Karen M. Horton, MD answers: Different location and direction of Tummy Tuck incisions?
Why are some Tummy Tuck incisions straight across and some in a dramatic "u"? Is there an advantage to the "u"?
A tummy tuck ("abdominoplasty") requires creation of a longish scar across the lower abdomen, and usually also around the belly button.
During a tummy tuck, excess skin and fat is removed from the lower belly, and the muscles of the abdominal wall are brought together by a technique called "rectus fascial plication".
Adbominoplasty is really a three-dimensional operation, serving to corset your midline from the inside, and tuck excess skin and fat on the outside! It is an incredible procedure for some women who are good candidates.
The location of the incision can be designed to fit within your normal swimsuit or undergarment lines.
Some women wear very low-cut bathing suits or jeans, and wish their scar to be as low and horizontal as possible.
However, other women may wear a more high-cut undergarment or bikini bottom, and may wish the scar to lie slightly higher. Most women know which cut or style of bottom flatters their figure most, and tend to stick to that style.
You can bring your undergarment with you to a consultation with a Board-Certified Plastic Surgeon and show your Plastic Surgeon where the ideal location for the scar to lie, if possible.
Remember, however, that styles and fashions can change. Scars are permanent, but fade dramatically with time.
If you are seriously considering a tummy tuck, stay involved with the planning process and don't be shy about asking your Plastic Surgeon to tailor the procedure so that it suits your body, fashions and lifestyle the very best!