![]() This procedure involves repairing and tightening separated or loose muscles of the upper and lower abdomen and excising any extra stomach skin all the way up to the breasts. A maxi tummy tuck is a traditional full tummy tuck.It is NOT a good choice for patients with skin laxity ABOVE the umbilicus. It “marries” or combines the skin/scar correction of a mini tuck with the muscle repair of a maxi (see below) or full tummy tuck. The belly button remains intact, but may be slightly “floated” downward. A midi (“marriage” or combination) tummy tuck can repair muscle separation in both the upper and lower abdominals and remove a limited amount of excess skin for the removal of C-section scars.Mini tummy tucks are commonly performed with liposuction and leave the belly button intact. ![]() A mini tummy tuck can tighten loose lower abdominals and excise a limited amount of skin in order to improve C-section scars below the belly button.On occasion, an endoscope or fiberoptic lighting system may be used to minimize incisions while optimizing visibility of the repair. The procedure leaves the belly button intact and can be performed with or without liposuction. A micro tummy tuck can treat isolated fatty deposits and repair separated abdominal muscles.Placik specializes in tummy tuck surgery and offers a variety of customized tummy tuck options for his patients: On occasion, this is carried out to improve scars from previous surgery, the most common of which is a C-section (Pfannenstiel incision). In order to do this, a tummy tuck typically removes excess skin and fatty tissue from the abdomen and repairs broken or separated abdominal muscles. ActualĪ tummy tuck is a surgical procedure with the aim of improving the contours of your abdominal area. In rare instances of horizontal skin redundancy a vertical midline incision (called a Fleur-de-lis or Inverted T) may be recommended in addition to other scar variations.įor more information please see The Four M’s of Abdominoplasty “Tummy Tuck” video produced by Dr. Essentially it combines a tummy tuck, thigh lift, and buttock lift. This latter procedure involves a 360 degree scar and is typically indicated following massive weight loss of 80 pounds or more. Other – A variety of other options do exist and include: extended tummy tucks (longer skin scars to address marked skin excess) progressing all the way to a circumferential belt lipectomy.The umbilicus will require “re-insertion.” This is often performed in combination with liposuction of the hips. Maxi – Also known as a full tummy tuck, this is the most common procedure because it typically treats all the skin redundancy and lower abdominal scars from the pubis to the umbilicus as well as the full extent of the muscle diastasis.The umbilical skin attachments remain in intact but the belly button may be “floated” down a small amount. In these cases, skin removal is equivalent to the Mini but muscle repair is comparable to the full (Maxi). Midi – An option for individuals with upper and lower abdominal muscle separation but with limited skin excess above the umbilicus.Upper abdominal skin excess or extensive stretch marks cannot be treated. This roughly amounts to skin from the pubis to halfway up to the belly button. In these rare cases, the only skin that is removed is from 10 cm (4 inches below the umbilicus) to 5cm (2 inches) above the vulvar cleft. This is commonly combined with liposuction. ![]() Patients should have good upper abdominal contours without skin redundancy or diastasis. Mini – Usually best for those with isolated lower abdominal muscle laxity and/or those needing a C-section or transverse scar revision.Micro – Indicated for patients with excellent skin tone and isolated muscle diastasis and/or localized fatty deposits that can be addressed with a 5 cm (2 inches) suprapubic incision and upper umbilical hood incision, for muscle repair with or without liposuction.Placik’s classification, the Four M’s of Abdominoplasty include: What are the Four M’s of Abdominoplasty?Īccording to Dr. In many instances, the excised tissue can remove previous C-section or lower abdominal scars or tattoos. Incision design and length will vary greatly from one individual to another and may range from a mini to a midi to a full and up to an extended tummy tuck. The same stretching that result in excess stomach skin often results in some degree of separation in the abdominal wall muscles, which can exacerbate the slack appearance of the stomach. ![]() Loose folds of stomach skin can not only lead to self-consciousness, but can also cause skin irritation, persistent chafing or become susceptible to infection. Even after reaching a healthy target weight, extra skin and tissue can remain behind. The skin on the abdomen can become irreversibly stretched due to pregnancy or excess body weight.
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