There are three main candidates of people who require tummy tucks.
People with good skin elasticity - no loosening inside the abdominal walls and only sub-dermal fat accumulation that they want to have removed. Often times it is possible to achieve the desired results for these patients using liposuction or laser liposuction.
People whose skin elasticity is intact, but they have an enlarged abdominal wall. For these patients, the desired result is obtained by making an incision of 3 to 4 cm and entering to do an endoscopy in order to repair the abdomen wall.
People with loose and sagging skin. For these patients, it is necessary to remove the loose skin and then repair the deformed muscles.
A tummy tuck operation may be required for various reasons when patients have a deformation in their abdomen. This operation is often needed for women who gain and lose large amounts of weight frequently during and after pregnancies.
There are several ways to perform a tummy tuck, and your surgeon will determine during your consultation what the best method of surgery is for your case. If your skin is fairly tight, without too much sagging, then an endoscopic tummy tuck may be all that is needed. This can be performed with an endoscope just by narrowing the abdominal wall from the inside. For patients with excess loose and sagging skin, a mini tummy tuck will be enough for the lower parts of the tummy. If there is a hernia in the abdomen, then it will be necessary to perform a full tummy tuck.