![]() ![]() Why might I need a vertical scar in the lower tummy? The best candidates have loose or overhanging skin and are fairly close to their ideal weight, although some moderately overweight patients could still benefit from a tummy tuck. Patients who are obese are not good candidates for a tummy tuck until they lose weight “not only will their results be unsatisfactory, but there are much greater risks of healing problems and complications of surgery. Fat on the inside of the tummy around the bowels (visceral or intraperitoneal fat) will not be improved by liposuction or tummy tuck”only diet can reduce this fat. ![]() Extensive liposuction of excess fat in a separate procedure either before or after a tummy tuck is safer in terms of blood supply to the skin. Although some surgeons will perform liposuction of the anterior tummy at the time of a full tummy tuck, this may hurt the blood supply to the remaining skin and lead to delayed healing, skin loss or necrosis, and ultimately worse scars. However, fat in the upper and mid-tummy will not be removed by a tummy tuck this fat and its attached skin is re-draped but not removed. Any fat in the lower tummy that is attached to the undersurface of the loose or overhanging skin will be removed when that skin is trimmed. Some patients would benefit from removal of excess fat as well as excess loose skin. It does not, however, tighten the skin, so if the skin is loose it may become even looser after liposuction. This operation is performed through very small incisions. The more common operation to reduce abdominal fat is liposuction. Can my excess fat be removed by a Tummy Tuck? If not, it is closed as a short vertical scar. If there is enough loose skin of the upper tummy to allow this hole to be advanced down past the lower incision, it is removed. The old belly button hole where it was attached to the surround skin is brought downward. ![]() The belly button is then brought through the skin after is has been redraped, and this allows a stretched belly button to be rejuvenated. In a full tummy tuck an incision is made around the belly button to release it from the surround skin, and this allows the upper tummy skin to be freed up, redraped downward, and tightened. Some patients come in requesting a “mini” tummy tuck because they think the scar will be shorter, but do not realize that there will be no correction of skin wrinkling above the belly button.Ī full tummy tuck is performed more often, as the majority of people who have loose abdominal skin resulting from pregnancy or weight loss have loose skin above the belly button as well. As a result, there is no tightening of skin above the belly button. The belly button is not “released”, so there is no belly button scar. The only scar is the lower horizontal scar beneath the bathing suit line. Can I get by with a mini Tummy Tuck?Ī “mini” or lower tummy tuck only tightens the skin below the level of the belly button. In addition, if the fascia (the supporting layer of the muscles of the tummy that “hold” the bowels in) is stretched and the muscles separated (diastasis recti), this layer is tightened as well in order to achieve a flatter tummy. An incision is made low on the tummy, usually hidden beneath a bathing suit line, and through that the skin is elevated, re-draped downward, trimmed, and sutured closed. A tummy tuck is a procedure to tighten the loose skin of the tummy that can result from pregnancy or significant weight loss. ![]()
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