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This blog has been authored by “Dr. Joe” Gryskiewicz MD, FACS.

About Dr. Joe Gryskiewicz:

Dr. Joe Gryskiewicz is a board-certified plastic surgeon with over 30 years of experience performing aesthetic surgery. He is a Fellow of the American College of Surgeons and belongs to the American Society of Plastic Surgeons, The Aesthetic Society, The Rhinoplasty Society, and many other national institutions.

In addition to being in private practice, Dr. Joe is a writer and international speaker. He has traveled the world delivering over five hundred presentations to professional organizations on plastic surgery topics such as breast augmentation, rhinoplasty, hot topics, and ethics. He writes for a number of medical journals, society newsletters, and academic publications.

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Different Tummy Tucks: The Umbilical Float

A tummy tuck is an option for many who struggle with body image issues due to excess skin, stubborn fat deposits, or weakened abdominal muscles, often resulting from significant weight loss or pregnancy. The procedure refines the abdominal area, enhancing both appearance and comfort. Among the various techniques available, the Abdominal Float procedure stands out due to its unique approach and impressive outcomes, which we will explore in depth.

Dr. Joe Gryskiewicz’s approach is tailored to meet the individual needs of each patient, combining advanced surgical techniques with compassionate care. This ensures not only impressive results but also a smooth, supportive journey to recovery. Whether you’re considering a tummy tuck to restore your pre-pregnancy silhouette or to enhance your body shape after significant weight loss, understanding the options from our skilled board-certified plastic surgeon can help you make a decision.

Overview of Traditional Tummy Tuck

Tummy tucks can be broadly categorized into three types: the full tummy tuck, the mini tummy tuck, and the extended tummy tuck. Each type is designed to address specific concerns and conditions, allowing plastic surgeons like Dr. Joe to tailor the approach to the unique needs of each patient.

Full Tummy Tuck

The full tummy tuck, also known as traditional abdominoplasty, is a complex form of the procedure. It involves an incision that runs from hip to hip just above the pubic area and around the navel. This allows for the removal of a significant amount of excess skin and fat, as well as the tightening of abdominal muscles that may have become stretched out or separated (a condition known as diastasis recti). Ideal candidates for a full tummy tuck are individuals who have undergone massive weight loss or women who have had multiple pregnancies, resulting in stretched skin and muscles that cannot be corrected through diet and exercise alone.

The procedure can not only provide a flatter and firmer abdominal area, but can also enhance the overall contour of the waist and lower torso. The results can improve confidence, allowing you to wear a wider variety of clothing and participate in activities you might have avoided.

Mini Tummy Tuck

For those who have mild to moderate abdominal skin laxity and protrusion below the belly button, a mini tummy tuck might be the most suitable option. This procedure is less invasive than the full tummy tuck and focuses on the lower abdomen. It involves a smaller incision and typically does not require repositioning of the navel. Recovery from a mini tummy tuck is generally quicker, and the procedure is often recommended for individuals who are generally satisfied with the appearance of their upper abdomen.

The mini tummy tuck is ideal for patients who are close to their ideal body weight but struggle with a “pooch” or a small amount of excess skin and fat that does not respond to diet and exercise. It’s a popular choice for women post-pregnancy who have slight bulges that they would like to correct.

Extended Tummy Tuck

An extended tummy tuck goes beyond the standard full tummy tuck, addressing excess skin and fat around the flanks and lower back as well as the abdominal area. This body contouring procedure involves a longer incision that extends around the hips to the lower back, which allows for a more significant contouring of the entire midsection.

Ideal candidates for an extended tummy tuck are those who have experienced massive weight loss, including post-bariatric surgery patients, and have substantial amounts of excess skin hanging around their midsection and back. The extended tummy tuck not only improves the shape and tone of the abdomen but also enhances the overall silhouette by tightening the flanks and reducing love handles.

Each of these tummy tuck options offers distinct benefits and considerations. Dr. Joe carefully assesses your body type, aesthetic goals, and medical history to recommend the most appropriate procedure. Whether opting for a full, mini, or extended tummy tuck, you are guided through the process with the highest standard of care, ensuring safety, comfort, and satisfaction with the results.

