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There are many different types of tummy tucks.  Which one is right for you depends on many factors.  For many patients, a standard tummy tuck which includes repositioning of the umbilicus (belly button) and advancing the loose tissue down towards the pelvis leaving a low incision above the pelvis is the most common procedure.  This generally is necessary after children and after the abdominal wall laxity and skin excess requires tightening.  However, there are many patients that have only a small amount of laxity in the lower abdomen with very minimal skin loosening.  In this situation a mini tummy tuck would work.  This leaves you with a smaller incision, again in the lower pelvic region, much like a C-section incision.  I like to keep my incisions very low to try and hide them in a bathing suit.  This type of incision is more uncommon and is more difficult to perform, but I believe that it is worth the extra effort and time it takes me to do it.

Certainly in massive weight loss as in gastric bypass patients or in large volume weight loss through exercise and dieting, the amount of tissue that needs to be addressed is much more than any of the above-mentioned tummy tucks.  In this situation not only is an extended tummy tuck needed but also a lift which goes around the entire waist.  In this situation I prefer to do this in two stages.  First the front of the tummy then at a later point the back.  The back stage includes the lateral thighs and the buttocks region.  This is sometimes called a belt or circumferential lift.

In my next blog I will discuss how to achieve a buttocks lift without implants or fat injection.

Sal DiMercurio M.D.