A reverse abdominoplasty is exactly what it sounds like. Instead of elevating the tissue from an incision in the lower abdomen by the pubic hairline, the incision is made under the breast creases and the excess skin is brought out through this region. This is a procedure that is performed in patients that have isolated laxity in the upper abdomen. This may occur after a mini-tummy tuck or even after a full tummy tuck. If the patient has had a previous breast procedure leaving an incision under the breast folds then using these same incisions may be possible.