The right type of tummy tuck depends on how much excess skin needs to be removed, whether muscle tightening is necessary, and if additional contouring is desired. Some procedures focus on the lower abdomen, while others address the entire midsection or include liposuction for a smoother shape. Understanding these options helps in choosing the best fit for your body and goals.
At Aesthetic Surgical Images, our team provides expert guidance to help patients make informed decisions. With years of experience and a focus on patient care, we offer clear, professional insights to find the best tummy tuck for your needs.

Key Takeaways About the Different Types of Abdominoplasty Procedures
- Mini Tummy Tuck: Ideal for individuals with minor lower abdominal sagging; involves a smaller incision and focuses on the area below the belly button.
- Full Tummy Tuck: Addresses the entire abdominal area; removes excess skin and tightens muscles above and below the belly button.
- Extended Tummy Tuck: Suitable for those with significant excess skin extending to the flanks; includes a longer incision to remove more tissue.
- Fleur-de-Lis Tummy Tuck: Designed for patients with substantial horizontal and vertical excess skin; involves both horizontal and vertical incisions for comprehensive contouring.
- Reverse Tummy Tuck: Targets loose skin in the upper abdomen; the incision is placed along the lower breast fold to tighten and lift the area.
1. Mini Tummy Tuck for a Flatter Lower Belly

A mini tummy tuck is ideal for individuals who have a small amount of excess skin and fat localized below the belly button. This procedure involves a shorter horizontal incision above the pubic area, through which the surgeon removes excess skin and tightens the lower abdominal muscles.
Unlike a full tummy tuck, the navel is typically not repositioned. The mini tummy tuck results in a shorter recovery time and less noticeable scarring, making it a popular choice for those seeking subtle improvements.
2. Full Tummy Tuck Surgery for a Slimmer Waistline

A full tummy tuck, or standard abdominoplasty, is the most common type of tummy tuck procedure since it focuses on the entire midsection. Your surgeon will make two incisions – one will be located in the lower abdomen and the second is made around the navel.
Though scarring is more obvious with this procedure, these incision sites allow your surgeon to remove sagging skin from both the upper and lower abdomen. They will also tighten the abdominal muscles to give you a more toned midsection.
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3. Extended Tummy Tuck for Removing More Excess Skin

An extended tummy tuck is suitable for individuals who have experienced significant weight loss resulting in excess skin that extends beyond the abdomen to the flanks (sides) and lower back. This procedure involves a longer horizontal incision that runs across the lower abdomen and may extend around the hips.
Through this incision, the surgeon removes a more substantial amount of excess skin and fat, and tightens the underlying muscles. The extended tummy tuck not only flattens the abdomen but also improves the contour of the waist and flanks, providing a more comprehensive body transformation.
4. Fleur-de-Lis Tummy Tuck for Dramatic Reshaping Results

The Fleur-de-Lis tummy tuck is designed for patients who have significant excess skin both horizontally and vertically, often as a result of massive weight loss. This technique involves both a horizontal incision along the lower abdomen and a vertical incision running from the lower chest to the pubic area, forming an inverted “T” shape.
This approach allows for the removal of a considerable amount of skin and fat, and enables the surgeon to tighten the abdominal muscles extensively. While the Fleur-de-Lis tummy tuck results in more noticeable scarring, the dramatic improvements in body contour can be life-changing for suitable candidates.
5. Reverse Tummy Tuck for Tightening the Upper Abdomen

A reverse tummy tuck targets excess skin and laxity in the upper abdomen, an area not addressed by traditional tummy tuck procedures. This technique involves an incision along the lower breast fold, through which the surgeon removes excess skin and tightens the underlying tissues.
The reverse tummy tuck is often combined with breast procedures, such as a breast lift or augmentation, to achieve a harmonious upper-body contour. This procedure is ideal for individuals who have loose skin primarily in the upper abdominal region.
6. Tummy Tuck with Liposuction for Smoother Contours

