93%
1,899 reviews
Worth It Rating
Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Tummy Tuck or Scar Revision for C Section Scar?
I have two children and my first child was an emergency c-section due to placenta privia and I got a vertical c-section as well as for my second child.
2 yrs had passed and I have been exercising for 3 months now everyday and still can't get rid of the pouch. I'm not fat and I don't have alot of belly but my question is can I get a bikini Tummy tuck without all the large scars from hip to hip or would a scar revision be better if I want the tummy tuck scars on the bottom be like a horizontal c section?
Asked 32 months ago by
dreyes in massachusetts
+2
Customized tummy tucks
Many patients fall into the grey zone between a mini tuck (with scar revision) and a full tummy tuck. Their fascia is loose, causing a bulge, Yet they do not want or need a hip to hip incision.
For those patients, a Hybrid tummy tuck (TM) may offer a solution: full fascial tightening, revision of the C section with a moderate removal of skin, no umbilical incision.
Because the umbilicus is tethered naturally, specialized endoscopic equipment or bariatric instruments are often required for...
more
+3
Liposuction and scar revision
By your picture it appears that you have good skin tone with a darker skin color. Although it's difficult to truly appreciate the scar it does appear widened and hyperpigmented. In addition you do have some extra fat of the abdomen and lower abdominal protrusion "the pooch."
I think you would get a fantastic result with liposuction of the abdomen and flanks. Then using the vertical scar remove any extra skin and tighten the abdominal muscles below the belly button. The scar...
more
+2
No tummy tuck scar revision possible but there are risks
You look excellent! You do not need a tummy tuck and another scar!Vertical scar revision is possible but there is always a chance that the new scar will not heal well even if done by a plastic surgeon.A complex but very nice scar correction of a vertical c-section scar is pictured here. This scar was depressed or contracted which is a very common result when a scar like yours is just cut out and sutured closed.In this patient I removed the scar and then used SlimLipo laser assisted...
more
+2
Tummy Tuck vs. Scar Revision
I would look at it this way, the reason to have a tummy tuck would be to remove your stretch marks and to help flatten your abdomen. The removal of the vertical scar is possible at the expense of a horizontal incision along the same area of your c-section but longer, likely from hip to hip.
Othewise I would just recommend revision of your vertical scar incision.
Hope that helps.
+1
Trading scars
Thank you for your question and for your photograph.
Unfortunately, the photograph alone doesn't tell the whole story, a pinch test would be helpful to see how much laxity you have in the skin above the belly button as well. While it looks as though you have muscle laxity below the bellybutton a side view would help to see if laxity actually extends above the belly button.
While revision of your existing abdominal scar could certainly be performed it would still...
more
+1
Standard Abdominoplasty or Scar Revision
You look fantastic after two vertical C-sections. Your skin tone is of a darker color and more easily prone to hyperpigmentation, which makes the vertical C-section scar more visible. The lower part of your abdomen shows separation of the rectus muscles, which makes your lower abdomen "pooch". The only way to completely remove the vertical C-section scar is with a full abdominoplasty, which really just trades one scar for another. Also, it appears you may not have...
more
+1
Removing a Vertical C-Section Scar
If your abdominal skin has enough laxity you can do a tummy tuck and pull the old vertical scar down and remove it totally. The only way to know is to get a consultation and exam. Otherwise you can get some improvement with lower abdominal liposuction and a revision of the vertical scar. It will still be there but at least you could make it narrower.
+1
Correction of post C-section issues
I think you have to prioritize the issues. You may benefit from a mini tuck with liposuction but removal of the entire caesarean scar would involve substituting another long horizontal scar for it. You might do well with just scar revision and liposuction but that can only be ascertained during examination. If the scar is what really troubles you, scar revision would be reasonable. I suspect that you will have several options from which to choose depending on your finances, priorities...
more
+1
Scar revision or tummy tuck
You would be a good candidate for a mini tummy tuck with tightening of your stomach muscles. Targeted liposuction would also help complete the final look. However it may not be possible to remove the entire scar. In any case, you have a very good figure and look fit. I doubt that you need a full tummy tuck based on your photo. A good examination of your muscle laxity and your soft tissue is necessary to give you a better answer of what is best for you.
more
+1
You must have enough loose skin
In order to remove a vertical C-Section scar, you will have to have a full tummy tuck. In addition, your skin must be loose enough to remove all of the skin from the escutcheon to the umbilicus. Your skin may not be that loose. You simply need to see a Board-Certified Plastic Surgeon to help you with the analysis.
+1
C-Section Scars and Tummy Tucks
I have been encountering more and more patients who through exercise, good fortune, and quite probably the right genes maintain a flat abdominal wall after pregnancy, but who have some excess skin below the belly button. This situation is actually quite common in patients who are very fit and athletic, and it can often be improved dramatically in an office procedure that involves removal of redundant skin only.
I also see a fair number of patients who are content with the overall...
more
+1
Tummy Tuck or Scar Revision for Vertical C Section Scar?
You have an ugly, spread vertical (infra-umbilical) scar with good skin tone and fat deposits around the central portion of the tummy. Your history of two full term pregnancies suggest that your muscles are separated. This needs to be confirmed on physical examination.
