Second opinion after tummy tuck surgery
Full, same because you are thin, but you have too much skin, at the profile view, you can see the length of the incision that much the skin exes.
The small vertical scar may be needed
I think your plastic surgeon has done a good job in mentioning that you may have that small vertical incision related to the belly button location. Its hard to know 100% if that will be needed and will be determined in the operating room.
The small vertical incision, if closed properly, will be very inconspicuous and well worth the trade for a very low horizontal incision. All the best, Dr Remus Repta (Remus Repta, MD, Atlanta Plastic Surgeon)
Second opinion and Tummy TuckGiven the position of your belly button, I agree with your surgeon you may need a vertical incision. The other options available would be to place the tummy tuck incision higher and more visible on the abdomen or to float the belly button and lower it quite a bit. Either option is not very good compared to the vertical scar. (Lisa M. DiFrancesco, MD, Los Angeles Plastic Surgeon)
Second Opinion for Tummy Tuck with Small Vertical
I think that there is a concern for a high belly button and needed vertical scar, but an examination is far better for assessing this. When I inform patients that this may be necessary, I find that I only have to do this vertical component about 10% of the time. (Kenneth B. Hughes, MD, Baltimore Plastic Surgeon)
Small vertical scar neededI think your surgeon is right if you go by way of having a “full” tummy tuck. There might be another choice though based on your photos. You could have a “modified” tummy tuck. In this option, you get the same lower scar and muscle tightening, but the belly button is “disconnected” and “floats” down about an inch. It will take up some but not all the slack of the extra skin above your belly button. I can’t tell from the photo how tight your skin is but I think you should consider it. Discuss it with your surgeon.(Ronald Schuster, MD, Seattle Plastic Surgeon)
I concur with your surgeon, and would not get a second opinion on that basis alone. This is a common occurrence in patients with your particular anatomy.
Some might offer no vertical incision, but a higher TT scar, which means the whole incision is higher, and that makes no sense to me. Other possibility is lowering the navel, but in my experience, most patients feel the new navel position is “wrong” even when the surgeon feels it is better. Often, after a year, there is enough relaxation that the vertical incision can be removed in a minor touch up procedure. All the best. (Jourdan Gottlieb, MD)