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Can I Have a Tummy Tuck if I'm Going to Have More Children?

I know that it is not advised to have a tummy tuck if I'm not done having children. I don't plan to have another one within 5 years, and I am DESPARATE to get my tummy back! I'm a dancer and an aerobics instructor, and I can't even show my tummy! AHH! I have very toned abs with less than .5" gap between my muscles.

My problem is loose skin and stretch marks. While researching, I found that it is the muscle tightening that make subsequent pregnancies difficult. So if I don't get muscle tightening, is it okay to get a tummy tuck? Do I have other options? PLEASE HELP!

Asked 41 months ago by onehotmama in west palm beach, fl
Sort 25 expert answers by:
+1

Pregnancy after tummy tuck, it's possible but not recommended

You can have a tummy tuck now to improve your appearance as long as you understand that you may need a revision in the future after your final childbirth. Whether you need your abdominal muscles tightened (plicated) is irrelevant.  Your skin will become stretched out again and you may develop new stretch marks that need to be addressed at a later procedure. Please consult with a board certified plastic surgeon prior to having a tummy tuck. Best wishes, Dr. Bruno... more
William Bruno, MD
Beverly Hills Plastic Surgeon
+3

Tummy Tuck and Children

A tummy tuck is an extremely effective procedure for addressing excess fat, loose skin, and seperated muscle but should really be performed once you have decided to not have any more children. Although there is really no health risk to you, the risk is that you will most likely undo the results of the procedure. During surgery, any muscle separation (which commonly occurs during pregnancy) if addressed by suturing the overlying tissue (rectus fascia) towards the midline. In addition, excess... more
Gregory A. Buford, MD
Denver Plastic Surgeon
+2

Tummy Tuck and Future Pregnanacies

You certainly may have a tummy tuck, now, and plan on a normal pregnancy, later. Even with some muscle repair, the abdomen will respond to pregnancy and pregnancy will proceed unhindered.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

Tummy tuck and pregnancies in the future

You can but it would be a waste of $'s since pregnancies cause the re occurrence of the initial problems. You should reconsider, but we as boarded plastic surgeons will do you surgery after an informed consent outlining the risks of further pregnancies. Regards and Happy New Year.
Darryl J. Blinski, MD
Miami Plastic Surgeon
+1

Mini tummy tuck

It is hard to determine what can be safely done prior to viewing your photos.   However, if you're primary concern is skin excess and stretch marks below your umbilicus, you may be a candidate for a mini tummy tuck.   This would involve removal of an ellipse of excessskin, hiding a scar in your underwear line.   I would not recommend muscle plication if you are considering more children.    It may be necessary to undergo revision... more
Paul S. Gill, MD
Houston Plastic Surgeon
+1

Pregnancy and abdominoplasty

Plication of the abdominal wall during abdominoplasty may place a patient at risk of premature labor with pregnancy. 
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Having a tummy tuck after frist but before having more children

You can have a tummy tuck now if it is causing you that much distress if you realize that you are aware and willing to accept the fact that it will likely have to be repeated. If you are not conidering having children for several years, it may be a reasonable option but if you plan on having children in the next 2-3 years, I would advise you to wait. see video
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Yes you can have a tummy tuck and have more children but you will lose some of the aesthetic benefit of the operation.

You can have a tummy tuck (abdominplasty) and get pregnant again.  However, as your abdominal wall stretches to accommodate the enlarging uterus, some or even all of the aesthetic benefit of the operation might be lost.  Providing you understand this, the operation can be performed.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

You may be a candidate for a "mini tummy tuck".

You may be a candidate for a "mini tummy tuck".  You are absolutely right, if one of my patients states that they are going to have more children then I try to talk them into waiting. Hearing your situation, you may be interested in learning about mini-tummy tucks.  Performing a mini tummy tuck removes the lower skin from the abdomen and would help remove some of the stretch marks, but does not have to address anything with the muscles at this point... more
Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
+1

Tummy tuck before vs after having children.

Normally I recommend patients to have a tummy tuck done after they are done having children. You can have a tummy tuck before you are done having children but you may lose your entire result due to skin stretching and weight gain.
Jaime Perez MD
Tampa Plastic Surgeon
+1

Tummy tuck still an option, even if you want more children

Yes, you can have a tummy tuck before having another child!  It's advisable to wait until you're done with childbearing, of course, but you will do no awful harm by having it done soone.  I would not compromise the procedure, though--I would do the muscle tightening if you have diastasis, even knowing you may have another pregnancy. Having the muscle tightening, if you need it, will give you a better result and it won't compromise any future pregnancy.  You... more
Carmen Kavali, MD
Atlanta Plastic Surgeon
+1

Tummy Tuck before children

The short answer is, yes, you can have a tummy tuck prior to having children. We don't recommend it because the pregnancy may ruin the results you get from a tummy tuck. It is important to realize that many of the same concerns you have now may come back after the subsequent pregnancy. This may necessitate a second tummy tuck which may give you less than ideal results.
David Bogue, MD
Boca Raton Plastic Surgeon
+1

Having a Tummy Tuck Before You Are Done Having Children

Generally it is advised to wait to have your tummy tuck until after you are done having children because pregnancy can undo the results of your tummy tuck and you may require a secondary tummy tuck to regain the results. However, there is no reason that you cannot have a tummy tuck and enjoy the results for the next 5 years, as long as you know that there is the possibilty that you may require another tummy tuck afterwards to re-achieve those results.
Tarick K. Smaili, MD
Beverly Hills Plastic Surgeon
+1

