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Can Tummy Tuck Scar Be Lowered to the Pubic Area?

I had a full tummy tuck five years ago. I would like my scar to be lowered well into my pubic area (at least two inches lower) I have extra skin now from two pregnancies after the surgery. Would this be possible? Will the belly button be re-done? Would it be considered a scar revision or a tummy tuck redo? Thank you!

Asked 28 months ago by questforperfection in miami fl
Sort 19 expert answers by:
+2

Lowering tummy scar

As your photo presents, and two pregnancies later, it appears that the scar could be lowered. The magnitude of the surgery maybe very similar to the first. The abdominal skin flap would be raised and probably muscle tightening. If your children are still in diapers and require lifting you may need to post phone yet.
Rodger Wade Pielet, MD
Chicago Plastic Surgeon
+2

Tummy tuck revision

From your photo the one obvious area for improvement is the mismatch of amount of fatty tissue above vs below your scar. This can happen with weight gain and pregnancies that you had. Are you able to lose some weight before having further surgery? The possibility of lowering your scar depends on the looseness of you skin and how much excess skin you have now. That is something to be determined by your surgeon at the time of your consultation. You can have your umbilicus opening revised also... more
Bahram Ghaderi, MD
Chicago Plastic Surgeon
+2

Abdominoplasty revision

You look to be a great candidate for a revision. Would likely need a full abdominoplasty and liposuction of the hips to get the best result. I would also expect a vertical component to the scar. Plan to go on several consults if you do not get consistent answers. Good luck!
Dean Fardo, MD
Atlanta Plastic Surgeon
+2

Tummy tuck scar be lowered to the pubic area

Yes, your scar does appear a bit high and the umbilicus is slit-like. Both can be revised. Were you to lean forward and relax your stomach (diving off the side of a pool position) would also demonstrate how much looseness there is in your tummy muscles and how much stomach muscle tightening (rectus muscle plication) may be indicated. Since your main objective is lowering the scar NOT making the present scar better and to do this part or all of your tummy would have to worked on, this... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Tummy tuck revision

Yes, you may be a good candidate for tummy tuck revision. What the revision would involve depends on what areas/issues are concerning you. Common areas of concern would be the placement of scar (scar may be able to be lowered), areas of isolated adipose tissue on the abdomen or pubic area ( which can be treated with liposuction), the presence of redundant skin ( which can be treated with further excision), umbilical scarring issues (which may be improved)... more
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Tummy Tuck scar could be lowered

If there is enough laxity ,the scar could be lowered. The mismatch between the tissues will also need to be addressed.from the picture ,it looks like there is enough tissues to dissect. Hope that helps!
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Tummy tuck scars

Hi, your scar should be able to be lowered. Whether or not you'll require another incision around the umbilicus really depends on the laxity of your skin, and I usually advise patients that this is something that would need to be determined at the time of surgery. This would be considered an abdominoplasty revision rather than a scar revision. Good luck, /nsn.
Nina S. Naidu, MD
New York Plastic Surgeon
+1

Scar wars, can this one be lowered

Lowering an abdominoplasty scar can be difficult but I do feel some improvement can be achieved with a revision. I can't tell whether you have had a full abdominoplasty with a scar around the belly button as this may make a difference. It looks to me that the scar and in actuality the excision has raised the pubic area giving the appearance of a bulge. I doubt you can bring the scar all the way down but some improvement can be achieved by liposuctioning the entire abdomen above the... more
Steven Schuster, MD
Boca Raton Plastic Surgeon
+1

Your abdominoplasty scar can be lowered to the pubic area.

Your existing abdominoplasty scar can be lowered even if you have a scar around your 'belly button'. You would need some preliminary small surgery around your 'belly button' to improve its blood supply. In the meanwhile you could lose some weight which would make the skin looser. After a couple of months of work on your part, a full abdominoplasty with a lowerinig of the 'belly button' would bring your scar to within 2 inches of the genitalia.
G. Gregory Gallico III, MD
Boston Plastic Surgeon
+1

Tummy tuck revision can be done

I believe that your scar has healed well. What makes it more noticeable is not so much that it is high, but that there is a discrepancy in the amount of fat above the scar and below the scar. Sometimes liposuction is done at the same time as a scar revision and this allows lowering of the scar, and a more even flap without having to re do the entire tummy tuck and belly button.
Francisco Canales, MD
Santa Rosa Plastic Surgeon
+1

Tummy Tuck scar can be lowered to pubic area

Yes,  you should be able to have the scar lowered  and maybe combine that with a little bit of abdominal liposuction to reduce the lower abdominal fullness. Good luck to you.
Lane Smith, MD
Las Vegas Plastic Surgeon
+1

Many different options for tunny tuck

It is important for you to discuss your incision desires with your surgeon. I often have patients bring in a bathing suit to identify the level of the scar. In some instances this will be possible. In other case it is not poSsible and I inform the patient. A very low scar is always possible but it may require a small vertical scar below the umbilicus.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Lowering Tummy Tuck Scar

It certainly appears that your TT scar can be lowered significantly.  I cannot tell from the photo if you have enough excess skin to have a full TT.  If not, you could certainly have a mini-TT incorporating a lower scar.
John Whitt, MD
Louisville Plastic Surgeon
+1

Low tummy tuck scar

You are a great candidate to have the scar lowered. It is a fairly high scar to begin with but it looks like you have a fair amount of skin excess above the scar that can be lowered. You could have this done without cutting around the belly button or even with cutting around the belly button
John P. Stratis, MD
Harrisburg Plastic Surgeon
+1

Lowering your tummy tuck scar

Hi, Almost certainly you can lower your tummy tuck scar and revise your belly button. It would entail revising the entire tummy tuck by lifting all of the loose skin from the abdominal wall and removing the excess. By doing this, your surgeon should be able to lower the scar to the pubic region. The belly button would need to be re-located and revised to lower the scar as much as you desire. It's very possible, though, that you may be left with a very small vertical incision in the... more
Sam Jejurikar, MD
Dallas Plastic Surgeon
+1

Lowering Your Tummy Tuck Scar

It all depends on the amount of loose skin you have above the scar.  It does look like you have enough, but this wuld require loosening the skin above the bely button so that it can be ulled down...which is a re-do of the tummy tuck.
John LoMonaco, MD
Houston Plastic Surgeon
+1

Re-doing your tummy tuck

From your photo, it does appear that you have some addtional laxity to your abdominal wall skin. This can be improved, but will require re-opening all of your incisions. Since you have had two pregnancies since your original tummy tuck, most likely the muscles will also require re-tightening. Your incision can be lowered into the pubic area, but you will almost certainly also need to have an additional incision in the midline to relocate the belly button to the correct position. more
Kevin Brenner, MD
Los Angeles Plastic Surgeon
+1

Tummy tuck revision

The good news is that it looks like you can probably lower the scar, the bad news is that the tummy tuck would have to be redone (including the belly button).  You would need a formal evaluation, but I think there is defintie room for improvement.  Good luck! Dr. Singer
Elan B. Singer, MD
Manhattan Plastic Surgeon
+1

Tummy tuck revision

 You look like you could use a revision of your tummy tuck and might be able to get the scar down but maybe not 2 inches.  Watch you for expectation mismatching in your "questforperfection."
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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