The regular tummy tuck ( abdominoplasty) employs a frontal reduce out of skin and fat from the reduce aspect of the abdomen. This benefits in a low horizontal scar and is efficient for the majority of sufferers who seek abdominal contouring.
In sufferers with pretty substantial skin excesses of the abdomen, nevertheless, this regular tummy tuck method leaves excess tissue behind as the dimensions of the skin excess modify. This is mainly because the redundant skin and fat exceeds the dimensions of what a horizontal excision can realize. Excess skin is nonetheless left about the sides and in the upper aspect of the abdomen. These abdominal excesses seem in sufferers who have lost a lot of weight or ladies with many rolls of skin and fat due to a brief stature and becoming overweight.
Preoperative arranging ought to take into consideration all the dimensions of the abdominal skin excesses. If not, the postoperative outcome will leave sufferers disappointed with the remaining loose skin in the upper abdomen and along the waistline and sides. To properly treat this further dimension of abdominal tissues, the notion of the extended tummy tuck is required. This is also identified as the anchor tummy tuck or the fleur-de-lis tummy tuck which is so named primarily based on the resulting skin closure pattern.
The extended tummy tuck treats the vertical as effectively as the horizontal abdominal skin excesses. This is performed by adding a midline vertical cutout of abdominal tissue along with the regular reduce horizontal excision pattern. The vertical cutout assists pulls in on the excess tissues at the sides of the waistline, exchanging this dimension of tissue excess for a vertical scar. By adding this 'fourth' dimension to a tummy tuck, the all round outcome is far better without having substantially lengthening the operation or adding any substantial enhanced threat of postoperative issues.
As described, the extended tummy tuck creates two diverse vectors of scars which intersect just above the pubis. This intersection of scars creates the anchor scar appear. A single has to take into account no matter if the enhanced outcome is worth the further scar. Such a selection is an straightforward a single if a single currently has an current midline abdominal scar, most normally from an open bariatric surgery.
In sufferers with a lot of excess abdominal skin, most will pick out the maximum skin removal to get the optimal outcome. But some sufferers ought to weigh this aesthetic selection very carefully. In my expertise, the consideration of exposed scarring that does not lie along a organic skin crease is greatest decided on a snap judgment basis. If you have to believe about no matter if the scar is worth it…never do it. If the answer is an instant yes and a single could care much less about the scar (compared to the current challenge), then the scar is not pretty most likely to be a regrettable concern following surgery.