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Personal Stories and Photos FAQ - Risks |
Many of the emails and questions I receive are from individuals who have had a tummy tuck and now are wondering how to fix or improve their tummy tuck result. The terms used for the group of procedures used to improve tummy tuck results includes "Tummy Tuck Revision", "Tummy Tuck Repair", and "Tummy Tuck Re-do". Regardless of which term we use we are communicating the same thing: surgical and non-surgical methods of improving the appearance of the abdomen and surrounding areas of the body following a tummy tuck. There are a handful of issues that can arise following a tummy tuck which can result in dissatisfaction with the appearance of the abdomen. A list of the more commonly encountered issues following a tummy tuck procedure is listed below:
Tummy Tuck Risks: Poor scars: Tummy tuck scars can be improved. Wide scars can be made thin by simple scar revision. Scars that are too high can be lowered by scar revision as well; however significant lowering of scars often requires full tummy tuck revision. Belly button/umbilicus: There are many potential problems with the appearance of the belly button following a tummy tuck. Visible scars, a belly button that is asymmetric, too much fullness surrounding the belly button, a belly button that is either too small or too large or whose shape is unappealing can be corrected. Sometimes the solution can be fairly straightforward and even accomplished in the office under local anesthesia. Other belly button problems may require more extensive repair such as re-tightening of the abdominal wall and revising the tummy tuck to allow complete rejuvenation of the umbilicus. Excess fat: Visible amounts of fat especially near the belly button and above the pubic bone can detract from the aesthetic result of a tummy tuck. Liposuction is often a great solution if there is not excess skin laxity. Localized pockets of fat can be performed under tumescent (local) anesthetic, more extensive liposuction is usually performed under general anesthesia. Excess skin laxity: There are various reasons to have residual skin laxity following a tummy tuck. If the amount of excess skin laxity is relatively minor this can be corrected as part of a scar revision. Larger amounts of residual skin laxity may benefit from a formal tummy tuck revision or from the addition of a complimentary tummy tuck procedure such as a reverse tummy tuck following a traditional full tummy tuck. “Dog-ears”: This term applies to excess skin and fat at the sides of the tummy tuck incision. They look like triangles of soft-tissue and are uniformally hated by any patient that have them. This is a result of several issues often it is a combination of too much laxity for the given tummy tuck procedure and/or the design of the incision and resection of the tummy tuck tissue. Correction of this problem can be accomplished in one of two ways. Either the excess soft-tissue is removed and the scar is lengthened thereby improving the overall appearance of this area, or the previous tummy tuck procedure is extended into a circumferential tummy tuck. This has the added benefit of improving the laxity that may exist at the side of the hips as well as in the buttock area for some patients. Uneven surface: The surface of the abdomen should be smooth and natural. Lumps and bumps detract from the overall result and should be addressed. Small irregularities can be addressed with liposuction, larger irregularities should be addressed through a methodical assessment and correction usually requiring a formal revision tummy tuck. Pseudobursa: A pseudobursa is a pocket of extra thick scar tissue that can form under the abdominal soft tissue following a tummy tuck. The most common area for pseudobursa formation is just above the waistline incision in the middle. This is the most gravity dependant area so it is naturally the most likely area for pseudobursa formation to occur. A pseudobursa can also develop just above the belly button. The presence of the belly button stalk and the surrounding tissue can form an area for a seroma to accumulate and for a pseudobursa to form. Small or relatively thin pseudobursa, if palpable or visible can be reduced by thorough liposuction and drain placement, most pseudobursas, however, need to be removed surgically during a revision tummy tuck for definitive correction. A frequent concern of patients considering a tummy tuck is the final scars. Rightfully so, all cosmetic procedures involving removing large amounts of skin and soft-tissue will need to have some type of scar. The two-part question that prospective tummy tuck patients should consider is: How will the final scar look and feel when I am nude? And, will it the scar be visible when a I am wearing a two piece bikin, low rider jeans, underwear, etc?
Since we can all agree that a scar will be present after a tummy tuck the the answer to the above questions should help to alleviate most concerns about scars.
How will my Tummy Tuck Scars look and feel when I am nude?
