Tummy tuck is one of the most common plastic surgery procedures used to improve the abdominal contour. However, there is a lesser-known variation called reverse abdominoplasty, which is indicated for very specific cases where skin laxity or excess skin is concentrated in the upper abdomen.

What is a reverse abdominoplasty?

Unlike a traditional tummy tuck, which removes excess skin and fat from the lower abdomen downwards, a reverse abdominoplasty works in the opposite direction. The incision is made in the inframammary folds, and from there, the excess skin from the upper abdomen is tightened upwards.

This improves the appearance for patients who, despite having a firm and toned lower abdomen, have visible laxity in the upper abdomen.

When is a reverse abdominoplasty indicated?

Reverse abdominoplasty is indicated for very specific cases, such as:

• Patients with localized laxity in the upper abdomen, usually following pregnancy or weight fluctuations.
• People who have already had previous abdominal surgery (such as a traditional abdominoplasty) and retain excess skin in the upper area.
• Patients who have undergone bariatric surgery or have lost a significant amount of weight and have redundant skin in the upper abdomen.
• Cases where the skin of the lower abdomen still has good elasticity and does not require correction.

Benefits of reverse abdominoplasty

• Aesthetic improvement of the upper abdomen, achieving a flatter and firmer appearance.
• Discreet scarring, as it is located under the breast fold, making it less visible when wearing lingerie or swimwear.
• Possibility of combining it with breast surgeries, such as breast augmentation or breast lift, to take advantage of the same incision.

Important considerations regarding reverse abdominoplasty

Not all patients are candidates for this procedure.

‍Reverse abdominoplasty does not replace the traditional technique, as it does not correct sagging or excess skin in the lower abdomen. Therefore, a assessment consultation with a plastic surgeon is essential to determine if this procedure is right for you based on your anatomy, expectations, and health status.

Reverse abdominoplasty is a less common but highly effective technique for specific cases of upper abdominal laxity. Proper indication and execution can safely and aesthetically transform your abdominal contour.

If you would like to know if you are a candidate for this type of procedure in Bogotá, I look forward to seeing you in my office for an assessment consultation where you will receive a surgical plan tailored to your needs.

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