Tummy Tuck in Columbus: Flat Abdomen - What is a ‘Reverse Abdominoplasty’?

Traditional abdominoplasty procedures begin with a curved horizontal incision on the lower abdomen and the skin is elevated off of the underlying muscles which are tightened before the excess skin is pulled downward and removed. The majority of patients seeking a tummy tuck have most of their excess skin on their lower stomach which is one of the reasons why most standard tummy tucks concentrate on removing lower abdominal skin. Another reason to perform a tummy tuck from below is to keep the scars as low and invisible as possible so that, hopefully, it can be covered up with a two-piece bathing suit.

A reverse abdominoplasty, as the name implies, is performed from above and the pull is upwards instead of downwards. This procedure is almost exclusively performed in women as the upper abdominal incision is kept mostly hidden in the creases underneath the breasts known as the inframammary folds or IMF’s. It is most commonly performed in patients who already have scars in this area from a previous breast reduction or breast lift.

The indication for a reverse abdominoplasty is when the lower abdomen is flat and the skin is tight while the upper abdominal skin and muscles are loose. The incision is made in the IMF’s and connected across the midline. The skin and fat on the upper abdomen is elevated off of the underlying muscles which then may be tightened with sutures. The excess skin is pulled upwards and is removed prior to closure of the incision. To avoid pulling down of the breasts or distortion of the IMF’s, these creases are reinforced with sutures to the underlying muscles at the time of closure.

A reverse abdominoplasty can be performed at the same time as other cosmetic procedures including a lower mini-tummy tuck.

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