KNOWLEDGE BASE ARTICLE

Plastic surgery terms explained

Reverse Abdominoplasty

What does this term mean?

Definition

A reverse abdominoplasty is a surgical procedure aimed at correcting excess skin in the upper abdomen. Unlike a traditional tummy tuck, which focuses on tightening the lower abdomen, this technique lifts the skin upward toward the breast fold.

It is suitable for individuals experiencing upper abdominal skin laxity, often due to weight loss, aging, or pregnancy. The incision is strategically placed beneath the breast crease, making the scar typically well-hidden.

In-Depth Explanation

Who Is a Reverse Abdominoplasty Suitable For?

This procedure is specifically designed for individuals who:

  • Have excess skin in the upper abdomen without significant issues in the lower abdomen
  • Have experienced weight loss resulting in loose skin in the upper abdominal area
  • Are considering a breast lift or augmentation, as the incisions can be combined to minimize scarring
  • Maintain a stable body weight and are in overall good health

How Does the Procedure Work?

  • Anesthesia: The surgery is performed under general anesthesia.
  • Incision: A horizontal incision is made just below the breast crease.
  • Removal of excess skin: The excess skin is removed, and the remaining skin is pulled upward and sutured in place.
  • Combination with other procedures: The surgery is often combined with breast procedures, such as a lift, to conceal the scar.
  • Duration: The procedure typically lasts 2 to 4 hours, depending on complexity.

Recovery After a Reverse Abdominoplasty

Most patients experience swelling, bruising, and a feeling of tightness in the treated area following surgery.

Post-operative care tips:

  • Wear a compression garment to reduce swelling and support healing.
  • Avoid strenuous activity and exercise for 4 to 6 weeks.
  • Get plenty of rest and closely follow your surgeon’s instructions.

Most individuals can return to light daily activities after about two weeks. The final result becomes visible after a few months, once swelling has completely subsided.

Results and Benefits

Reverse abdominoplasty offers:

  • A tighter and smoother upper abdomen
  • Improved body contours
  • Discreetly placed scars hidden in the breast fold
  • Long-lasting results, provided weight remains stable

Considerations and Risks

As with any surgical procedure, a reverse abdominoplasty carries certain risks, including:

  • Scarring, which may remain visible, though strategically placed
  • Swelling, fluid buildup, infections, or wound healing complications
  • Temporary loss of skin sensation in the treated area

It is important to discuss all options and risks with a qualified plastic surgeon before deciding to undergo this procedure.

About the author:

Dr. David Jairath

Plastic Surgeon

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