Can a Tummy Tuck Be Carried out After Four C-sections?
- Asked by nothappy in Edmonton Alberta Canada
- 5 years ago
I have had four c-sections but would like a tummy tuck. Are there any reasons why this would not be carried out after four c-sections?
Tummy-tuck after C-Sections can help re-align muscles
After 4 c-sections, you deserve a tummy-tuck. The tummy muscles (rectus-abdominis) get stretched out from successive pregnancies, and part of them get cut (and heal with a scar) during each C-section.
A tummy-tuck is a good way to not only cut away the extra skin, but also to re-align those muscles into their proper pre-pregnancy shape. This can help not only with a nice cosmetic outcome, but also with posture and strength.
Tummy Tuck After C-Sections
In my Raleigh, North Carolina Plastic Surgery Practice the majority of the patients I see for tummy tucks are moms. Many women, after one or more pregnancies, will have changes in both the abdominal soft tissues (skin and fat) and the abdominal wall. This usually consists of loose, flaccid skin with (but sometimes without) stretchmarks, and outward bulging of the abdominal wall, especially below the belly button. These changes occur in response to both mechanical expansion of the abdomen by the growing baby and to pregnancy hormones that circulate in high levels only during gestation.
For most patients with these post-pregnancy changes, no amount of diet or exercise will significantly improve the abdominal appearance. Most of these patients require a full tummy tuck, as described above. A full tummy tuck involves removal of most or all of the skin and fat between the pubic area and the existing belly button, tightening of the rectus abdominis ('6-pack') muscles from the bottom of the sternum to the pubic bone, and creation of a new belly button. Some abdominal and hip liposuction is usually performed as well.
A few patients have severe post-pregnancy skin and soft tissue excess that cannot be adequately corrected by means of a horizontal, suprapubic incision alone. In select patients, a vertical midline incision can be added to allow removal of skin excess in a horizontal as well as vertical direction. A great advantage of adding this incision is the ability to draw the waist inward as the tummy tuck is closed. This procedure is sometimes referred to as an 'anchor' or 'inverted-T abdominoplasty', as the resulting scar has that configuration. The technique is performed for patients in whom the resulting improvement in the overall abdominal profile outweighs the 'downside' of a midline surgical scar.
The nature of the tummy tuck surgery that will best suit each patient is determined during the consultation and is based on the physical examination. For all patients, I draw the proposed incisions on their body with a skin marker (it washes off easily) so that it is clear what the nature of the resulting surgical scars will be. I also outline liposuction areas if that is part of the surgical plan.
Michael Law MD
Board-Certified Plastic Surgeon
Raleigh, North Carolina
Web reference: http://www.michaellawmd.com
If you are close to your ideal weight, seriously consider a tummy tuck.
Your previous C-sections should not pose any significant problems with a tummy tuck. The previous C-section scar, if it is horizontal will be removed. And, if you have a vertical scar, in all likelihood this will be removed as well.
The tummy tuck is truly designed to correct the changes that pregnancies have had on the abdominal wall, whether you not you have had your children by C-section. The components of the operation: repair of muscle separation, thinning out the fat layer, and removal of excess skin, are the same. Because of how this operation can change the appearance of the abdomen in women who have had children, it remains one of my favorite operations.
The only word of caution has to do with your overall weight. The closer you are to your intended weight (and appropriate weight for you height and weight) the better the results will be. If women are significantly over weight, I will generally advise them to lose some weight prior to having this operation, in order to optimize the results. But as long as your weight is reasonable, and you are done having children, this would be a great operation to consider.
There is probably no better reason for a tummy tuck than four previous pregnancies, whether delivered by C-Section or vaginally.
The beauty of the procedure is that your old C-Section scar, which is possibly indented if it has been used 4 times, can most likely be repaired by the Tummy Tuck, since the incision for the tummy tuck is basically an extended lower pelvic incision. In all likelihood, there is also some laxity of the abdominal muscles, which can be repaired and tightened by the Tummy Tuck as well.
Go four it! You will be happy you did!
Tummy Tuck after Multiple C-Sections
There is no reason that having any number of c-sections should be a contraindication to tummy tuck surgery. Many women with c-section scars are dissatisfied with the appearance of their post-pregnancy abdomen because of the fact that the tight c-section scar can accentuate the loose, saggy skin and soft tissue that hang over the scar. These women are delighted to find out that the tummy tuck will remove the unsatisfactory c-section scar and replace it with a well-contoured, longer tummy tuck scar surrounded by tighter, well-contoured abdominal tissue.
All the best,
No reason not to have a tummy tuck (abdominoplasty) after 4 C-sections.
Many women have abdominoplasties after C sections. The total number makes no difference. The scar resulting from these deliveries is removed with the skin and fat of the tummy tuck.
Web reference: http://www.zubowicz.com/subpag,21-atlanta-abdominoplast.htm
You can have a tummy tuck after multiple C-sections
It is possible to have a tummy tuck after having had four C-sections. There may be a moderate amount of scar tissue in the area between your pubic bone and your belly button (umbilicus) however this should not compromise the tummy tuck surgery. The surgeon must take special care in dissecting the scar tissue away from the underlying abdominal muscle/fascia. Then, the muscles need to be tightened (plicated) which will give a flatter appearing abdominal contour.
Please consult with a board certified plastic surgeon prior to scheduling a tummy tuck procedure.
Multiple c-sections does not mean you can't have a tummy tuck
You have earned that tummy tuck, so go for it! You'll enjoy a flatter, tighter belly after the loose skin is removed and the muscles are tightened.
Tummy Tuck after C-sections
There is no reason why having multiple C-sections would influence your tummy tuck. I would recommend waiting a minimum of 6 months after having given birth via a C-section before contemplating a tummy tuck. In fact, after 4 pregnancies, you may benefit tremendously from a tummy tuck! The C-section scar is typically a low lying, horizontal scar which is incorporated in the skin that is removed in a tummy tuck, usually improving the scar as the end result.
Web reference: http://www.drbogue.com
You've earned your tummy tuck!
A tummy tuck can most actually be performed after multiple C-sections.
Discuss with your surgeon the techniques that he or she plans to use for the abdominoplasty. In my practice with patients who have had multiple C-sections, I placed the scar below the C-section scar in a low pubic position. I then elevate the skin and soft tissue taking great care to remove all the underlying scar tissue from the C-sections as well. The muscles are assessed at this time and are prepared if necessary. Liposuction is a crucial component in our tummy tucks. Liposuction allows us to reach areas that we normally would not be able to access with the traditional tummy tuck. Once your muscles have been treated and the fat has been removed, we then remove all the excess skin and stretch marks. The final tummy tuck is then closed in a low pubic position that will be well hiden underneath your clothes or bikinis.
Definitely look into a tummy tuck. After forur children, you've earned it! :-)
Pat Pazmino, MD, FACS
Board Certified, American Board of Plastic Surgery
MIAMI AESTHETIC SURGERY
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.