What is the best tummy tuck incision closure method? Does your method vary by patient and/or skin removal amounts?

Suturing techniques vary by surgeon. I encourage you to visit a few board certified plastic surgeons for consultations.  During that time you can ask questions, including closure techniques and rationale.  You can decide which best matches your goals for surgery.

Each surgeon has a slightly different preference, but the most important things to consider are minimizing tension with a 3 layer closure, the utilization of the smallest diameter sutures time minimize inflammatory reaction, meticulous soft tissue handling to avoid trauma to the skin edges and taping the skin post op to offload tension from the wound edge.   This needs to be combined with good post op scar care.   I personally find that the insorb staples tend to “spit” and leave a suboptimal scar compared to suturing all layers.