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T-incision Tummy Tuck Surgery?
I'm 58, and according to the surgeon, in good shape with an hour glass figure. My plastic surgeon says I should get a T-incision Tummy Tuck to address excess fat above the belly button, but I can't find where anyone else has had it done that way. Do I really need this? I'm not sure why a T-incision below the belly button would be helpful in removing fat above it.
Detail regarding abdominoplasty skin patterns
River - Typically "inverted T" pattern incisions for abdominoplasty are used to address excess skin above the umbilicus. And in my practice the skin excess usually has to be fairly dramatic (typical of massive weight loss patients who have successfully undergone gastric bypass surgery). The ability to remove excess skin above the umbilicus comes at a cost of additional scar as well increasing the risk of poor healing. Typical abdominoplasty excision pattern - note that the skin is pulled downward to improve the abdominal contour. This is the typical post-op result with a transverse scar low along the abdomen and a scar around the umbilicus. A inverted T abdominoplasty: this skin excision pattern allows for the skin to be pulled downward and also from side to side. This additional direction of skin pull can be useful for patients that have a significant amount of extra skin above the umbilicus and where that downward pull alone may not provide enough of an improvement. I hope this helps. In my practice the traditional abdominoplasty incision for patients that have not lost significant (more than 100 lbs) amounts of weight is usually all I need to get a great result. Steven Williams, MD
