Tummy Tuck Using Same Incision for C-section?

                  It’s
not unusual for patients who are undergoing abdominoplasty to have given birth
by C-section.  The vast majority of
C section scars are oriented transversely and are located at the level of the
pubic hairline.  Rarely these
incisions are vertically oriented and in most cases are
entirely removed during abdominoplasty when they are located below the level of
the umbilicus.

                   When
C-section incisions are oriented transversely, the abdominoplasty incision is
made slightly below the C-section incision.  The C-section scar is totally removed and replaced by a
longer incision that’s located slightly lower than the original C-section scar.

                   It’s
important that the abdominoplasty incision not be made above the C-section
scar.  In some cases this can
result in loss of blood supply to the intervening tissue and can potentially
result in wound healing problems.

                   If
you’ve had a previous C-section and are concerned about abdominoplasty incision
placement it’s important to consult a board certified plastic surgeon.  This surgeon should be able to
formulate an appropriate treatment plan for your condition.

When an abdominoplasty is performed in a patient who has previously undergone a C-section the scar is placed below the C-section scar so that I can be removed. Many times after a C-section there is an undesirable overhang of skin at the level of the C-section scar. An abdominoplasty is very effective in recontouring this area and the rest of the abdominal wall. If you are overweight it would be best to get down to within 10 pounds of your ideal or realistic body weight. The more weight you lose the better contouring you will have.In the performance of a full abdominoplasty, an incision is made from one hip to the other. In your case it would be placed below the C-section scar. The incision is carried through the skin and fat layer and stops at the muscle layer. At this level the skin and fat layer is elevated off of the underlying muscle layer. This elevation is continued up to the belly button. An incision is then made around the belly button to keep it in it's normal location allowing the skin and fat layer to continue to be elevated up to the rib margin. Very often tightening of the muscle layer is then accomplished before removing the excess skin. The loose skin and fat layer is then pulled down snugly and the excess skin and fat is then removed. The belly button has not been moved or removed. It is still in it's normal location underneath the skin and fat layer. An incision is made over the belly button and it is pulled up to the surface and re-stitched in it's original location.My simple and illustrated video may help you--learn more about tummy tucks and other body contouring procedures.

However the length of the tummy tuck scar will have to be longer than your E-section scar.  Your need to lose weight would depend on how much you have gained.  There is no limit on how much can be removed when is come to skin.  Each plastic surgeon decides the right amount at the time of the surgical markings.  There is a limit as to how much fat can be removed with liposuction.