These require a midline, vertical incision that starts from the main horizontal. Depending on the needs of the patient, an extended, fleur-de-lis tummy tuck may be indicated. The surgeon talked in detail with her about abdominoplasty or tummy tuck surgery, and explained to her th. This helps to address excess skin in the flank area, leading to a more contoured waistline. Case 826 This 37-year-old female came to our doctor wanting to transform her abdomen following her several medically necessary abdominal surgeries. In your case you need to have a clear understanding of exactly what will be done in regards to your midline scar.Īn attempt at doing a full tummy tuck without redoing your midline incision will severely hamper the potential outcome.Ĭontinue having consultations until you feel quite comfortable you found the best surgeon for your needs. Extended tummy tucks, as the name implies, extend farther around the sides. I recommend all patients have multiple in person consultations with local board-certified plastic surgeons before committing to having major irreversible body contouring operations.ĭuring each consultation ask each provider to open their portfolio and show you their entire collection of before and after pictures. The scar needs to be removed in order to have a successful outcome. In your case there is no alternative of not doing the vertical scar. The surgeon can remove more skin in both horizontal and vertical directions since you already have the midline incision. Make sure this is reviewed and discussed during in person consultations when you are selecting your provider. Scar tissue has very little pliability and will fail and its ability to stretch like the surrounding skin. The vertical scar will need to be redone during surgery. If your surgeon does not excise your current scar the amount of skin that can be removed will be severely restricted. Considering you already have a long midline abdominal scar you will end up with a fleur-de-lis pattern regardless. Remus Repta, a board-certified plastic surgeon in Scottsdale, AZ.
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