Is a mini tummy tuck with umbilical float the right choice? (Photo)

Question

I've been struggling with what to do with my tummy skin laxity since I had children. It was recommended that I do a mini tummy tuck with umbilical float. Do you think that is the right choice?

William Andrade, MD · Answer

Hello, a mini tummy tuck with umbilical float is one possible way to improve loose skin that is mainly on the lower abdomen.   There is no substitute for an in-person assessment, because the surgeon needs to assess for issues that are not apparent on a photo, such as muscle laxity (rectus diastasis) or hernia.   If you are unsure whether to proceed, it is better to get a second in-person consultation before making up your mind.   Thank you for your inquiry.

Tyler Angelos, MD, FACS · Answer

Thank you for the photos. It is tough to tell from a photograph the degree of skin laxity but if I had to guess it appears that a mini tummy tuck is a reasonable option. If you and your surgeon choose to float the umbilicus it will end up in a lower position which would likely be fine after one surgery. If, however, you had another mini tummy tuck down the road, your umbilicus is at risk for being pulled very low. Consultation with a board certified plastic surgeon with extensive experience with tummy tucks is recommended to see which option is best for you. Good luck!

-Dr. Angelos

-Dr. Angelos

Richard Baxter, MD · Answer

The mini tummy tuck with umbilical float works best when the existing position of the belly button is high and the upper abdominal skin is generally good. Though this cannot be recommended without an in-person evaluation, it appears that this may be your situation. Please see the link below for a description of the various approaches.

George Marosan, MD · Answer

Thank you for your question and photos. These were taken with your arms up, putting the abdominal skin on maximum tension, thus difficult to assess your skin laxity. You are a good candidate for a modified full tummy tuck via a small pubic incision, but I would not float the umbilicus. I would do a muscle repair and not just skin excision. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Derby Sang Caputo, MD · Answer

Thank you for your question and your photo.Looking at your photos you are a great candidate for a full tummy tuck combined with a lipo in all areas needed.best of luck.

Bruce Landon, MD · Answer

Thank you for your question. This would not be the procedure of choice for a number of reasons. A mini tuck and float with your presenting anatomy will likely fall extremely short of your expectations for outcome and potentially compromise a better procedure for you. I would, at the very least, enjoy a few more opinions to be the most well imformed before proceeding forward. Best of luck!

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a good
  
evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
  
I hope this answer will help you
  
My best wishes for you...

Barry M. Schwartz, MD (retired) · Answer

Hard to evaluate your skin excess. It appears that a skin only procedure might wok, realizing that all of the wrinkled skin will not be removed, but enough can be removed to hide the remaining in a two piece bathing suit, but not a thong.

M. Dean Vistnes, MD - Account Suspended · Answer

The amount of excess skin typically determines the length of the incision required to remove that excess skin. As a general rule, a short incision only allows a small amount of skin removal. A longer incision and resulting scar (as in a full tummy tuck) will allow the surgeon to remove more skin and tighten the entire abdominal wall. This is the important thing to consider when looking at this type of surgery. Don't compromise the results with a shorter scar if it won't deliver the results you want. A consultation with a board certified plastic surgeon with an expertise in tummy tucks and body contouring should be able to show you what you can expect. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck!

Dean Vistnes, M.D.

Vistnes Plastic Surgery

San Francisco Bay Area

#realself #tummytuck #drdeanvistnes

Dean Vistnes, M.D.

Vistnes Plastic Surgery

San Francisco Bay Area

#realself #tummytuck #drdeanvistnes

Alan M. Engler, MD, FACS (retired) · Answer

That's hard to say from these photos alone but I would think most likely not.  You appear to have enough excess and loose tissue below the BB to warrant a full TT.  That is even more likely if you've had full term pregnancies, weight gains and losses, etc.  You would need to be assessed in person by a board-certified plastic surgeon but I suspect that that's what will be recommended.  I hope that this helps and good luck.  Dr. Alan Engler, Member of #RealSelf500

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