Umbilical Float Tummy Tuck

The Umbilical Float Tummy Tuck, a specialized variant of the traditional abdominoplasty, offers a tailored solution for patients who require modification primarily from wrinkled skin in the area above the belly button. This procedure is particularly suited for those who have a mild to moderate amount of abdominal skin laxity and protrusion, but do not need the extensive correction provided by a full abdominoplasty. Dr. Joe is skilled in this nuanced technique, which is known for its less invasive nature and its ability to finely tune the abdominal contour with minimal scarring.

What is an Umbilical Float Tummy Tuck?

The Umbilical Float Tummy Tuck is named for its unique approach to repositioning the navel. Unlike traditional tummy tucks, where the belly button is often relocated through a new incision, the umbilical float technique involves detaching the navel from its surrounding tissues and slightly moving it downward. This allows for the removal or tightening of skin without the need for a second incision around the navel, resulting in a more natural-looking outcome and less visible scarring.

The procedure begins with a horizontal incision made just above the pubic hairline, similar to that of a full tummy tuck. However, the key difference lies in the handling of the navel. Once the skin is lifted, Dr. Joe carefully floats the navel downward as he tightens and reshapes the abdominal muscles and removes excess skin. The navel is then anchored back into its new position, which is typically only slightly lower than its original location, preserving its natural appearance while enhancing the overall contour of the abdomen.

Benefits of the Umbilical Float Procedure

One of the primary benefits of the Umbilical Float Tummy Tuck is the preservation of the navel’s original look, which can be a significant concern for many patients considering abdominoplasty. Since the procedure avoids creating a new external scar around the belly button, the final appearance is more subtle and less indicative of having undergone surgery.

Moreover, the Umbilical Float is less invasive compared to more extensive tummy tuck procedures. It involves less disruption to the body’s natural structures, and as a result, recovery can be somewhat quicker and with potentially fewer complications. Patients can often return to their normal daily activities sooner, with less downtime and discomfort.

Ideal Candidates for the Procedure

The ideal candidates for an Umbilical Float Tummy Tuck are individuals who are relatively close to their ideal body weight but have a ‘pooch’ or bulge in the lower abdomen that persists despite diet and exercise. These candidates usually have a significant amount of excess skin above the belly button, which makes them perfect candidates for this targeted approach.

It’s also an excellent option for individuals who prefer a less noticeable intervention. Since the procedure offers subtle yet effective modifications, it attracts patients who are looking for improvement without obvious signs of surgical intervention.

Dr. Joe’s Approach to the Umbilical Float

Dr. Joe’s technique with the Umbilical Float Tummy Tuck is refined by years of experience and a deep understanding of the anatomical nuances that contribute to a successful outcome. He emphasizes a thorough consultation process to assess the suitability of the procedure for each patient, considering their specific anatomical features, skin quality, and personal aesthetic goals.

During the procedure, Dr. Joe takes meticulous care to ensure that the movement of the navel and the tightening of the abdominal muscles are performed precisely. His goal is to create a smooth, flat abdominal profile that looks natural and harmonizes with the patient’s overall body shape. Then, there is no scar around the belly button.

The Surgical Process

The process of undergoing an Umbilical Float Tummy Tuck with Dr. Joe is planned to ensure safety, comfort, and the best possible outcomes. Here are the steps:

Pre-Surgical Consultation and Planning

Prior to the day of surgery, Dr. Joe conducts a detailed consultation to discuss your goals, evaluate your abdominal area, and determine if the Umbilical Float procedure is the most suitable approach for your needs. This session is important for aligning expectations and involves a thorough medical review and possibly some preoperative tests to ensure your fitness for surgery.

Day of Surgery

On the day of your procedure, you will arrive at the ambulatory surgery center where Dr. Joe and his team will prepare you for surgery. This involves going over the surgical plan one last time, marking the areas on your abdomen that will be corrected, and administering anesthesia for your comfort during the operation.

