Dear nothappy, Having undergone four C-sections does not inherently disqualify you from being a candidate for a tummy tuck. In fact, many women opt for a tummy tuck after multiple pregnancies and C-sections to address issues such as loose skin, weakened abdominal muscles, and the C-section "shelf" or scar tissue that may develop. A tummy tuck can remove excess skin, reduce the appearance of C-section scars, and tighten the abdominal muscles, which often become stretched out or separated during pregnancy, a condition known as diastasis recti. However, it is important to consult with a board-certified plastic surgeon who has experience in performing tummy tucks on patients with a history of multiple C-sections. They will evaluate your specific situation, including the condition of your abdominal wall, the placement and healing of your C-section scars, and your overall health, to determine if a tummy tuck is safe and appropriate for you. During your consultation, your surgeon will also discuss how previous C-sections might affect your tummy tuck procedure, recovery, and results. It's crucial to have realistic expectations and understand that while a tummy tuck can significantly improve the appearance of your abdomen, it does come with its own recovery process and potential risks. Sincerely, Dr. Katzen Plastic Surgeon