It is my experience and that of my colleagues that tummy tuck scars uniformly heal thin, without keloid or hypertrophic qualities. A keloid scar is one that becomes so thick that the borders of the scar are beyond the area of the initial incision. A hypertrophic scar is a scar that heals with above normal amount of thickness but remains overlying the area of the incision. Hypertrophic scars are bad, keloid scars are really bad. Quite frankly I have never seen keloid scars resulting from a tummy tuck procedure either from my own patients or from patients who have had their surgery elsewhere. Hypertrophic scars usually occur from one of several factors including: beyond the limit excessive tension on the closure, inadequate suturing, infection, or otherwise poor healing resulting from medical issues or insufficient blood supply. With current knowledge, skills, and technology, hypertrophic scars from the tummy tuck procedure should be a very rare event. Correcting a hypertrophic scar starts with identifying the cause and revising the scar. It is usually a very straight forward procedure that frequently can be performed under local anesthesia with or without sedation. In most cases a drain is not needed and in a good number of cases an abdominal binder is not needed as well. Other types of non-ideal tummy tuck scars include very thin and wide scars, asymmetric scars, and discolored scars. Very thin and wide scars usually indicate that the stronger connective tissue underlying the skin did aid the skin in healing properly. This can be he result of poor tissue quality or improper repair of this stronger, deeper tissue. Revision of these scar usually involves removal of the thin scar and proper repair of the thicker deeper underlying tissue. Asymmetric tummy tuck scars are usually the result of the tummy tuck design although if one side of the abdomen has previous scars then asymmertic healing can also occur. Tummy tuck scars that are either too light or too dark can be corrected through revision or through non-surgical means. Dark scars can be lightened with certain creams, light scars can be corrected with something called medical trepenation. Some of my research during my training focused on the treatment of low pigment scars and this process seemed promising.
How will my tummy tuck scars look when I am wearing certain types of clothes including a bikini, low-rider jeans, and mid-drift bearing shirts?
This is a particular passion for me in terms of the tummy tuck procedure. What is the point of getting a tummy tuck if you cannot show your tummy afterwards without people noting you have had surgery. In order to accomplish this the final incision lines of a tummy tuck must be hidden. The lower incision of the tummy tuck must be kept very low in the panty line (except for reverse tummy tuck where it should be hidden in the breast fold) and the belly button incision must be hidden within the belly button. To accomplish this it is very important to design the tummy tuck procedure properly. The location of these incisions in the end is almost solely dependent on the design and execution of the tummy tuck procedure by the plastic surgeon. Correction of high or visible tummy tuck scars often requires more than just a tummy tuck scar revision. It frequently involves a complete tummy tuck repair sometimes also known as a complete tummy tuck re-do. This is essentially the full tummy tuck redone from beginning to end. For more information on this, please see my previous post on tummy tuck repair.
In terms of tummy tuck scar care, scar care creams such as Miderma or Scarguard can help but only if everything discussed above has been properly addressed.
Read more about Phoenix, AZ Plastic Surgeon, Dr. Remus Repta Here.
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Dr. Younai's Tummy Tuck Photo Gallery Tummy Tuck Photo Set One
Dr. Younai, Encino & Beverly Hills, CA Tummy Tuck Photo Set Two
Dr. Younai, Encino & Beverly Hills, CA Tummy Tuck Photo Set Three
Dr. Younai, Encino & Beverly Hills, CA Tummy-Tuck Photo Set Four
Dr. Younai, Encino & Beverly Hills, CA Tummy-Tuck Photo Set Five
Dr. Younai, Encino & Beverly Hills, CA Tummy-Tuck Photo Set Six
Dr. Younai, Encino & Beverly Hills, CA Tummy-Tuck Photo Set Seven
Dr. Younai, Encino & Beverly Hills, CA Tummy-Tuck Photo Set Eight
Dr. Younai, Encino & Beverly Hills, CA Full Tummy Tuck with Liposuction, Breast Lift
Surgery: Full tummy tuck (abdominoplasty) and breast lift (mastopexy), Preop and 3 months postop Tummy Tuck Surgery performed by Dr. Revis, Fort Lauderdale, FL
Procedure: Mastopexy (Breast Lift) and Full Abdominoplasty (Tummy Tuck), Preop and 3 months postop Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL Full Tummy Tuck and Breast Lift with Implants
Procedure: Mastopexy (Breast Lift) with Breast Implants and Full Abdominoplasty (Tummy Tuck), Preop and 3 months postop Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL Full Tummy Tuck and Breast Lift with Implants
Procedure: Mastopexy (Breast Lift) with Breast Implants and Full Abdominoplasty (Tummy Tuck), Preop and 3 months postop Tummy Tuck Surgery performed by Dr. Revis, Fort Lauderdale, FL |
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Full Tummy Tuck
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Age: 47, 5’7”, Preoperative weight 171 pounds following 170 pound weight loss,
