- Standard/Traditional Tummy Tuck/Lipoabdominoplasty/Brazilian tummy tuck
- Mini Tummy Tuck
- Extended Tummy Tuck
- Circumferential Tummy Tuck, Belt Plasty, Lower Body Lift
- Torsoplasty – 360 Degree Tummy Tuck
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. This fat is known as “pinchable 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 “pinchable.” Pinchable 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 on 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
Lipoabdominoplasty removes pinchable fat, but not the visceral fat which is deep to abdominal muscle. So pot belly cannot be improved. Visceral fat reduces only with a healthy lifestyle.
Type-2: Mini Tummy Tuck
The skin of the abdomen can be divided into two parts. Above umbilicus and below the umbilicus. When only skin below the umbilicus is extra, there would be no need for a scar around the umbilicus. The lower abdominal skin can be removed through the shorter scar. There may or may not be needed for muscle tightening, depending on muscle tone. A young, post-pregnancy woman is a typical case for a mini tummy tuck. While doing mini abdominoplasty, there is a need to placate muscle up to chest bone. That can be done with the help of an endoscope, which is called endoscopic or endoscopic assisted abdominoplasty surgery.
When there is high umbilicus, very little skin is extra above the umbilicus, Floating Umbilicus technique can be applied without an umbilical surrounding scar. The umbilicus is detached from the underlying muscle and fixed at the new location.
G Out Type-3: Dermolipectomy
When only the 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 the only skin abdominoplasty. As muscle is not tightened, recovery is very fast. So many men just require dermolipectomy.
Type-4: Extended Tummy Tuck
When there is extra skin on the lateral abdomen or a large amount of fat on laterally, incision of the tummy tuck for men or tummy tuck for women has to extend beyond hip to tighten the abdominal skin, which is called an extended tummy tuck. It also lifts the lateral thigh skin.
Type-5: Circumferential Tummy Tuck, Belt Plasty, Lower Body Lift
After massive weight loss or a large amounts of fat liposuction, there is evident extra skin on backside also. To remove this extra skin, an incision is made till back and meet each other in the mid line, which is called circumferential or belt lipectomy. It also tightens the lateral thigh skin and lifts the butt.
Type-6: Torsoplasty – 360 Degree Tummy Tuck
When lipoabdominoplasty is combined with back liposuction, it is called torsoplasty, which 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, the skin is excised in three petal shapes. One reaches up to breast bone and two going lateral around the hip bone. The skin is pulled down and centrally. The resultant incision is like an inverted “T” shape.