The operation starts with a precise incision made just above the pubic area. Dr. Joe’s approach aims to keep this incision as minimal as possible to reduce visible scarring. Once the incision is made, the skin is lifted to access the underlying abdominal muscles. Dr. Joe tightens these muscles and sutures them to create a firmer abdominal wall and a narrow waistline.

Navel Repositioning

The critical aspect of the Umbilical Float Tummy Tuck involves the navel. Dr. Joe detaches the navel from its surrounding tissues, allowing the skin to be pulled downward smoothly without creating an unnatural appearance. The navel is then “floated” to its new position, slightly lower than its original location but still in a naturally harmonious position that complements the reshaped abdomen. This step is performed with great care to ensure that the belly button looks natural and the scar is hidden within the contours of the navel.

Closing the Incision

After the abdominal contouring is complete, Dr. Joe meticulously closes the incision using advanced suturing techniques that promote healing and minimize scarring. The placement of the sutures is carefully considered to ensure the tightness of the skin to enhance the new, slimmer profile.

Post-Surgery Care

Once the surgery is complete, you’ll be moved to a recovery area, where Dr. Joe and his team closely monitor your initial recovery. Pain management and infection prevention are prioritized, and you will be provided with specific instructions on how to care for your incision site, manage discomfort, and gradually resume everyday activities.

The entire process reflects Dr. Joe’s commitment to precision, patient safety, and achieving aesthetically pleasing results that are tailored to each patient’s physique and goals. The result is not just a flatter, firmer abdomen, but also an enhanced overall silhouette that can significantly improve how you feel in and about your body.

Recovery and Results

One should be walking around the home the afternoon of surgery. Dr. Joe provides detailed post-operative instructions, which include guidelines on activity levels, care for the incision site, and tips for a healthy recovery. Patients are usually able to resume light activities around the house within a day or two and can return to full activities, including exercise, within six weeks. Theoretically, you could do Zoom calls a few days post-op.

The results of the Umbilical Float Tummy Tuck are long-lasting, provided patients maintain a stable weight and adhere to a healthy lifestyle. The improved body contour and enhanced abdominal firmness bring significant psychological benefits, boosting self-esteem and body image.

Umbilical Float Abdominoplasty FAQs

How long does the Umbilical Float Tummy Tuck surgery take?

The duration of an Umbilical Float Tummy Tuck can vary depending on the extent of the work necessary and individual patient factors. In most cases, the surgery takes between 2 to 3 hours to complete. Dr. Joe ensures that each step of the procedure is performed with precision and care, which can influence the total time spent in surgery.

What is the difference between an Umbilical Float Tummy Tuck and a traditional tummy tuck in terms of scarring?

The Umbilical Float Tummy Tuck generally results in less visible scarring compared to a traditional tummy tuck because it does not involve cutting around the belly button to reposition it. Instead, the navel is slightly moved down on its natural stalk, and the main incision is hidden just above the pubic area. This makes the scar easier to conceal under clothing and swimwear.

Can I combine an Umbilical Float Tummy Tuck with other cosmetic procedures?

Yes, it is quite common to combine an Umbilical Float Tummy Tuck with other procedures such as liposuction, breast augmentation, or a breast lift to achieve a more complex enhancement of the body contours. Dr. Joe often discusses combination procedures during the initial consultation to tailor a surgical plan that comprehensively meets the patient’s aesthetic goals.

What kind of anesthesia is used during the Umbilical Float Tummy Tuck?

The Umbilical Float Tummy Tuck is performed under general anesthesia, ensuring you are completely asleep and comfortable during the procedure. This type of anesthesia is administered by a board-certified anesthesiologist, who monitors your vital signs and well-being throughout the surgery.  At the end of your tummy tuck, the anesthesiologist will administer medication to the deep nerves of the abdominal wall through ultrasound guidance to alleviate postoperative pain.

How soon after the procedure can I return to work?

The recovery time can vary based on an individual’s health, the complexity of the surgery, and the nature of their job. Most patients are able to return to desk jobs or other non-strenuous work within one week post-surgery. However, if your job requires heavy lifting or other physical exertion, Dr. Joe may advise a longer recovery period to ensure optimal healing and results.

Further Reading 

Medical References on Umbilical Float Tummy Tuck