If this is the case, I think your best option may be a tightening of the separated muscles and liposuction through the old scar and revision of the vertical scar to a nicer, narrow scar. This would avoid a new transverse...
more
+1
Scar Revision with abdominal wall plication
Based on your photograph and your description, I think that that a scar revision and lower abdominal wall plication will give you the results you are looking for. This operation will fix the widened scar from your c-section and will also tighten the lower abdominal musculature. This will not get rid of the stretch marks however, but will save you from having the tranditional tummy tuck or mini tummy tuck horizontal scar.
A good physical examination is confirm is these...
more
+1
C section scar and tummy tuck surgery
I would certainly qualify my answer to your question until after a thorough examination to determine your skin elasticity and muscle tone. My preference would be to perform a full tummy tuck in order to completely remove your vertical scar. At the same time your muscle tone could be improved and some liposuction of the abdomen and waist done. Finally and most important, I mark all my patients in the bathing suit they wish to wear to conceal the final scar which does extend from hip to hip in...
more
+1
Tummy Tuck after Vertical Scar from C-Section
After 2 c-sections you still look great! However I see what's bothering you and although you do have a few options the best would probably be to revise your scar, tighten the fascia (covering) of your abdominal muscles and perhaps perform some conservative liposuction to reduce the thickness of the subcutaneous tissues. It's common to hear women who work out after pregnancey mention their concern about their 'round' abdomen. Once you have this degree of fascial laxity only...
more
+1
Vertical C-section scar and tummy tuck
You have three problems.
You have TOO MUCH SKIN TISSUE IN YOUR ABDOMENN
Your c-section scar is VERTICAL
You have a serious diastasis of your MUSCLES
The best solution to all of these problems is a FULL TUMMY TUCK WITH MUSCLE REPAIR
All the best,
Talmage J. Raine MD FACS
+1
Mini tuck with Scar Revision
Looking at your pictures, you have a nice abdomen and very little excess skin. I think you would do very well with abdomen and flank liposuction and a scar revision to improve your scar while removing a little more skin at the same time. You could even combine this with a short scar or mini tuck beneath your bikini line, but this would be better evaluated during your consultation. Overall, your results should be very nice. Good luck.
+1
Scar revision may be adequate
From the picture you submitted it doesn't look like you have alot of loose skin or stretch marks from your previous C-sections. You have a widened vertical scar from your C-sections. I think scar revision may be all you need. However, only a physical exam by a plastic surgeon can definitively answer the question for you.
+1
To tuck or not to tuck
The abdomen that may need a tuck, but does not have enough skin is a dilemma for the plastic surgeon. I typically lean toward aggressive liposuction of the upper abdomen with lower abdominal skin excision and endoscopic muscle tightening.
+1
Tummy Tuck Incisions and Scars
In general, if a patient has extra skin above and below the umbilicus after having children the optimal procedure is a full abdominoplasty which usually has a low lying incision that can be hidden in a bikini, but goes from hip to hip. If a patient has a long torso and a high umbilicus and no extra skin above the umbilicus then a mini tummy tuck may work, but this is not that frequent. In general, if one has had several children and/or a C-section, a traditional abdominoplasty scar is...
more
+1
Tummy Tuck, Abdominoplasty,liposuction
You have a unique situation. If you can accept the tummy tuck scar, then the entire vertical scar up to the belly button can be cut out completely. This can give a wonderful result. Go to my website and you will see a few patients that have done. You can also call my office for others. good luck
+1
Is the scar worth the tummy tuck?
To transform a vertical c-section scar into a horizontal one, you have to take all that skin off. Just pinch the skin between your fingers and see how long the horizontal scar would be. You can also see if you have enough loose skin to remove all that, then ask yourself if that's worth the trade-off of the longer horizontal scar.
+1
Tummy Tuck after Pregnancies Los Angeles Tummy Tuck Expert Replies
Your tummy looks great after two childbirths. In order to completely remove the vertical scar of a C-section you will need a tummy tuck. However the Tummy Tuck Scar will be even longer than the c-section scar just not as indented. So it’s something to consider and weigh the pro’s and con’s. The diagnosis of what you should do should ultimately be done by seeking medical advice from a board-certified plastic surgeon in your area.
+1
A full Tummy tuck is likely your best bet
Assuming that you have enough excess skin to be a good candidate, it looks like a full tummy tuck would be the best solution for you. Reasons why:
The only way to remove your vertical C-section scar is to undergo a full tummy tuck. The downside, as you have already alluded to, is that you are trading the vertical scar for a horizontal scar. The upside is the new scar will be hidden from view when wearing clothing, including a bikini. (A scar revision aims to make your...
more
+1
Tummy tuck after a C section
It seems to me that in your particular case you are bothered by "the pouch" and the scar. Revising your scar will not correct the pouch. A modified abdominoplasty with adjunct liposuction, full muscle diastasis correction, and scar revision would give you the flat tummy you desire and significantly imporove the appearance of your vertical scar.
in our practice Tummy tuck surgery is custom tailed for each individual patient, as there are many more options, not just...
more
Anxious about a tummy tuck and whether you're getting the full story? Learn 12 secrets from a RealSelf community member who went through it all.