Will a c-section scar revision be enough to flatten the overhang? (Photos)

Question

Hi! I had two c sections and have an overhang from the tethering and maybe extra skin . Dr said insurance wouldn’t cover a panniculectomy bc I don’t have enough overhang and extra skin but would suggest a C-section scar revision Will this be enough to get the over hang flat? Thank you

Yasemin Aydinli, MD · Answer

Looking at your photo, the overhang is not only the tethered scar. There is loose skin with stretch marks above it and some rounding of the lower abdomen, which is the typical picture after two caesareans. The second image you shared appears to be an AI generated simulation, and the "after" pictures in it show a flat, smooth lower abdomen. That looks like the result of a mini tummy tuck rather than a scar revision, so please do not take it as your expected outcome. A scar revision only removes the old scar and a narrow strip of skin next to it. It can release the tethering and make the shelf slightly less obvious, but it cannot flatten the abdomen, and in some patients the bulge above the scar looks more noticeable afterwards because the tight band is gone. What would really flatten this is a tummy tuck. With a mini tummy tuck only the muscle below the navel is repaired and the upper abdomen can look more rounded by comparison, so whether a mini or a full tummy tuck suits you can only be determined by physical examination. I understand that insurance will not cover it, but I would rather be honest that a scar revision will give you a smaller change than you are hoping for.

Will a c-section scar revision be enough to flatten the overhang? (Photos)

Answers (1)

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