Procedure: Full Abdominoplasty (Tummy Tuck), Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
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Age: 27, 5’6”, Preoperative weight 165 pounds following 150 pound weight loss
Procedure: Full Mastopexy (Breast Lift) with Free Nipple Graft
and Full Abdominoplasty (Tummy Tuck) with Liposuction
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
Tummy-Tuck Photo Set Nine
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set Ten
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 11
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 12
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 13
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 14
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 15
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 16
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 17
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 18
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy-Tuck Photo Set 19
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
Tummy Tuck Photo Set 20
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Tummy Tuck performed by Dr. Younai, Encino & Beverly Hills, CA
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Age: 46, Height: 5’2”, Weight: 111, 34A to 34C,
Mentor Smooth, Round Saline Implants filled to 400cc,
Incision: Periareolar, Placement: Totally Submuscular, 3 Months Postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
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Age: 56, 5’4”, Weight: 180
Procedure: Full Abdominoplasty (Tummy Tuck) with Liposuction
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
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Age: 42, 5’2”, Preoperative weight 140 pounds following 105 pound weight loss,
Procedure: Full Mastopexy (Breast Lift) and Full Abdominoplasty (Tummy Tuck) with Liposuction,
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
Full Tummy Tuck with Liposuction
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Age: 40, 5’6”, Preoperative weight 190,
Procedure: Full Abdominoplasty (Tummy Tuck) with Liposuction (1 liter liposuction of the flanks),
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
Full Tummy Tuck with Liposuction
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Age: 31, 5’4”, Weight: 245,
Procedure: Full Abdominoplasty (Tummy Tuck) with Liposuction,
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
Full Tummy Tuck with Liposuction
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Age: 41, 5’5”, Weight: 153,
Procedure: Full Abdominoplasty (Tummy Tuck) with Liposuction,
Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
Donut Mastopexy with Breast Implants and Full Abdominoplasty (Tummy Tuck)
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Age: 43, 5'10", Weight 138,
Procedure: Full Abdominoplasty and Donut Mastopexy (Breast Lift) with Breast Augmentation,
McGhan, 415cc (right), 375cc (left) Round, Smooth Saline Implants
placed Totally Submuscularly, Preop and 3 months postop
Tummy Tuck performed by Dr. Revis, Fort Lauderdale, FL
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This 29 year old, 5' 6", 160 pound female patient presented with marked laxity of abdominal skin and muscles and pronounced stretch marks following child-bearing. Her abdomen protruded on the front and side view. Dr. Zevon performed an abdominoplasty (tummy tuck) to remove excess, stretch-marked abdominal skin and tighten the abdominal musculature. After surgery, the front view shows no abdominal pouch and the side view shows a flat abdomen with perfect contour. The after photographs were taken 6 years after her surgery.
Tummy Tuck performed by Dr. Zevon, New York City, NY
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This 29 year old, 5' 10" female patient presented for abdominoplasty (tummy tuck) and mastopexy (breastlift) after a 70 pound weight loss. At the time of her surgery, her weight was 190, down from a maximum weight of 260 pounds. She had 3 pregnancies, and delivered 1 child. Before surgery, she had marked laxity of abdominal skin and muscles; the abdominal skin was stretched out and musculature was weak. She had pronounced stretch marks around the abdomen (more visible on the side view). Her breasts were sagging (ptotic). Dr. Zevon performed a Lejour (vertical) type mastopexy and abdominoplasty. After surgery, the shape of her breasts and abdomen are improved. The orientation and position of the areola on the breast is changed, with the nipple/areola pointing directly out, not down. The appearance of the belly button (umbilicus) is improved. Her bra size before surgery was 36 DD; after surgery, her bra size was 36D. Overall, her body contour is more aesthetic. The after photographs were taken 15 months after her surgery.
Tummy Tuck Procedure performed by Plastic Surgeon, Dr. Zevon, New York City, NY
Bella Cosmetic Surgery Tummy-Tuck Photo Gallery
Tummy-Tuck Photo Set One
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Tummy Tuck Procedure performed by Bella Cosmetic Surgery, Clinton, MD
Tummy-Tuck Photo Set Two
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Plastic Surgery: Plastic Surgery Procedures: Tummy Tuck Surgery