I imagine that you can have tummy tuck scars hidden below your underpants but is this true? can i wear a bikini 1 year after tummy tuck?
Tummy Tuck Scars
Doctor Answers (219)
Tummy Tuck You should NOT have scars around your belly button
The surgery is performed through a 'bikini-line incision' which, for a full tummy tuck, may extend from hipbone to hipbone. For patients that need only a 'mini-tummy tuck', the incision is usually somewhat smaller, extending just beyond the limits of the average C-section scar. The suprapubic incisions used for this operation are designed so that the resulting surgical scar is hidden by underwear or a bathing suit.
A full abdominoplasty requires the surgical creation of a new belly button. Creating the new belly button, which is called an umbilicoplasty, is a part of tummy tuck surgery that requires a great deal of attention and finesse on the part of the surgeon. My goal is to create a new belly button that, as much as possible, resembles a 'natural' belly button. Natural belly buttons do NOT look like a perfect circle, and circular umbilicoplasty scars are a tummy tuck dead giveaway.
The technique I use for umbilicoplasty is designed to create a slightly 'hooded' appearance to the upper half of the belly button, an appearance that is generally considered fit and athletic. Not all patients have the goal of wearing a two-piece swimsuit, but many do, and I want these patients to be able to do so without feeling self-conscious about the appearance of their new belly button.
The scar from a tummy tuck will vary from surgeon to surgeon. Look ay many,many before and after images to get a sense of what kind of scars you can expect from any plastic surgeon you are considering.
ALL tummy tuck scars are higher than the lowest mark in the pre-op ellipse drawn on your tummy.
Every surgeon answering your question here wants to reassure you that the scar will (probably) be low enough to wear your skimpiest bikini bottom and hide the scar. Some even have a "special" name for their procedure as if to imply that he or she has the "secret to the perfect and lowest scar position!" Some even talk about secrets to hiding the belly button scar to make it "invisible." While most of my colleagues' answers are accurate and scholarly, you could imagine some wearing plaid pants and white shoes as they extoll the virtues of their capabilities like some bad used car salesman ad. None of them are lying, but you know what I mean!
Since the loose abdominal skin is freed up from the pubic area to the lower breastbone (sternum's lowest point, or xiphoid), the upper edge of the incision (after the loose "extra" skin from the lower pubic incision to the belly button area has been excised and removed) is stretched over the belly button (requiring a new opening through this tightened skin) and sutured to the still-attached pubic and groin tissues. The idea is that these tissues remain anchored, and the scar will remain at that position. However, tissues stretch, and once secured by sutures, there is ALWAYS some migration of the scar upward. Sometimes a lot, most times a little. There are techniques for securing the closure sutures to the lower abdominal fascia to help minimize the upward migration, and most surgeons use some form of this. These techniques usually allow the scar to be low and appropriate for bikini bottoms to conceal them.
As others have stated, styles and requests for incision and scar placement have varied over the years--from the high lateral scar for the Rio or tanga bikini bottoms, to the present Brazilian hiphugger low lateral scar. Careful closure in layers by an experienced, board-certified plastic surgeon will give you a great result, but bring in your desired swimsuit bottom and discuss the incision placement with your surgeon as he or she does your markings pre-operatively!
5 Important points about Tummy Tuck Incisions and Scars
1. You should be able to wear a bikini within a couple of months of your procedure. But bring your swimsuit in to your surgeon. If you wear a low bikini you will want a low flatter incision. If you wear a high-thigh cut one piece, you may want it to curve up higher.
2. The belly button is the tell-tale sign of a bad tummy tuck. Make sure your surgeon spends extra time in this area to sculpt out the fat and tack down the skin to create a very pleasing "brazilian" navel not a "hole on a board".
3. Make sure your surgeon has a lot of patient pictures to show you exactly where the incsion will lie and what it will look like.
4. Make sure your surgeon has all the tools to heal as quickly and as well as possible: little tension on closure, avoiding infection, and healing creams available.
