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Loose and Saggy Upper Abdomen After Tummy Tuck
A mini abdominoplasty (where there is no incision around your belly button) will not address significant skin excess in the upper abdomen. The dissection of a mini goes to about the level of the belly button, pulling the skin inferior to the belly button tight. It is usually not effective in addressing upper abdominal skin. You may have limited options in the short term as there may not be enough skin for a full abdominoplasty at this point. However, time may help both the appearance of your upper abdomen as well as your potential for a full abdominoplasty revision.
Clinical Context
Skin tightening after any tummy tuck depends on your skin's elasticity, which varies by age, prior weight changes, and scarring. Younger skin with less prior stretching tends to retract more over the following months. A revision full abdominoplasty is usually not considered until swelling resolves and tissues soften, often around six months to a year, so there is enough healthy skin to work with and an accurate sense of what remains loose.
