Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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This is the standard nomenclature for the Brazilian Tummy Tuck. It involves a systematic approach starting with liposuction of the entire abdomen and flanks. This step loosens the skin and removes the heavy fat layer. Following liposuction, the skin is incised low on the pubis.
The surgeon then repairs the muscle separation and removes the excess skin. Because the fat has already been removed via liposuction, the skin flap is thinner and more pliable, making it easier to manipulate and contour. This integrated approach ensures a seamless transition between the treated abdomen and the rest of the body.
For patients with good skin tone and minimal fat, High Definition Lipoabdominoplasty creates an athletic look. This variation uses specialized liposuction to etch the lines of the abdominal muscles, specifically the linea alba and the linea semilunaris.
The surgeon selectively removes fat from the grooves between the muscles, leaving a thin layer over the muscle bellies. When the skin is tightened over this sculpted foundation, it mimics the appearance of a “six-pack” or a very toned core. This requires precise artistic skill and understanding of surface anatomy.
The extended variation is designed for patients with significant excess skin that wraps around the hips. The incision line extends beyond the hip bones, allowing the surgeon to lift the lateral thighs and flanks in addition to the abdomen.
This procedure effectively treats the “muffin top” area and improves the contour of the lower back. While the scar is longer, it allows for a more dramatic transformation of the entire lower torso, which is often necessary for patients undergoing massive weight loss.
The “Mini” version is less invasive and targets only the lower abdomen below the belly button. It is suitable for patients with a small “pooch” or loose skin in the suprapubic region but good muscle tone in the upper abdomen.
In the Brazilian variation, liposuction is still performed on the entire abdomen to ensure a smooth result, but the muscle repair and skin excision are limited to the lower section. The belly button is usually not repositioned, though it may be slightly floated lower.
This is a rare variation used when the loose skin is located primarily in the upper abdomen, often under the breasts. The incision is placed in the inframammary fold (the underarm crease). The skin is pulled upward rather than downward.
This procedure is often combined with a breast lift or reduction. The Brazilian element involves liposuction of the upper abdomen to thin the flap before lifting. It avoids a scar on the lower abdomen but can result in a visible scar under the breasts.
For patients with massive vertical and horizontal skin excess, typically after gastric bypass surgery, a standard horizontal incision is insufficient. The Fleur-de-Lis technique adds a vertical incision running up the center of the abdomen.
This allows the surgeon to pull the skin inward from the sides, significantly narrowing the waist. When combined with Brazilian liposuction techniques, this procedure creates a dramatic restoration of the waistline that would be impossible with a standard tuck.
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The appearance of the belly button is a tell-tale sign of a tummy tuck. In the Brazilian technique, great care is taken to create a natural-looking umbilicus. Instead of a circular scar, surgeons often use a small V-shaped or U-shaped incision hidden deep inside the navel.
The goal is to create a hooded, inward-turning belly button that mimics natural anatomy. Deflating the area around the new naval ensures it sits in a depression rather than looking flat or “stuck on.”
Many patients with abdominal laxity also suffer from a ptotic (sagging) mons pubis. During a Brazilian Tummy Tuck, the pubic area is lifted and tightened. Liposuction is used to reduce the fatty bulge of the mons.
The tissue is then suspended upward and secured to the abdominal fascia. This rejuvenates the genital region and ensures a smooth transition from the flat abdomen to the pubis, preventing a bulge or “ledge” at the incision line.
This comprehensive procedure involves turning the patient during surgery to perform liposuction on the entire back, bra rolls, and flanks before completing the tummy tuck on the front. It addresses the whole circumference of the torso.
By treating the back and front simultaneously, the surgeon creates a unified, harmonious result. This prevents the “front-only” correction, in which the patient appears flat from the front but still has prominent flanks or back fat.
For patients with significant muscle separation (diastasis) but very little excess skin, an endoscopic approach may be used. The surgeon inserts a camera and instruments through tiny incisions to suture the muscles together.
This creates a flat abdominal wall without the long scar of a full tummy tuck. Liposuction is almost always performed alongside this to remove any fat layers and help the skin retract over the tightened muscle.
While many Brazilian Tummy Tucks are naturally low-drainage due to the preservation of lymphatics, some surgeons use progressive-tension sutures to eliminate the need for drains. These internal stitches tack the skin flap down to the muscle wall, closing the space where fluid could accumulate.
This technique distributes tension throughout the abdomen rather than just along the incision line. It promotes faster healing and allows patients to be more mobile immediately after surgery, without having to manage drain bulbs.
For patients with existing abdominal scars from C-sections, appendectomies, or cholecystectomies, the Brazilian Tummy Tuck acts as a scar revision surgery. The surgeon plans the excision to remove these old, often indented or wide scars.
If a scar cannot be removed, it can often be reduced or improved. The release of tethered scars during the dissection phase allows for a smoother abdominal surface.
A mini tuck only addresses the area below the belly button. It uses a shorter incision and does not reposition the navel. A full tuck addresses the entire abdomen, tightens muscles above and below the navel, and involves creating a new opening for the belly button. Both use liposuction for contouring.
Yes, the Fleur-de-Lis leaves a vertical scar running up the middle of the abdomen in addition to the horizontal scar. This trade-off is usually reserved for patients with massive weight loss who prioritize contour and fit over scar visibility.
Yes, combining a Brazilian Tummy Tuck with a BBL is very common. The fat harvested from the abdomen and flanks during the tummy tuck is purified and injected into the buttocks to enhance shape and projection, completing the hourglass transformation.
In most cases, yes. Even if the skin is the primary concern, most patients have some degree of muscle separation or laxity. Repairing the muscle provides a flat foundation; without it, the stomach may still protrude even if the skin is tight.
During the closure of the tummy tuck, the surgeon pulls the skin of the pubic area upward and sutures it to the strong fascia of the abdominal wall. This lifts the sagging tissue. Liposuction is also used to reduce any fatty bulge in the mons pubis.
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