There are many variation and sub variations of tummy tuck surgery. It is the job of an expert cosmetic plastic surgeon to evaluate your tissue condition and plan best match surgery to give you desired abdominal shape

Plan for Tummy tuck surgery in men and women as both have different body structure

Mini Tummy Tuck / endoscopic tummy tuck

Standard/Traditional Tummy Tuck

Lipoabdominoplasty/Brazilian tummy tuck

Extended Tummy Tuck

Torsoplasty – 360 Degree Tummy Tuck

Circumferential Tummy Tuck, Belt Plasty, Lower Body Lift

Dermolipectomy/Panniculectomy

Fleur De Lis Tummy Tuck

Type-1: Mini Tummy Tuck

For simplification,umbilicus is in centre of the abdomen, skin is there above and below it. When only skin below the umbilicus is extra, can be removed through the shorter scar. there would be no need for a scar around the umbilicus. A young post pregnantlady with good muscle tone and limited stretch mark is good candidate for mini tummy tuck surgery

If skin is in good condition, but muscle tone is weak, there is a need to plicate muscle up to chest bone. That can be done with the help of an endoscope, which is called endoscopic or endoscopic assisted abdominoplasty surgery.

When umbilicus is situated high on abdomen, very little skin is extra above the umbilicus, Floating Umbilicus technique can be applied without an umbilical surrounding scar. The umbilicus is detached from the underlying muscle and fixed at the new lower more appropriate location.

Mini tummy tuck or short scar is very attractive options but it has its own limitations. If performed without proper indication with only short scar motive, one may get awful result and regret in long term

Type-2: Standard Tummy Tuck/Full Tummy Tuck/Traditional Tummy Tuck

When a patient has a weakened abdominal muscle or they experience abdominal wall laxity, they may be a candidate for standard tummy tuck surgery.

First the skin cut is made low in the abdomen. Skin and fat undermined extensively. Wide skin flap is elevated till the chest bone.Diastasisof recti is repaired, the muscle edges are sutured together, thereby tucking in the loose abdominal wall. Sutures can also be placed on the facia of the abdominal oblique muscle of the abdominal wall to create a further tightening of the muscle and create the narrowness of the waist line.

Now skin is pulled down as much as possible and extra skin is cut. Free edge is sutured at l the lower ends. During this process, the extra skin along with stretch marks are removed maximally

Limitations

Patient has to remain bend and walk bending for long time.

Comparatively large amount of fat stays back

chances of complication are more

With the advent of Advanced liposuction use of classical tummy tuck is gradually reducing

Type-3: Lipoabdominoplasty/Brazilian Tummy Tuck

Abdominal fat has two components one has those fat that occurs beneath the skin and above the muscles of the abdominal wall. This fat is known as “pinchable fat,” and another component is that fat that occurs beneath the abdominal muscles surrounding viscera known as visceral fat. Thus, non-pinchable and pinchable fat is removed with liposuction.

In lipoabdominoplasty, pinchable fat and somatic fat are removed with advance liposuction and only the central part of the skin flap is dissected for muscle tightening.

Advantages of the Lipoabdominoplasty over standard tummy tuck are as follows:

Fat is removed with advance liposuction results in a thinner abdomen.

abdomen. Liposuction sculpts the abdomen gives the more contoured natural looking flat abdomen.

the abdomen gives the more contoured natural looking flat abdomen. Skin slides better so more skin is excised .

. Skin sliding with vascularity maintained and thus it is safer.

Scar can be planned at lower level quite below bikini line.

Skin is not under much tension so scar will heal faster.

Scar will not widen with time as tension on scar line is less.

As the skin tightens over the time, so the resultant scar is short

A patient can walk straight on the same day, instead of bending unlike the standard tummy tuck

on the same day, instead of bending unlike the standard tummy tuck Mons pubis also repositioned a gets tighter at a youthful level.

Advanced technology such as Vaser “Liposelection” target only fat with a very minimal effect on the blood vessels, nerves, and structural tissues, which makes lipoabdominoplasty quite safer.

A variation is High tension lipoabdominoplasty also tightens thigh skin and gives thigh lift, but it has some limitations.

Lipoabdominoplasty Limitations

Well expirience surgeon. One must be knowing from where to remove and where not to remove fat and where to stop liposuction. He must be very gentle to do suction. Use of advance liposuction technology like vaser cost more

Type-4: Extended Tummy Tuck

Normally tummy tuck incision extends from one hip bone to another one. As such no one wants a cut or surgery. But when there is extra skin on the lateral abdomen or a large amount of fat on laterally (big love handle), one has to extend the incisionbeyond hip to remove and tighten the abdominal skin, which is called an extended tummy tuck. Such tummy tuck surgery in man or woman also lifts the lateral thigh skin.

Type-5: Torsoplasty – 360 Degree Tummy Tuck

When lipoabdominoplasty is combined with liposuction of back, bra roll and hip area, it is called torsoplasty, which gives narrow waist line. One can get hourglass shape or “V” shape torso.

Type-6: Circumferential Tummy Tuck, Belt Plasty, Lower Body Lift

After massive weight loss or a large amounts of fat liposuction, there is evident extra skin on backside also. To remove this extra skin, an incision is made till back and meet each other in the mid line, which is called circumferential or belt lipectomy. It also tightens the lateral thigh skin and lifts the butt.

Belt plasty

Incision of Circumferential torosoplastyis little up on hip. It gives better waist line but lowerbody or butt will not be lifted much.

Lower body lift

Incision of Circumferential torosoplastyis comparatively lower levelIit lifts butt and lower body /thigh nicely. Trade of is waist line will be not as good as beltplasty.

Type-7: Dermolipectomy/Panniculectomy

When only the skin is loose and muscle tone is very good and rectii are attached to each other in the mid-line, there is no need to plicate muscle. Only skin excision is done, which is called dermolipectomy or the only skin abdominoplasty. As muscle is not tightened, recovery is very fast. So many men just require dermolipectomy.

Dermolipectomy is also performed in elderly or obese means less fit patient if they are disabled to take personal hygiene care because of hanging pendulum of abdomen.

Type-8: Fleur De Lis Tummy Tuck

After massive weight loss skin is extra not only in a vertical dimension but also in a horizontal dimention. in such situation

When skin is too much in excess in a both dimension, It require excision in horizontal and vertical direction. the fleur de lis name is derived from this type of incision. After removing fat and tightening of muscle, the skin is excised in three petal shapes. One reaches up to breast bone and two going lateral around the hip bone. The skin is pulled down and centrally. The resultant incision is like an inverted “T” shape.