I had a full Tummy Tuck about 2 years ago, 9 months after I had twins via C-section. I was very unhappy with my results, because from the belly button down, it was really tight, but the area above my belly button still protruded with a diastasis. It also looked weird, especially after I ate. My plastic surgeon said he couldn't fix it.
Anyways, I am now 23 weeks pregnant again, and I'm hoping that it will loosen up my lower muscles to "match" the laxity of my upper abdominals. After this baby, I'm going to having a tubal ligation, and I want a "pretty" stomach. What are my options for addressing these Is it possible to just pull down any loose skin and make a "real" looking belly button?
Answer: There's hope if you choose the right surgeon Congratulations on your pregnancy. Usually we sort of hate to see the result of a good abdominoplasty come undone but in your case maybe not so much since you were dissatisfied anyway. Secondary abdominoplasty can be a very challenging procedure so I would suggest that you find a plastic surgeon who has a special interest and experience with this. The issue is not so much whether the muscles have spread again, but whether the skin stretches out enough to basically re-do the whole procedure. The skin above the belly button has to be able to expand all the way down to the pubic area. And making a nice belly button is a bit of an art form so ask specifically about that in consultation. You may have a hernia at the belly button so that shoud be evaluated too.
Helpful 2 people found this helpful
Answer: There's hope if you choose the right surgeon Congratulations on your pregnancy. Usually we sort of hate to see the result of a good abdominoplasty come undone but in your case maybe not so much since you were dissatisfied anyway. Secondary abdominoplasty can be a very challenging procedure so I would suggest that you find a plastic surgeon who has a special interest and experience with this. The issue is not so much whether the muscles have spread again, but whether the skin stretches out enough to basically re-do the whole procedure. The skin above the belly button has to be able to expand all the way down to the pubic area. And making a nice belly button is a bit of an art form so ask specifically about that in consultation. You may have a hernia at the belly button so that shoud be evaluated too.
Helpful 2 people found this helpful
Answer: Surgeon Research for the Revision This is a great question to ask for all of those face torso appearance issues when pregnant after a previous procedure. Agreed that the little contouring with your procedure could be touched up later with liposculpting of your entire torso/core, or another cleaner abdominoplasty. This would likely provide better results for shaping and trimming and hopefully help meet the initial goals of final results that you had when entering this procedure. See a board certified PS to discuss a procedure and the final sculpting that may help you become satisfied.
Helpful
Answer: Surgeon Research for the Revision This is a great question to ask for all of those face torso appearance issues when pregnant after a previous procedure. Agreed that the little contouring with your procedure could be touched up later with liposculpting of your entire torso/core, or another cleaner abdominoplasty. This would likely provide better results for shaping and trimming and hopefully help meet the initial goals of final results that you had when entering this procedure. See a board certified PS to discuss a procedure and the final sculpting that may help you become satisfied.
Helpful
August 28, 2015
Answer: Complete recovery from pregnancy--very important first step. It’s virtually impossible to make a treatment recommendation until you’ve completely recovered from your pregnancy.After pregnancy you will probably have recurrent weakness of your muscles and redundant abdominal skin as well. Under these circumstances you will probably be an excellent candidate for a revision abdominoplasty.At that time muscle repair can be undertaken to further tighten your upper abdominal wall and remove excess abdominal skin.It’s important to discuss your situation with a board certified plastic surgeon with experience in this area.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
August 28, 2015
Answer: Complete recovery from pregnancy--very important first step. It’s virtually impossible to make a treatment recommendation until you’ve completely recovered from your pregnancy.After pregnancy you will probably have recurrent weakness of your muscles and redundant abdominal skin as well. Under these circumstances you will probably be an excellent candidate for a revision abdominoplasty.At that time muscle repair can be undertaken to further tighten your upper abdominal wall and remove excess abdominal skin.It’s important to discuss your situation with a board certified plastic surgeon with experience in this area.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
March 14, 2012
Answer: Revision of Mommy Make Over
I can think of three likely scenarios to result in what you describe: tight lower abdomen but bulging upper abdomen. This usually happens by either performing a "mini tummy tuck" that is only tightening the area just below the umbilicus or else disproportional tightening the lower abdominal muscles more than the upper ones, or a dehiscence (repair came apart) on the upper abdomen. When the lower abdominal muscles are tightened this displaces the abdominal contents towards the top causing it to protrude. In general, most cases both the bulging and your belly button can be improved but without examining you I cannot answer for sure.
Larry S. Nichter, MD, FACS
Helpful
March 14, 2012
Answer: Revision of Mommy Make Over
I can think of three likely scenarios to result in what you describe: tight lower abdomen but bulging upper abdomen. This usually happens by either performing a "mini tummy tuck" that is only tightening the area just below the umbilicus or else disproportional tightening the lower abdominal muscles more than the upper ones, or a dehiscence (repair came apart) on the upper abdomen. When the lower abdominal muscles are tightened this displaces the abdominal contents towards the top causing it to protrude. In general, most cases both the bulging and your belly button can be improved but without examining you I cannot answer for sure.
Larry S. Nichter, MD, FACS
Helpful
August 16, 2010
Answer: 2nd Tummy Tuck After Pregnancy
Although it is typically recommended to wait until you are done having children before undergoing a tummy tuck, additional pregnancies do happen. If you plan to have any more children, I would recommend waiting before having another.
Pregnancy can significantly alter tummy tuck results so I would advise waiting 6 months to 1 year before consulting with a board certified plastic surgeon. This will give the tissues a chance to return to "normal". If you undergo a tummy tuck too soon, you may end up with unfavorable results - such as additional loose skin after swelling subsides.
I would visit several surgeons, get multiple opinions and see their before and after book. Be sure to bring your paperwork and operative notes from your previous surgeon so your potential new surgeons are aware of the exact procedure that was performed before.
Helpful
August 16, 2010
Answer: 2nd Tummy Tuck After Pregnancy
Although it is typically recommended to wait until you are done having children before undergoing a tummy tuck, additional pregnancies do happen. If you plan to have any more children, I would recommend waiting before having another.
Pregnancy can significantly alter tummy tuck results so I would advise waiting 6 months to 1 year before consulting with a board certified plastic surgeon. This will give the tissues a chance to return to "normal". If you undergo a tummy tuck too soon, you may end up with unfavorable results - such as additional loose skin after swelling subsides.
I would visit several surgeons, get multiple opinions and see their before and after book. Be sure to bring your paperwork and operative notes from your previous surgeon so your potential new surgeons are aware of the exact procedure that was performed before.
Helpful
June 7, 2010
Answer: Tummy tuck revisionary surgery
Congratulations! Once you have decided that you are done having children and completed your tubaligation procedure, consult with a board certified plastic surgeon to discuss the best and safest possible options for you. Pregnancy can affect results of your previous surgery, so depending on what you would need to have done, you may need a full tummy tuck procedure done again resulting in a full recovery of 4 weeks. For more information regarding mommy makeover procedures, please check out and compare before and after photos of patients.
Helpful
June 7, 2010
Answer: Tummy tuck revisionary surgery
Congratulations! Once you have decided that you are done having children and completed your tubaligation procedure, consult with a board certified plastic surgeon to discuss the best and safest possible options for you. Pregnancy can affect results of your previous surgery, so depending on what you would need to have done, you may need a full tummy tuck procedure done again resulting in a full recovery of 4 weeks. For more information regarding mommy makeover procedures, please check out and compare before and after photos of patients.
Helpful