (diastasis) , liposuction to contour, and skin excision to tailor your new form.
Floating abdominoplasty uses a small incision in the lower abdomen to allow for the tummy to be tightened and shaped. No incision around the belly button is needed. Through the incision, excess skin is removed and muscles can be tightened. The belly button is temporarily detached during the surgery to allow for this. You experience muscle tightening from sternum to pubic area. After the belly button is reattached (and moved down if necessary) the incisions are sutured. Liposuction can be performed if necessary to eliminate excess fat.
Please see an experienced board certified plastic surgeon for a physical examination to determine which treatment would be most suitable. A floating abdominoplasty may help you. Good luck.
I would recommend for my patients a tummy tuck with diastasis repair and umbilical hernia repair if they appeared as you do in this picture. An umbilical float is a reasonable alternative, but it would not be my first choice. Good luck.
Full tummy tuck with higher scar better option for high belly button
Thank you for your question. A personal exam and consultation is always best.
That said I do not like the floating belly button technique. In my experience a full tummy tuck with a higher scar and muscle repair is a better option.
Be sure to consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in your procedure, and who has an excellent reputation in your community.
Full tummy tuck or belly button float ?
When a c section scar is placed extremely low and the patient has a high belly button, she has three options : 1) A conventional abdominoplasty with a small vertical scar to close up the hole after releasing the belly button . 2) Placing a new incision in the bikini line without additional vertical scar. 3) Performing a floating belly button. With any of the above techniques diastasis recti or ventral hernia could be repaired , if necessary. Any of the above options has produced good results in properly selected patients in my practice.
Tummy tuck with "umbilical float" San Diego
In agreement with full tummy tuck for the shape you will achieve, my preference over umbilical float is to pull all the way down and in from the sides for the lowest possible scar. If I cannot get it low enough to cover with your preferred panties without excessive tension, will add a short vertical suprapubic midline component that has never been a problem. It is so well hidden, and can always be revised in the office if it is visible. You only show a front view, but appear to have enough peri-umbilical connective tissue compliance that plication of full tummy tuck is absolutely necessary. Your supra-umbilical skin can sometimes advance a surprising amount, especially once the underlying abdominal wall is tightened. Another helpful measure is progressive tension sutures intra-operatively to facilitate flap advancement and low scar.