Will Vaser Lipo help with my c-section dome-shaped lower belly? (Photos)

The reason your abdomen is doming a little like that is because of abdominal wall laxity. This is because of multiple pregnancies and the trauma of 3 different c-sections. The great thing is that you don’t appear to have that much skin laxity. My suggestion would be to do a lower abdominal muscle repair or diastasis repair using the same incision that was made for your c-section. Your abdomen would flatten out, and you could remove a small trip of skin to make sure everything stays smooth.

Thank you for your question and for sharing your photos. Based on your history and images, it appears that your primary issue is a weakened rectus abdominis muscle, likely caused by multiple pregnancies and your C-section deliveries. This weakened muscle results in the "dome-shaped" appearance of your abdomen. Unfortunately, liposuction alone, even VASER lipo, will not address the root of the problem because it only removes fat, and you do not seem to have excess fat in this area.

A tummy tuck, or abdominoplasty, would be the most effective surgical solution for your concerns. During this procedure, the incision is placed below your existing C-section scar, allowing removal of the scar tissue and creating a flatter and smoother lower abdomen. The skin is then elevated to the rib cage, and the rectus abdominis muscles are repaired with permanent sutures to bring them back together. This muscle repair is crucial for flattening the "dome" and restoring a tighter abdominal contour.

Since you have minimal excess skin or fat, the focus would be on repairing the muscle to achieve the best aesthetic outcome. It is also worth noting that Pilates and weights, while beneficial for overall strength and health, will not tighten separated abdominal muscles or significantly change the contour of your abdomen if the issue is related to diastasis recti.

While VASER lipo is a great option for reducing fat, it would not address your muscle separation, and therefore, it would not resolve your primary concern. I strongly recommend consulting with a board-certified plastic surgeon who specializes in abdominoplasty to achieve the results you desire.

Sincerely,
Dr. J. Timothy Katzen, MD, FASMBS, FICS

I don't think Vaser is necessary, but you might benefit from a mini tummy tuck to excise the loose skin. The scar probably would be even lower than your c-section scar, and only a little wider. The only other thing I would consider would be some mild liposuction with a skin tightening device like Renuvion.