A tummy tuck is performed by making a horizontal incision above the pubic area, extending between the hip bones. During the procedure, the surgeon removes excess abdominal skin and fat, tightens the abdominal wall and underlying muscles, and addresses separated or stretched-out abdominal muscles (diastasis recti) to restore a firmer abdominal contour. Muscle tightening not only improves abdominal contour but can also enhance posture and reduce lower back pain by providing better support to the spine. If a significant umbilical hernia is present, it may be repaired during the surgery. Tummy tuck surgery is generally not covered by insurance as it is considered a cosmetic procedure, unless performed for functional reasons such as correcting abdominal muscle separation. The remaining skin is then repositioned to create a more toned look, addressing loose skin, muscle separation, and stubborn fat.
An extended tummy tuck is a body-contouring procedure specifically designed for patients who have experienced significant weight loss. It involves a longer incision to allow for greater skin removal, effectively removing excess skin from the abdomen, lower back, and flanks. This 360-degree approach to body sculpting addresses not only the abdomen but also the lower back and flanks. During surgery, the belly button can be repositioned in a more youthful-looking location. Dr. Baldenhofer recommends this technique for those seeking comprehensive contouring and skin removal after significant weight loss.
While a mini abdominoplasty targets the area below the belly button, a reverse tummy tuck is a body-sculpting procedure that removes excess skin and tightens laxity in the upper abdomen above the navel. In the case of a mommy makeover, the same inframammary incisions created for breast surgery can be used, minimizing scarring.
Not all patients need a full tummy tuck, so Dr. Baldenhofer offers a mini tummy tuck procedure. This surgery is best suited for patients with good skin elasticity, as their skin can conform to the underlying muscles without significant sagging. The procedure is recommended for men and women with excess fat only below the belly button. The surgery does not help with lax abdominal muscles.
With a Fleur-de-Lis tummy tuck, Dr. Baldenhofer will create an additional incision vertically down the midsection, allowing him to eliminate excess abdominal tissue. The belly button is artfully repositioned to deliver a youthful, sculpted outcome. Dr. Baldenhofer suggests this procedure for those with substantial loose skin. The T-shaped scar will fade and flatten with time.
