How Common is a Tummy Tuck After Having Twins?

I have had several patients who had twins before getting a tummy tuck. Carrying twins can take a huge toll on a woman's body, stretching out the skin and weakening abdominal muscles, so it's not unusual for a woman to be unhappy with their body contour after having their children and turn to a tummy tuck to address their concerns.

Anytime a women has multiple babies in a single pregnancy this will impart more expansion and stretch on the abdominal wall.  The muscle separation or splaying (medically known as rectus diastasis) is also more severe.  Some women that are very young with good elastin may get a fair amount of "spring back" but the rectus diastasis never corrects without surgery. In addition, patients are also more predisposed to hernia formation as well.

 

I'm not sure that i have ever met a woman who has had twins that would not benefit from a tummy tuck.  The significant weight gain with loss of elasticity of your skin can leave a woman with a roll of skin.  Often, twins are delivered by c-section which can exacerbate the over-hang of your skin above the c-section scar.  I've found that the spreading of the rectus muscles is especially wide and can only be repaired by suturing them back together.  Sit ups will not do the trick.  I like to combine tummy tucks with liposuction of the waist to further enhance the patient's results.