Type/Technique Of Tummy tuck
- Standard/ traditional tummy tuck/ lipoabdominoplasty/ Brazilian tummy tuck
- Mini tummy tuck
- Extended tummy tuck
- Circumferential tummy tuck, belt platy, lower body lift
Type-1: Standard tummy tuck/ full tummy tuck / traditional tummy tuck/ lipoabdominoplasty/ Brazilian tummy tuck
An abdominoplasty has two components: one is the skin and fat that occurs beneath the skin and above the muscles of the abdominal wall. We refer to this fat as “pinch able fat,” as opposed to the fat that occurs beneath the abdominal muscles. That fat, also referred to as visceral fat, lies within the abdomen and is therefore not “pinch able.” Pinch able fat is removed with liposuction.
When a patient has abdominal muscle weakness, or abdominal wall laxity, they may be a candidate for abdominal muscle tightening during the abdominoplasty procedure.
As part of normal anatomy, there is a fine line (linea alba) between the two vertical rectus muscles in the front of the abdomen. These are the muscles that create a six-pack when well developed. As one of the natural changes that occur during pregnancy or major weight gain, the abdominal wall stretches. In some women, the linea alba between the two muscles stretches and does not return to normal. This is called a diastasis recti.
To repair diastasis recti during an abdominoplasty, the muscle edges are sutured together, thereby tucking in the loose abdominal wall. Sutures can also be placed at other portions of the abdominal wall to create further tightening and shaping of the muscle.
While tightening the abdominal muscles during an abdominoplasty, it can provide substantial improvement for some of our patients, this can lead to some abdominal soreness during recovery
Type-2: Mini tummy tuck
Skin of the abdomen can be divided into two parts. Above umbilicus and below umbilicus. When only skin below the umbilicus is extra, there would be no need for scar around the umbilicus. The lower abdominal skin can be removed through shorter scar. There may or may not be need for muscle tightening depending on muscle tone. A young, post pregnancy woman is a typical case for mini tummy tuck. While doing mini tummy tuck, there is a need to plicate muscle up to chest bone. That can be done with the help of endoscope, which is called endoscopic tummy tuck or endoscopic assisted tummy tuck.
When there is high umbilicus, very little skin is extra above umbilicus, Floating Umbilicus technique can be applied without umbilical surrounding scar. Umbilicus is detached from the underlying muscle and fixed at new location.
G out type-3: Dermolipectomy
When only skin is loose and muscle tone is very good and rectii are attached to each other in the mid-line, there is no need to plicate muscle. Only skin excision is done which is called dermolipectomy or skin only abdominoplasty. As muscle are not tightened, recovery is very fast. So many men just require dermolipectomy.
Type-4: Extended tummy tuck
When there is extra skin on lateral abdomen or large amount of fat on laterally, incision of the tummy tuck has to extend beyond hip to tighten the abdominal skin, which is called extended tummy tuck. It also lift the lateral thigh skin.
Type-5: Circumferential tummy tuck, belt plasty, lower body lift
After massive weight loss or large amount of fat liposuction, there is evident extra skin on back side also. To remove this extra skin, incision is made till back and meet each other in the mid line, which is called circumferential tummy tuck, or belt lipectomy. It also tighten the lateral thigh skin and lift the butt.
When lipoabdominoplasty is combined with back liposuction, it is called torsoplasty. It gives hourglass shape
Type-7: fleur de lis tummy tuck
When skin is too much in excess, the fleur de lis name is derived from this type of incision. After removing fat and tightening of muscle, skin is excised in three petal shape. One reaches up to breast bone and two going lateral around hip bone. Skin is pulled down and centrally. The resultant incision is like inverted “T” shape.