Would a tummy tuck fix my abdomen after having twins? (photo)

Question

i had twins 2 months ago. they were each 6 pounds so they wreaked havoc on my abdomen. im left with stretch marks. what would be an appropriate fix? im only 20 years old i dont want to live looking like this for the rest of my life.

Sacha Obaid, MD · Answer

You are in fantastic physical shape after the twins! Congratulations. The picture you sent in is not great but I think I can see your stretch marks and they seem to extend well above the belly button. A tummy tuck will only get rid of those stretch marks that are below the belly button. Those that are above will still be there but will be much lower in location. In order to know whether or not you have enough extra skin in order to have a tummy tuck an exam is necessary as it is not obvious from these photos.

Kenneth Hughes, MD · Answer

You do appear to have good muscle tone and little loose skin. However, you need an exam to say for sure. Find a plastic surgeon with ELITE credentials who performs hundreds of these tummy tuck procedures each year. Kenneth Hughes, MD Los Angeles, CA

Adam Tattelbaum, MD · Answer

Congratulations on the birth of your children.  Thank you for your inquiry and for your photograph.  Unfortunately, the photographic is a little bit difficult to see.  It seems as though that you have stretch marks in the lower and mid abdomen.
	Unfortunately I do not feel that there are any terrific nonsurgical options for stretch marks.  While people have tried to address stretch marks with lasers I feel the results are mixed at best.
	It is possible that tummy tuck may offer some improvement but you would need two see a a board certified plastic surgeon to be evaluated.  Your degree of skin laxity and muscle relaxation cannot be evaluated from the pictures.
	 
	I hope this helps put you in the right direction.

Ronald Schuster, MD · Answer

I'm not exactly sure what you don't like. I'm guessing there are a gazillion women that would want to look like you even without having children! I wouldn't be so hard on yourself. That being said it's not about everyone else but rather about you. So if there is something that you don't like I would certainly support you in trying to do something about it. It does not appear the you need any surgery so I would look into non-surgical ways to reduce small areas of fat (Coolsculpting, ultrasound), and tighten the skin (various lasers). Good luck.

Andrew Jimerson, MD · Answer

Wow! You look like an "after!" A side picture would be helpful. From what I can see, you have some stretchmarks around your navel. It doesn't seem like you have enough loose skin for a full tummy tuck, but it is hard to tell from the photo. A tummy tuck removes the loose skin below the navel. Any stretchmarks left above the belly button are relocated to a lower position. You will likely need to meet with a board certified plastic surgeon to determine if this is an option for you. If you are planning to have more children in the future, it is best to wait until you are done having kids.

Richard J. Brown, MD · Answer

Congratulations! I have 3 year old twins, but I did not have to give birth to them. So, pregnancy can certainly cause stretching of the skin and laxity to the muscles of the abdomen. If you are planning on having more children, (I know what you are thinking right now), but if you do think you will one day, then wait. If not I would go for an in office exam with a board certified plastic surgeon by the American Board of Plastic Surgery and see if a tummy tuck or Abdominoplasty is warranted. Most likely that is the only way to get rid of loose skin. Whether you need a full tummy tuck or a mini tummy tuck can only be determined on physical exam. Only a very narrow group of women or men qualify for the mini tummy tuck.

Norman Bakshandeh Day, MD, FACS · Answer

I unfortunately can not see the stretch marks or any hanging skin on these photographs. If you need surgery it is not evident by this photograph

Maria Cristina Picon, MD · Answer

It is too soon, if you are not feeding the baby, try with some cosmetic treatment, and exercise to make strong the muscle, after 9-12 month, you need new evaluation.

	 

	Spanish translation provided by doctor:

	Es muy rapido, si no esta amamantando, recurra a tratamiento cosmetico, y ejercicio fisico, para fortalecer los musculos, despues de 9-12 meses, necesita nueva evaluacion.

Peter E. Johnson, MD · Answer

At just two months your abdomen looks great. Both muscle tone and skin have held up fairly well. Stretch marks alone don't warrant a tummy tuck and laser procedures rarely meet expectations. You will recover a bit as yet and you will see progress in the C-section scar as well.

Jourdan Gottlieb, MD · Answer

A tummy tuck is usually done for some combination of abdominal muscle laxity and excess skin and fat in the abdominal wall.  If there are stretch marks limited to the lower abdomen and enough laxity, sometimes they can be removed with the TT. There really are no other useful treatments for stretch marks. 

	On this photo I see no suggestion of excess skin and fat, nor of laxity of the abdominal muscles, so I don't see a tummy tuck being of benefit. Even if there were, unless you were quite sure you will not have future pregnancies, this would not be the right time to consider one.

	Thanks for your question, best wishes.l

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