Which tummy tuck for me?

Which tummy tuck for me?

There’s a lot of confusion about tummy tucks and we get a lot of questions about tummy tucks. (I think the two are related!) More specifically, people seem to wonder what version of tummy tuck would be best for them. “Do I need a full tummy tuck, or can I get a’Mini’?” We hear that one a lot.

Here are a few quidelines:

  • If you’ve lost over 100 lbs, you’re going to need more than a tummy tuck – you’re probably going to need a body lift. What’s a body lift? There’s a ton about it online, but not only does it tighten your abdomen, but it also lifts the buttocks by extending the cut all around your body. (About 5% of our practice)
  • If you don’t like the looseness above your belly button, you need a tummy tuck. A full tummy tuck, not a mini. The reason for that is that we need to pull the skin all the way down like a window shade and we need to make you a new belly-button in the process. (About 90% of our practice). If we don’t need to tighten the muscles, the procedure is called a “skin-only tummy tuck.”
  • If you have tight skin above the belly-button, but loose skin below, you need a modified tummy tuck. In this version, we “float” the belly-button off of the abdominal wall to allow for muscle tightening, then put it back down a little bit lower than it was before. Watch out tho – if your belly-button is low to start, it may end up too low. (About 5% of our practice)
  • If you only have a little bulge in the lower abdomen, you might get away with a mini-tummy tuck. In this version, we make a small cut like a C-section incsision and use it to expose the abdominal muscle and tighten it. There not a lot of room to take out skin with an incision this small, so the number of people for whom this appropriate is pretty small (<1% in our practice.)
  • If you have already had a tummy tuck and are still bothered by loose skin in the upper abdomen, you might be a candidate for an unusual surgery called a “reverse tummy tuck.” In this surgery, we lift the skin up from underneath the breasts, and hide the scar in the breast fold. (<1% of our practice)
  • Finally, if you’re muscles are pretty tight and the skin of your upper abdomen isn’t loose, you might be a candidate for liposuction alone. But if your skin a bit loose in the lower abdomen, we might suggest cutting out a little strip of skin near the panty line. We call this liposuction with a skin strip.

I hope this helps clarify what form of tummy tuck might be best for you, but the truly best way is to come in for a consult.

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