There are several different tummy tuck techniques. The most common procedure is performed under general anesthesia, called a full tummy tuck.

If your only problem area is below the belly button, you may benefit from a less complex procedure called a mini tummy tuck, which can often be performed on an outpatient basis, under local anesthetic, such as that used by dentists. Or, your surgeon may recommend either a mini, full or extended tummy tuck, done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Sometimes liposuction alone offers the best results.

Mini Tummy Tuck

A mini tummy tuck, or partial/mini abdominoplasty, is a great option for people who have a small amount of abdominal skin to be removed and do not have a significantly protruding abdominal muscle wall. Individuals whose tummies are sagging with age or people who would just like to sculpt a slim tummy into a more desirable shape may find that a mini tummy tuck is an excellent option for them. (Please view right picture for length of scar, which is short and inconspicious.)

Mini tummy tuck surgery may be performed under general anesthesia, but is usually completed with a local anesthetic and mild sedation. The surgeon will make a smaller incision than a traditional/full tummy tuck requires, but the length of the incision will depend on the amount of skin to be removed. This is why mini tummy tuck surgery is also sometimes known as a "scarless tummy tuck." The surgeon usually does not have to reposition the navel. Next, the surgeon will stretch the skin and shape it by cutting away the excess and stitching the remaining skin into place.

This frequently is performed with liposuction to sculpt the tummy into the desired shape.

Full Tummy Tuck

A traditional tummy tuck is best suited for healthy individuals who are fairly physically fit, but are unable to achieve their desired abdominal appearance through diet and exercise. Women whose abdominal skin and muscles have been stretched by pregnancy or further damaged by cesarean sections are good candidates for treatment. Tummy tuck procedures are also excellent for individuals who have experienced dramatic weight loss, but are unhappy with the sagging belly left behind. Both women and men can be appropriate candidates for tummy tucks. (Please view right picture for length of scar, which extends just toward the hip area.)

In the full tummy tuck procedure, the surgeon will make a long incision along the bikini-line, often from hip to hip. Next, the navel will be cut away from the surrounding tissue, because it will need to be returned to the proper position once the skin has been stretched into place. Usually the surgeon will tighten the abdominal muscle wall by stitching the muscles into position. The surgeon will then stretch the skin and shape it by cutting away the excess and stitching the remaining skin into place. A hole for the navel will then be cut, and the navel will be stitched into place. This is usually done under general anesthesia.

Although this is up to the individual surgeon, liposuction is usually performed at the same time to create a nice contour.

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