5. Avoid sun exposure for a year. This doesn't mean you can't go to the beach, just cover the specific areas.
You might also like...
Abdominoplasty scar placement
Placement of the tummy tuck scar is dependent on your individual anatomic characteristics including abdominal girth, truncal height, umbilicus position, and the presence of stretch marks.
Discuss the position of your incision with your surgeon early in the consultation phase of an abdominoplasty procedure. One great idea is to bring along your bikini to the examination to define your ideas for incision placement.
Tummy Tuck Scars. Hidden?
Tummy tuck scars
Yes, with every tummy tuck will come a nice flat tummy AND a scar (that is usually hidden very low under the underwear). The exact placement of the scar will depend on your anatomy... best to discuss with the surgeon prior to surgery. The length of the scar depends on the patient and what needs to be performed. The scar will heal and fade with time.
There are however many factors contribute to the final appearance of a scar after tummy tuck. For example, some patients are prone to develop keloid or hypertrophic scars despite the surgeon's best efforts. Some patients will develop superficial separations of the incision line, depending on the quality of the skin present (for example, stretched marked skin may not “hold” sutures as well as skin with normal thickness dermis).
On the other hand, the surgeon may be able to control the quality of the scar with attention to certain technical details. For example, it is important to take as much tension off the final layer of closure as possible- if tension is taken off the superficial layer (by using deep sutures) the incision may heal with a finer line scar. Avoiding excessive excision of skin may also help avoid tension upon closure of the suture line.
The use of silicone-based products (creams or sheeting) may also be helpful in achieving the best scars possible.
I hope this helps.
Bikini tummy tuck can hide your scars beneath the bikini line
If you only have loose skin below your belly button, then a mini tummy tuck called the bikini tummy tuck can be done which places the incision beneath your bikini line. I actually have patients bring the bikini or underwear to the OR so my incision can be planned in the appropriate place.
If you have loose skin in the upper and lower abdomen and need a full abdominoplasty your lower incision will be larger and there will be a visible incision around your belly button.
Tummy Tuck Scars
Any time you have an incision to perform a surgery, there will be a resulting scar. The way this scar will look depends on a number of factors.
The typical abdominoplasty scar is low across the abdomen, from hip to hip, as well as around your belly button.
Depending on your anatomy, you may have a shorter vertical scar between your belly button and the transverse scar from the area where your belly button used to be. Ask your plastic surgeon if you might expect this scar from your tummy tuck.
Your plastic surgeon will mark your planned incision prior to surgery so this is an optimum time to discuss the anticipated position of the scar as you heal.
Tummy Tuck scars- High tension abodminoplasty in Los Angeles
One of the most import questions that I get asked during a tummy tuck consultation is the lenght and position of a tummy tuck scar. I usually place the tummy tuck scar very low, just below where a c-section scar is going to be. on the sides this scar extends to the hips but it stays low. some women want the scars higher, depending on the type of bikini or underwear that they wear. It is definitely possible to wear a nick bikini and hide your tummy tuck scar after an abdominoplasty.
Tummy tuck scars - they can be excellent
Careful pre-op planning, attention to detail and a few surgical maneuvers can deliver an excellent, well-hidden tummy tuck scar. I often draw out the eventual scar on the patient at the time of the consultation to show her where it will lie post-op. The patient can then decide if she wants the scar to be adjusted, within the limits of what is technically possible.
Although most patients want a very low scar, if there is a lot of laxity in the pubic area a very low incision can create a lot of tension which will pull the pubic region too far upwards post-op. The use of anchoring sutures in the pubis can prevent this. The use of quilting sutures during surgery can also create a more predicatble scar, as well as reducing the risk of a seroma.
Most board-certified plastic surgeons with experience in tummy-tuck surgery are able to create an esthetically pleasing scar, placed in a well-hidden position according to the patient's desires. In my clinic in Montreal tummy-tuck surgery is the most common one that I perform and the patients are among my happiest. The resulting scar is almost never an issue as it is completely overshadowed by the flat, firm abdomen that results from this surgery.