I'm 4 weeks post op from TT & BA. I love my BA results, but my TT incision seems way too high, especially since my surgeon told me it would be lower than my c-section scar and this is much higher. I'm not particularly happy with it, and I wanted to ask here if there seemed to be an outside reason that the scar would be this high (like my bone structure, etc) before I get upset with my PS. I don't understand the crazy high "smiling" curve. Thanks in advance for any input.
TT Incision Way Too High? (photo)
Doctor Answers 10
Tummy tuck scar too high
You brought up an important point. Every woman seems to wear her clothing differently. Some wear it high enough to cover your scar, others like yourself wear it low. As a surgeon i just cant predict at what level the waistband will lie. I find it easiest to mark the waistband of the underwear just before surgery so I can keep the scar below it.
If i had to venture a guess, you did not have enough laxity of skin between rib cage and belly button to allow the incision made around your belly button to be pulled below the horizontal scar unless the horizontal scar is either elevated or the hole created in theskin flap is closed as a small vertical scar on the lower abdomen.
Your surgeon chose to elevate the waist crease scar. i prefer the opposite for the reason you are dissatisfied. There is no right or wrong here, its a matter of personal preference and is best discussed prior to surgery.
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Tummy Tuck Compromises.
Tummy tuck scar location
Most surgeons can predict where their scars will end up at. Most surgeons ask their patients to bring in a swimsuit bottom they would like to cover the scars so it helps us place the incisions. Most surgeons ask their patients if they wish to have a bikini cut or a hi-cut type incision. Most surgeons have a good idea where the scar will be when done. But some surgeons don't worry about the scar and only work for the final contour result which your contours look good. What kind of surgeon did you have? And since you said he said your scar would be lower then your c-section scar, you can view your pre-op photos together and you can ask him about it then. Perhaps he has a good explanation for your.
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Scars from tummy - how to create a low incision - and what questions to ask
How low is the scar?
The final scar from the tummy tuck will be somewhere between where the lower incision and the upper incision are made.
How long is the scar?
Given the amount that is remove, the horizontal scar will have a certain length, usually 2.5 times as long as what is removed. That's just physics. Cheat physics by removing too much over too short of a distance, and the incision will be puckered, just as a piece of fabric would be.
How can you lower the scar?
In your case, a full tummy tuck was performed, and the expected result obtained.
There are techniques that allow a lowering of the incision in many patients (especially patients with a long umbilicus to pubis distance) or patients who are very fit and have not had a large amount of fascial laxity.
There is still another category of procedure where the umbilicus is not moved but the deep fascia is tightened to the xiphoid (hybrid tummy tuck) for very fit moms.
Where should a tummy tuck incision be located?
The location and the overall curved shape of the scar for a tummy tuck can be placed low or high depending on the patients choice. I always ask my patients if they plan to wear low-rise pants or high french-cut bathing suits. Then we decide together exactly where to put the scar. Over the past 10 years or so every one of my patients has chosen the low-rise choice and we have been making our incisions very flat, straight across and low on the hips. Your incision is definitely not one of these. Unfortunately, there is not much that you can do now to alter the location of the scar. Your best option is to do everything possible to make sure that the scar fades as well as possible. Talk to your surgeon about the best products or treatments to achieve this result.
Diana L. Elias MD
TT Incision Way Too High?
Yes it appears that way but not much to be done to correct the location. Very hard to determine the reasoning of the incision placement. Best to ask your surgeon.
Tummy tuck incision way too high
We do indeed plan to place the incision just below the typical C-section, and have to be carefiul over the hip to keep the scar low and straight below jean and bathing suit lines. The reason for your scar is in the planning.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.