What is a Reverse Tummy Tuck and Who Needs One?

As a board-certified plastic surgeon in Raleigh, NC, I often meet patients who feel self-conscious about excess skin in their upper abdomen. While many are familiar with a traditional tummy tuck, fewer know about the  reverse tummy tuck, a highly effective procedure designed to address sagging skin in the upper abdominal area. If you struggle with loose skin above your belly button and desire a more sculpted, balanced appearance, this procedure may be the solution you’ve been looking for.

Understanding the Reverse Tummy Tuck

A reverse tummy tuck, also known as an upper abdominoplasty, is a cosmetic surgery that removes excess skin from the upper abdomen. Unlike a traditional tummy tuck, which tightens the lower abdomen by pulling the skin downward, the reverse tummy tuck pulls the skin upward for a firmer, more contoured appearance. The incisions are made along the inframammary fold (under the breasts), allowing for discreet scarring.

This procedure can be performed on its own or combined with breast augmentation, a breast lift, or liposuction to further enhance upper body aesthetics. Many of my patients in Raleigh, NC, choose this option to refine their abdominal contour and achieve a more youthful, toned appearance.

Many of my patients come to me frustrated that diet and exercise haven’t addressed excess skin in their upper abdomen. A reverse tummy tuck can be a game-changer, helping them feel more comfortable and confident in their bodies.

Who is a Good Candidate for a Reverse Tummy Tuck?

You may be a good candidate for a reverse tummy tuck if you:

Have excess or sagging skin in the upper abdomen but little to no laxity in the lower abdomen. This is common after significant weight loss or aging, where skin elasticity has been compromised.

Have undergone significant weight loss, resulting in loose skin above the belly button. Even with a healthy lifestyle, skin that has stretched beyond its natural ability to retract may require surgical intervention.

Have had a previous tummy tuck but still have concerns about the upper abdominal area. In some cases, a standard tummy tuck primarily targets the lower abdomen, leaving residual excess skin in the upper portion.

Want to improve the results of a breast augmentation or breast lift by refining the upper torso’s appearance. The reverse tummy tuck can create a seamless, youthful contour between the breasts and upper abdomen.

Are in good overall health and maintain a stable weight. Candidates should be free from medical conditions that could impair healing or increase surgical risks.

Have realistic expectations and a desire for a more contoured, proportionate midsection. While the procedure offers noticeable improvements, maintaining results requires a commitment to a healthy lifestyle.

Many of my patients who choose a reverse tummy tuck have already taken great care of their bodies but are left with stubborn loose skin. This procedure allows us to fine-tune and enhance their results.

Benefits of a Reverse Tummy Tuck

A reverse tummy tuck offers several advantages for the right candidates: 

• Creates a smoother, firmer upper abdomen and enhances body proportions. This helps patients feel more comfortable in form-fitting clothing, swimsuits, and lingerie. 
• Scars are hidden under the breast fold, making them less visible. Unlike a standard tummy tuck, where scarring is lower on the abdomen, this technique keeps incisions in an inconspicuous location. 
• Can be combined with breast procedures for a more comprehensive transformation. This is particularly beneficial for women undergoing a mommy makeover who want to address multiple areas in a single surgery. 
• Less invasive than a traditional tummy tuck, as it does not involve muscle tightening. This means a faster recovery time with less post-operative discomfort. 
• Quicker recovery, with most patients resuming normal activities within two weeks. Since no muscle repair is involved, recovery is generally smoother than with a full abdominoplasty. 
• Boosts self-confidence, helping patients feel more comfortable in fitted clothing and swimwear. Eliminating excess skin can restore a youthful, contoured shape, making patients feel revitalized. 
• Long-lasting results, especially when paired with a healthy lifestyle. Maintaining a stable weight and active routine can help preserve the surgical outcome for years to come. 
• Addresses post-pregnancy changes, giving mothers an option to reclaim their pre-baby body. Pregnancy can stretch the skin, and while a traditional tummy tuck helps the lower abdomen, this procedure targets the upper area.

