Also known as abdominoplasty revision, tummy tuck revision is a surgery I perform at my plastic surgery practice in Roanoke, VA, to improve the unsatisfactory results of a previous abdominoplasty, resolve concerns related to unexpected healing that occurred, or restore the outcome of a previous tummy tuck that has been affected by pregnancy or significant weight changes.
What Can a Revision Tummy Tuck Fix?
Some of the most common issues that can be corrected with tummy tuck revision include:
- Unsightly scarring
- Scars that are too high on the abdomen
- Poorly placed bellybutton
- Recurrence of excess skin or fa
How Is Scar Revision Done?
Unsightly scarring from a previous abdominoplasty can generally be improved by excising the scar and re-sewing the wound. Many surgeons use silicone sheeting to help flatten and smooth scars after the sutures are removed.
To optimize the new scar’s final appearance, Fraxel® laser resurfacing may also be used to help “blend” the scar tissue with adjacent skin, thereby making it less noticeable. (Learn more about Fraxel in this earlier blog post.)
Is Tummy Tuck Scar too High?
When a tummy tuck scar is located too high, it can be lowered to a more desirable and less conspicuous position with abdominoplasty revision. To do this, an incision is made just above the current scar, and a tissue expander is used to stretch the skin above the original scar. Once in place, any overlapped skin can be removed, and the wound is closed at its new, lower location.
Can a Belly Button Be Fixed After Tummy Tuck?
When the bellybutton’s size or location looks disproportionate or unnatural following tummy tuck surgery, there are a few techniques that can be used to achieve a more acceptable appearance.
Regardless of which approach is utilized, great care is taken to ensure the new bellybutton looks much more natural with as little scarring as possible.
What Happens If You Have a Tummy Tuck and Then Gain Weight?
Pregnancy or dramatic weight fluctuations following abdominoplasty can often lead to the recurrence of issues such as excess skin, a buildup of fatty tissue, new stretch marks, and lax abdominal musculature. Fortunately, these concerns can be addressed with tummy tuck revision to help restore a slimmer, tightened midsection.
Is a Tummy Tuck Revision Worth It?
Tummy tuck revision surgery is clearly a gratifying procedure for those who experience problems after an initial tummy tuck. In fact, RealSelf.com readers who’ve had the procedure give it a 91% Worth It rating.
Choose Your Plastic Surgeon Carefully
Ultimately, these are a few of several issues that can be corrected with abdominoplasty revision. If you are experiencing any of the conditions above, or if you have other concerns related to a prior tummy tuck, my advice is to seek the expertise of a board-certified plastic surgeon who has extensive experience in resolving unsatisfactory abdominoplasty results.
Tummy tuck revision is typically regarded as a much more complicated procedure than primary abdominoplasty. A board-certified plastic surgeon who has a history of success in correcting previous abdominoplasty complications should be able to help you achieve your goals in the safest, most effective manner possible.
You should also ask to see a surgeon’s patient before & after photos to see if their skills and results align with your goals.
To find out more about tummy tuck revision in the Roanoke and Lynchburg, VA area, I encourage you to contact us online or call the office at (540) 776-1600.
– Dr. Enrique A. Silberblatt, Board-Certified Plastic Surgeon
Updated December 2020. Originally published February 2017.