Tummy tucks are still an option for those considering more children

Tummy tucks can be performed on those wishing to have a child or more children in the future. Pregnancy may create the conditions that  allow one to seek the benefits of a tummy tuck ( ie. skin laxity, stretch marks, protuberant abdomen). In my opinion it does not  affect your candidacy. I have operated on several  women who have had pregnancies subsequent to their tummy tuck procedures. Their post partum pictures are typically just as good as their postop pictures... more
Nick Masri, MD
Miami Plastic Surgeon
+1

Getting pregnant after a tummy tuck

It is possible to become pregnant after a tummy tuck. Keep in mind the fact future pregnancies may affect the outcome of your surgery and may lead to further skin stretching or stretch marks. Patients of mine who have become pregnant after a tummy tuck sometimes elect to receive a small revision to tighten any loose skin that may have resulted from the pregnancy. Best- Pat Pazmino, MD, FACS Board Certified, American Board of Plastic Surgery MIAMI AESTHETIC SURGERY 305-576-3443 more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Tummy tuck before being done with children

It is certainly not advisable to have a TT before you are done having children. All surgery carries risk and the TT is the riskiest surgery routinely done by plastic surgeons because of the risk of DVT and PE which can be fatal. Plus future pregnancies taking apart the result makes this not a good plan.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Pregnancy after tummy tuck

There is no contraindication to pregnancy after tummy tuck, even if the muscle is tightened. Normally we do not recommend tummy tuck until you are finished having children because it can destroy the result. However, if someone is planning on postponing pregancy for a long time or not sure she will have another pregnancy, it is not unreasonable to proceed with the tummy tuck, assuming you understand that the result will most likely be adversely affected by a pregnancy. Hope this helps... more
Tracy Pfeifer, MD
Manhattan Plastic Surgeon
+1

Best to postpone a traditional Tummy Tuck until you decide not to have more children

It would be wise to postpone your Tummy Tuck until you have decided not to have any more children. This opinion is not based on concerns that the Tummy Tuck will harm or complicate the future pregnancy. There is documentation in the medical literature of women having normal full term pregnancies following a Tummy Tuck. The concern is over the fact that addtional pregnancies will reverse the benefits of the first Tummy Tuck creating a need for a second Tummy Tuck. The results from the second... more
David  A. Ross, MD
Chicago Plastic Surgeon
+1

Ideally - a Tummy Tuck should have to be ONLY done ONCE

Operations like Tummy Tucks involve accurate lifting of large areas of skin and fat OFF the underlying muscles, tightening those loose muscles, removing the loose skin/fat and re-positioning everything together for optimal healing. Every such surgery then heals with a sheet of scar tissue which glues everything together. When surgeons have to operate through scar tissue, it handles differently, landmarks are essentially obscured causing the operation to be longer and more tedious. Given the... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Tummy Tuck and further pregnancies

If you plan to have children in 5 years, GO AHEAD AND ENJOY THE RESULTS OF THE TUMMY TUCK NOW. So go with the surgery; after your pregnancies, re-evaluate and make another decision. Meanwhile, enjoy the NEW YOU.
Samir Shureih, MD
Baltimore Plastic Surgeon
+1

Children after a tummy tuck

Dear OneHotMomma, A tummy tuck does not preclude you from having more children, but the best advice is to only do the procedure after completing having children. Normally, the stretch marks that result from having a baby are confined to the lower abdomen. I consider it a gift that we can get rid of all that skin and use upper abdominal skin to resurface the abdomen. The problem with repeat tummy tucks is that this skin that had been stretched to cover the whole abdomen is now thinner than... more
Michael A. Bogdan, MD
Dallas Plastic Surgeon
+1

Removal of excess skin after pregnancy

If you are considering abdominoplasty surgery, make sure you are done having children. I understand that you want to enjoy your tummy for a couple years and it's your choice. However, your results will be affected and you may need to have another procedure if you get pregnant again. if you do decide to preceed with a tummy tuck procedure, make sure to fidn a board certified plastic surgeon to perform it for you. A tummy tuck involves repair of the rectus muscles and removal of excess loose... more
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Tummy tuck if having more kids?

Wait.  Wait. Wait.  Yes tummy tucks are wonderful.  Yes, a flat belly is wonderful.  But so are kids. Don't have two tummy tucks. Have your children, then get your tummy tuck. You can have children after a tummy tuck, but you run the risk of having to redo the procedure.
Jack Gelman, MD
Frankfort Plastic Surgeon
+1

Yes, one may have more children AND a tummy tuck!

In fact, I'm occassionally called to do a tummy tuck at the same time as a planned C-section. In general, however planning for children and planning for tummy tucks ought be made in logical continuity based on priorities. For example, if one is in the active stages of trying to become pregnant, it wouldn't make sense (both from a cosmetic and anesthesia risk) to have a surgical procedure first. Conversely, (unless at time of C-section) usually a tummy tuck ought be planned 6-12 months after... more
Fredric M. Barr, MD
West Palm Beach Plastic Surgeon
+1

It is not recommended to perform a tummy tuck if you...

It is not recommended to perform a tummy tuck if you think you are going ot have more children. It is not so much the muscle tightening, because patients that have had breast reconstruction using one or both muscles and closing the muscle fascia have gone on to have normal pregnancies. The problem is that the muscles will stretch out again, and the skin will probably get loose again. If it is just loose skin below the belly button, then a small skin excision at the lower abdominal region... more
Steven Wallach, MD
Manhattan Plastic Surgeon
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