The Reverse Tummy Tuck Procedure: What to Expect

As an experienced plastic surgeon in Raleigh, NC, I perform this procedure under general anesthesia in a safe, accredited surgical facility. The process typically involves: 

1. Making an incision along the inframammary crease (beneath the breasts) for a discreet scar placement. I take great care to ensure the incision heals smoothly and blends naturally with the existing breast fold. 
2. Removing excess skin and pulling the remaining tissue upward for a firmer, smoother upper abdomen. By lifting the tissue rather than pulling downward, we enhance the natural abdominal contour. 
3. Carefully closing the incisions to minimize scarring. Advanced suturing techniques ensure a clean, smooth closure for the most refined result. 
4. Applying dressings and providing detailed post-operative care instructions. Patients receive personalized guidelines to promote optimal healing and comfort.

Unlike a traditional tummy tuck, this procedure does not involve abdominal muscle repair, making it a less invasive option with a quicker recovery.

Recovery and Aftercare

Recovery varies for each patient, but general guidelines include:  

• One to two weeks of downtime before returning to work or daily activities. While light activity is encouraged, patients should avoid excessive bending or stretching.  
• Mild swelling and bruising that will gradually subside. Using cold compresses and keeping the upper body elevated can help minimize swelling.  
• Avoiding strenuous exercise and heavy lifting for at least six weeks. This prevents strain on healing tissues and reduces the risk of complications.  
• Following scar management techniques, such as silicone sheets or laser treatments, to promote optimal healing. Patients who diligently follow post-surgical care instructions often see the best results.  
• Attending follow-up appointments to ensure proper healing and the best aesthetic outcome. These visits allow us to monitor progress and address any concerns promptly.  
• Wearing compression garments, if recommended, to reduce swelling and support healing. Compression can help the skin conform smoothly to its new shape.

I always remind my patients that while recovery is temporary, the confidence they gain from their results is long-lasting. My team and I are here to guide you every step of the way.

Is a Reverse Tummy Tuck Right for You?

If excess upper abdominal skin is affecting your confidence, a reverse tummy tuck may be the perfect solution. Many of my patients in Raleigh, NC, have found that this procedure enhances their body proportions and helps them achieve a more sculpted, youthful appearance.

The best way to determine if you’re a candidate is to schedule a consultation with me, Dr. Glenn Lyle, a board-certified plastic surgeon in Raleigh, NC. During your consultation, I will assess your individual concerns, discuss your goals, and develop a personalized treatment plan tailored to your needs.

Every patient’s body is unique, which is why I take a customized approach to every procedure. If you’re considering a reverse tummy tuck, let’s discuss how we can achieve your aesthetic goals together.

FAQs About Reverse Tummy Tuck

Schedule Your Consultation with Dr. Glenn Lyle

Call or visit the website to book your appointment today!

Further Reading Related to Reverse Tummy Tuck on Dr Glenn Lyle's Website

• Visit the Photos page on Reverse Abdominoplasty in Raleigh, North Carolina 
• Visit the Photos page on BBL Combined with Reverse Tummy Tuck in Raleigh, NC 
• Read the blog on TummyTuck After Age 50: Am I Too Old for Abdominoplasty? The Answer is No! 

About Dr Lyle - Plastic Surgeon in Raleigh NC  

Dr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With over 30 years of experience, he specializes in breast surgery and body contouring , including tummy tucks, to enhance patients' appearance after weight loss, pregnancy, and aging.  

Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch. He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons.  

Throughout his career, Dr. Lyle has contributed to the field through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results.  

Next Steps  

If you’re considering a breast augmentation in Raleigh, NC, and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation. Let’s work together to help you achieve your best results-safely and beautifully.  

To book a consultation please fill in the contact form or phone the office.