![]() ![]() Optimally, your surgeon should tighten the muscles above the belly button just slightly more than the muscles below the belly button in order to provide you the desirable concave upper abdomen and slightly convex lower abdomen.Īnother possible cause of the muffin top after a tummy tuck can occur despite appropriately placed tension of the repaired muscles. If one tightens the muscles above the belly button less than the muscles below, it can create a muffin top. This vertical tightening of the muscles is performed both above and below the belly button. Plicating just translates to “tightening”. After lifting the skin of the muscles, surgeons repair them by plicating the muscles in the middle like a corset. To understand how this complication occurs, we have to review the anatomy and surgical maneuvers used during tummy tuck surgery. ![]() The question that patients consulting me for a revision tummy tuck routinely ask me is why did this happen? As you can see in the picture, her surgery resulted in a less than desirable “muffin top” appearance. ![]() Below is an example of a patient who underwent a tummy tuck with muscle repair by another surgeon. This contrasts to the more desirable “ideal” abdominal shape characterized by a concave upper abdomen and gentle convexity of the lower abdomen. A “muffin top” refers to the protuberance of the upper abdomen which results in a protrusion (bulging outward) of the upper abdomen and concave (curving inward) lower abdomen. ![]()
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