Combining a tummy tuck with liposuction can enhance the overall results by addressing both excess skin and stubborn fat deposits. Liposuction involves the removal of fat cells through a suction technique, allowing for targeted fat reduction in areas such as the hips, thighs, and flanks.
When performed in conjunction with a tummy tuck, liposuction can create smoother and more contoured transitions between the treated areas, resulting in a more natural and aesthetically pleasing appearance. This combination is particularly beneficial for individuals seeking comprehensive body contouring.
Before and After Tummy Tuck Photos


* Each patient is unique and individual results may vary.
How to Pick the Right Tummy Tuck for You
Choosing the appropriate type of tummy tuck depends on several factors, including the amount and location of excess skin and fat, the condition of the abdominal muscles, and your overall health and aesthetic goals. It’s essential to consult with a board-certified plastic surgeon who can assess your individual situation and recommend the most suitable procedure.
At Aesthetic Surgical Images in Omaha, Nebraska, our experienced surgeons are dedicated to providing personalized care and exceptional results. We invite you to schedule a consultation to discuss your options and determine the best approach to achieve your desired outcome. Contact us today at (402) 390-0100 or visit our website to book your appointment.
Frequently Asked Questions
A full abdominoplasty addresses both the upper and lower abdominal areas, removing excess skin and fat while tightening the abdominal muscles. A partial abdominoplasty, also known as a mini tummy tuck, focuses solely on the lower abdomen below the belly button and involves a smaller incision.
A panniculectomy removes excess skin and fat from the lower abdomen but does not tighten the abdominal muscles. Unlike a tummy tuck, this procedure is typically performed for medical reasons, such as reducing skin irritation and improving mobility.
A circumferential abdominoplasty extends around the entire torso, addressing excess skin and fat in the abdomen, lower back, and flanks. This procedure is ideal for patients who have undergone massive weight loss and require significant body contouring.
The abdominal wall consists of muscles and connective tissue that provide core support. In a tummy tuck, the surgeon tightens the abdominal muscles to restore firmness and improve overall body contour.
Taking the Next Step
If you’re considering a tummy tuck, take the time to learn about the procedure and explore your options. At Aesthetic Surgical Images in Omaha, we offer complimentary cosmetic consultations to help you determine the best approach for your goals. Contact us today by calling (402) 390-0100 or (800) 331-5001 to schedule your appointment.
Why Choose Aesthetic Surgical Images?
For over 30 years, Aesthetic Surgical Images has been a leading plastic surgery provider in the Midwest. Our board-certified plastic surgeons bring extensive experience and training in all plastic surgery procedures:
Dr. Marie Montag: A board-certified plastic surgeon and member of ASPS.
Craniofacial Plastic Surgery Fellowship, Primary Children’s Medical Center, Division of Plastic and Craniofacial Surgery, Salt Lake City, Utah, 1996-1997 Plastic Surgery Residency, University of Wisconsin, Plastic and Reconstructive Surgery Department, Madison, Wisconsin, 1994-1996 General Surgery Residency, Creighton University School of Medicine, Omaha Nebraska, 1989-1994 Internship, Creighton University School of Medicine, Omaha, Nebraska 1988-1989 Creighton University School of Medicine, Omaha, Nebraska 1984-1988 Creighton University, Omaha, Nebraska, Bachelor of Arts and Sciences- Chemistry, 1981-1988.
Dr. Bruneteau: A board-certified plastic surgeon and member of ASPS.
Craniofacial and Pediatric Plastic Surgery, Harvard Medical School, Brigham & Women’s and Children’s Hospital, Boston, Massachusetts, 1989-1990 Fellow, Microsurgery, Ralph K. Davies Microsurgical Institute, San Francisco, California, 1989 Plastic Surgery Chief Residency, University of California, San Francisco, California, 1988-1989 Plastic Surgery Residency, University of California, San Francisco, California, 1987-1989 General Surgery Chief Residency, University of Iowa Hospitals & Clinics, Iowa City, Iowa, 1986-1987 General Surgery Residency, University of Iowa Hospitals & Clinics, Iowa City, Iowa, 1983-1987 Internship, University of Iowa Hospitals & Clinics, Iowa City, Iowa, 1982-1983 University of Nebraska Medical Center, Omaha, Nebraska, Doctor of Medicine, 1978-1982 University of Nebraska, Lincoln, Nebraska, Bachelor of Science, 1974-1978