When considering a tummy tuck; one of the frequent questions that will arise is: Where will the incisions be placed? Of course, every abdominoplasty is different and your individual needs will be the primary factor. During the consultations that lead up to your surgery; your surgeon will examine your abdomen while you are standing – as well as lying down. He or she will assess your skin tone, the condition of your abdominal muscles, degree of loose skin and amount of excess fat in your abdomen that needs to be removed. You should come to the consultation prepared to discuss your medical history.
Most surgeons start with a horizontal incision placed just within or above the pubic area and extending toward the pelvic bones. The length and shape of the incisions depends largely on the amount of skin to be removed and will contour according to the structure of your abdomen and the style of underwear and bathing suit shape that you prefer. This is something that you will want to consider, and talk about in your pre-surgery discussion(s).
The next incision decisions regard whether or not there is loose skin above the navel. If so the surgeon may make a second incision around the navel in order to remove skin from that area. Do not worry, your belly button will still be in the same spot – but, it will need to be worked into your new, sleeker abdomen. Your surgeon will tighten the abdominal wall according to the plan that has been mapped out for you.
If you have stretch marks, they will usually be worked into the surgery, as well. Understand, in advance, they may not be able to be removed, but you can expect a firmer profile. Remember, tightening of the area(s) that you need may differ from others’ surgeries – but, a competent board-certified cosmetic physician will try to place the incisions in naturally occurring folds, or in places where they are least noticeable, while removing the most amount of abdominal fat they can.