Tummy tuck after c-section (cut was vertical, not bikini)? (Photo)

Dear C A,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello,
Thank you for reaching out with your question about having a tummy tuck with a pre-existing vertical C-section scar. I'm glad to provide some insights to help you understand how this procedure can be tailored to your situation.
Tummy Tuck with a Vertical C-section Scar:
Feasibility: Yes, you can definitely have a tummy tuck (abdominoplasty) even if you have a vertical C-section scar. In fact, incorporating and potentially removing existing scars is a common part of tummy tuck procedures.
Surgical Approach: During a tummy tuck, the surgeon typically makes a horizontal incision across the lower abdomen, just above the pubic area. This incision can be extended from hip to hip, depending on the amount of excess skin and fat that needs to be addressed.
Dissection and Muscle Repair: The surgeon will dissect the skin and fat up to the level of the rib cage, freeing the soft tissue connections. This allows for the tightening and repair of the abdominal muscles, specifically the rectus abdominis, which are often stretched out or separated due to pregnancy or weight changes.
Removal of Excess Skin: The excess skin, including the area that contains the vertical C-section scar, is pulled down and removed. This effectively eliminates the vertical scar from the lower abdomen.
Belly Button Reshaping: The belly button (umbilicus) is typically repositioned during a tummy tuck. A new opening is created for the belly button, which is then sutured into place, giving it a natural appearance on the newly tightened abdominal wall.
Closure and Suturing: The incisions are closed with multiple layers of sutures to ensure that the skin is tight and secure, contributing to a smoother, flatter abdomen.
Benefits for You:
Flat Abdomen: The procedure will provide a flatter and more contoured abdominal profile.
Elimination of the Vertical Scar: Your existing C-section scar will be removed during the skin excision process.
Improved Contour: By tightening the abdominal muscles and removing excess skin, the overall contour and tone of your abdomen will be significantly enhanced.
Next Steps:
Consult a Board-Certified Plastic Surgeon: It is crucial to consult with a board-certified plastic surgeon who has extensive experience in abdominoplasty. They can assess your specific case, review the positioning and condition of your vertical C-section scar, and discuss the best approach for achieving your desired results.
Discuss Expectations and Recovery: Make sure to discuss your expectations, potential outcomes, and the recovery process with your surgeon. Understanding all aspects of the procedure and post-operative care is key to a successful outcome.
You seem like a good candidate for this procedure, especially if you're looking to improve the appearance of your abdomen and remove an old scar. I encourage you to take the next step and schedule a consultation with a qualified plastic surgeon.
Good luck, and I hope you achieve the results you are looking for!
Sincerely,
Dr. Katzen

Thanks so much for your question,
Having had a vertical c-section incision rather than a horizontal one may influence the approach your plastic surgeon takes for a tummy tuck. Vertical c-section scars tend to be more challenging to incorporate into the tummy tuck incision, but it's still possible to perform the procedure.

During your consultation with a plastic surgeon, they will assess your abdominal area, including the scar from the c-section, and discuss the best approach for your tummy tuck. They may need to adjust the incision placement to accommodate the existing scar and achieve the desired results.

Sincerely,
Dr. Emmanuel Mallol