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Why is a Vertical Scar needed sometimes when doing a Tummy Tuck (Abdominoplasty)?

Posted October 05, 2018 in Mommy Makeover, Tummy Tuck

Why a vertical scar is needed sometimes when doing a Tummy Tuck is a commonly seen question on Real Self, as well as it commonly is a discussion needed during a consultation for a Tummy Tuck (Abdominoplasty).  A Tummy Tuck is a procedure that is used to remove extra fat and skin from the abdomen.  At the same time approximation of the fascia surrounding the Rectus muscles may need to take place to reposition the muscles where they were before pregnancy so they function properly for back support as well as holding in the abdomen.

There are different types of Tummy Tucks.

It begins with the Mini Tummy Tuck, which removes extra skin and fat from the lower abdomen and tightens the muscle layer if indicated but just on the lower tummy.  This procedure is for women with concerns over just their lower abdomen.  The incision is shorter, just a little longer than a C. Section scar and hidden by the underwear.  No incision takes place around the belly button.

A Modified Tummy Tuck, is basically the same, just adding tightening the muscle layer above the belly button as well.

A Full Tummy Tuck tightens the whole muscle layer, as well as removes more skin and fat and tightens the upper abdomen as well. The belly button stays attached in the same position but a new skin opening is made for the area to make it more youthful looking.  If the belly button is positioned high on the torso without enough laxity of the upper abdomen, so that the opening from the incision around the belly button will not make it down to the lower horizontal incision, then that opening is closed just above the main incision which creates the vertical scar.  Alternatively an abdominal float can be done which floats the belly button lower without an incision around it, but I find that leaves too much laxity in the upper abdomen afterwards, and do not like the procedure for that reason.

The last type is a Circumferential Tummy Tuck or Lower Body Lift.  With this procedure the incision is carried all the way around to the back, also lifting the buttocks and thighs.

If you are interested in discussing you options, please call our office at 203-899-0000 to schedule an appointment.

Norwalk Office

91 East Avenue
Norwalk, CT 06851

Phone: 203.899.0000