Tummy tuck for men typically deals with large pannus or redundant skin that resembles an apron that hangs down from their lower abdomen. Unlike women who often seek the procedure following pregnancies, male patients request for it after losing large amounts of weight.
Due to the extent of their pannus, tummy tuck for men rarely involves the short-incision technique (mini tummy tuck) in which the resulting scar below the navel only runs a few inches.
To achieve smooth results, Inland Empire plastic surgery expert Dr. Tarick Smiley says the incision must cover the entire span of pannus lest the abdomen and flanks would have unsightly bulges and “skin puckering,” or more commonly referred to as dog ears.
Dr. Smiley says the vast majority of male tummy tucks are done through the standard technique in which the resulting scar goes from hipbone to hipbone; it has a curved shape and runs very low, just above the patient’s pubic hairline for optimal scar concealment.
The incision not just allows the surgeon to remove the pannus. Before excising the redundant skin, they are able to access the pair of vertical muscles, which goes between the sternum and the lower abdomen, and repair it with sutures. The idea is to further tighten the anterior aspect of the abdomen, leading to a more athletic physique.
In some cases the incision is extended into the posterior flanks to reach more redundant skin, a technique aptly referred to as extended tummy tuck. While the scar is longer than that of the standard pattern, at least it remains beneath the patient’s underwear.
For additional contouring effect, Dr. Smiley performs liposuction of the flanks before proceeding to tummy tuck. With this complementary procedure, he is able to tighten more skin and create flatter abdomen.
A good number of male patients seek tummy tuck to address skin breakdown and non-healing irritation caused by the large pannus; hence, some may qualify for health insurance provided that they have presented adequate medical documentations suggesting that their surgery can improve the quality of their life.