Is a tummy tuck my only option? I've had a pooch since my 1st born and I'd like to know if anything else will flatten it (Photo)

I'm a 40 year old mom of an 8 year old and a 13 month old both via c-section. I'm 5'9, 177 pounds and currently working on losing 10 pounds or more and exercise regularly. I have had a pooch since my 1st born and would like to know if there is anything besides a tt that will make it flatter. I don't care if it's super tight and not interested in wearing a bikini again. I just don't want to look pregnant and want to look good in my clothes. Thanks :-)

Doctor Answers 12

Tummy Pooch after Pregnancy

Thank you for your question. Thank you for the photos.  But based on what you are describing, and the photos, it sounds like you most likely benefit from a modified- abdominoplasty. In this procedure, which is commonly performed in women who have had children, but don't have much extra sagging skin and fat between your belly button and pubic region. The separation of the rectus muscles ( diastasis ) are brought together from under the skin via a short lower abdominal incision and no incision by the belly button. This procedure may be combined with some liposuction if needed.  You should discuss this option with a plastic surgeon, who should be able to guide you regarding which procedure is best for you. Not all surgeons are comfortable with this approach, but I have seen many patient get great results without a full tummy tuck. Good luck.

Grand Rapids Plastic Surgeon
4.9 out of 5 stars 69 reviews

Don't want to still look pregnant after having my babies

Thank you so much for your question about a tummy tuck
Your photos strongly suggest that your main problem is loose muscle that needs to be tightened. It doesn't look like fat - and you have the sway back that comes with loose of tummy support.

Exercise and weight loss are good but they won't fix the muscle looseness.

I don't think there is any better option than a tummy tuck - be sure to see a Board Certified Plastic Surgeon.

Here’s hoping you find this helpful. Have a great day!

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

To tuck or not too tuck

You have a pretty classic abdomen for somebody who has rectus diastases.  The only way to flatten your abdomen is to bring your rectus muscles back together at the midline.  No diet or exercise can do this.  You do not have a lot of extra fat and skin So you may be able to get away with a mini tummy tuck with a full rectus plication

Chad K. Wheeler, MD
Spokane Plastic Surgeon
5.0 out of 5 stars 52 reviews

Best result for your tummy

Hi Mommy 0613

From your height and weight, you are slightly overweight, so your aim to lose a bit of weight is a sound starting point. However, looking at your photos, I doubt that weight loss alone will get you an abdomen that you are happy with. 

There are lots of smaller procedures and gadgets on the market that might help your abdominal shape by removing the fat that is over your abdominal muscles.

However, only an abdominoplasty (full tummy tuck) will tighten those muscles back to where they were before you had children. A well performed tummy tuck will also remove some of the fat overlying those muscles.

The remaining work will be through diet and exercise to lose the fat that is on the inside of your abdomen (visceral fat). 

Good luck

Dr Gavin Sandercoe

Gavin Sandercoe, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 8 reviews

Is a tummy tuck my only option? I've had a pooch since my 1st born and I'd like to know if anything else will flatten it.

There are a variety of surgical procedures or combinations that can produce good results in patients with abdominal laxity, depending on multiple factors including their anatomy and degree of desired improvement: A mini tummy tuck, an umbilical float modified tummy tuck, a full abdominoplasty. Each of these can be performed with or without liposuction and with or without abdominal muscle repair. They produce different degrees of improvement.

No matter which procedure that you decide to undergo, it is advisable that you should wait until you are finished having children.

Following the advice of anyone who would presume to tell you what to do based on two dimensional photos without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS).
You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Is a tummy tuck my only option? I've had a pooch since my 1st born and I'd like to know if anything else will flatten it

Thank you for your question and photos! I hope that these answers help! Tummy tuck is an excellent method for shaping the belly and create a flatter and sculpted abdomen after the procedure. Looking at your photos, I do believe that you would be an excellent candidate for this procedure in order to remove the excess skin/soft tissue of your lower abdomen and contour the areas of your belly. It appears that you have some loose skin, which nothing short of surgical excision, will rid. Tightening of your abdominal wall as well as liposuction/contouring of your hips - all of these via a full tummy tuck would afford you the best result.

I would highly recommend continued diet and exercise prior to any consideration for body contouring as getting down to your ideal weight prior to the procedure will certainly give you the best results. Also, a continued healthy and active lifestyle will be needed in order to maintain the benefits that the procedure has given to you. Once you are ready for the procedure, I would likely recommend a full tummy tuck with abdominal wall tightening along with some liposuction to the hips/flanks for additional contouring. You should consult with a board-certified plastic surgeon well-versed in abdominal contouring procedures to go over options and to assist you in deciding which procedure(s) would be right for you. Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Is a tummy tuck my only option? I've had a pooch since my 1st born and I'd like to know if anything else will flatten it

Based on your photos you would benefit from a full tummy tuck. This can be done via an incision below your C-section scar (not much longer) and a small incision through the belly button. Your whole rectus muscle needs to be plicated or tightened. A mini tummy tuck just tightens the muscle from the belly button down only, which will result in an upper abdominal bulge later. Since your umbilicus is high, it can be "floated" down, this way you will avoid a small vertical scar in the lower abdominal skin. I combine this procedure with VASER liposculpting to reshape your hips, waist and provide an athletic abdomen. See a board certified plastic surgeon who has experience in advanced body sculpting techniques. Good luck.

George Marosan, MD
Bellevue Plastic Surgeon
4.8 out of 5 stars 38 reviews

Tummy tuck options

When skin has been stretched from pregnancy, nonsurgical options are usually not going to accomplish much. Since you already have a scar from C-sections, some version of a tummy tuck is likely to be your best choice and the scar could be at the same location. With your umbi rather high, a full tummy tuck might not work but a mini with a float would be worth looking in to.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews


Thank you for the photos though obviously a full examination is needed to see what would give you the best result.  A full discussion of your options could then entertained.  A full tummy tuck may be the best answer or possibly a repair of a diastasis using your c-section scar

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 61 reviews

Is a tummy tuck my only option?

You will definitely get the most improvement with a Tummy Tuck. However if there is significant fat in the abdominal wall (it takes an exam to know) then liposuction may give you enough change for now until you are ready to commit to the TT.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.