After 2 C-sections, Are There Any Alternatives to Tummy Tuck for Flattening Belly?

I have had 2 c-sections. Am I able to lose my belly fat and flaten my stomach without a tummy tuck? I have had 2 c sections, the first one was December 2007 and the second one was January 2010

Doctor Answers 6

Keepin' Tight!

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Certainly loosing fat around your abdomen with help improve your contour but the natural tendency of pregnancies to stretch the abdominal wall is more difficult to overcome.  The only way to improve the "stretch" would be with garments worn beneath your clothing.  If more long term correction is desired then a tummy tuck with tightening of the muscles is warranted.

Dr. ES

After 2 C-sections, Are There Any Alternatives to Tummy Tuck for Flattening Belly?

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Thank you for the question.  
For most patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. The tummy tuck operation serves to re approximate muscles that may have spread with pregnancy and/or weight gain/loss, remove "excess" skin/adipose tissue (often overhanging C-section scars) and further contour the abdominal wall, with tools such as liposuction surgery.
Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.
Of course, there are downsides (including a longer scar and probably a longer recovery time) but for most patients the benefits outweigh the downsides.
You will also hear/read about mini tummy tuck surgery. In my opinion/experience, the mini tummy tuck is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.
Again, for the vast majority of patients who have had pregnancies and/or weight loss a full abdominoplasty is necessary to achieve the desired results. When the time is right, seek consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients achieve the types of outcomes you would be pleased with. You may find the attached link/video, dedicated to tummy tuck surgery concerns, helpful to you as you learn more. Best wishes.

Tummy tuck after c-section

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You do have a separation of your muscles of the tummy which is a large part of a tummy tuck. Thermage may help with tightening some of the skin but I would save your money and get a tummy tuck to really help yourself. I am offering a temporary price reduction for all cosmetic surgery incxluding excellent financing. Watch my video!

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

If you need a tummy tuck, you need a tummy tuck - no good alternatives

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There are no exercises that tighten skin that has been stretched from pregnancy or which pull muscles together after they have been separated, which appears to be the case with you. Do not allow yourself to get sold on "alternatives" especially laser lipo, which some are promoting for cases with skin laxity. The additional tightening is slight, and it does not correct the muscle problem. I am seeing more cases now where that was done instead of a tummy tuck and it can result in a very difficult problem to fix.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

Tummy Tuck

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A pregnancy stretches your tummy muscles and permanently splits them apart. No matter what diet you go on what brutal exercise program you engage in - it will not change anything. The only way to give you your Before Baby Body back is to put the muscles together and remove the excess skin. The Only solution is a Tummy Tuck. A lot of women spend billions of dollars doing otherwise trying other modalities. I have seen seen many such women in my practice. Save your money and educate yourself. When you are ready - pick a good Plastic surgeon ( and get the body you deserve with a Tummy tuck.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Flat belly without a tummy tuck?

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In your case, you have an extreme amount of muscle laxity so the only way you can have a flat tummy is to have a tummy tuck, not a mini either.  Muscle tightening will give you a firm, flat toned tummy and the extra skin is also removed.  

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.