Revision of my tummy tuck after 2 more C-sections? (Photo)

Question

I had my first Tummy tuck in 2014 after my first 3 kids. I had lost 90 lbs and got In the best shape of my life. Fast forward after a divorce, and untying my tubes, I had two more kids and c-sections. I am in the middle of trying to lose 40-50 lbs - but I have a feeling I’ll need a revision. New stretch marks on my upper abdomen aren’t too bad, but my incision has a bump shelf and I hate it. My OB said my abs never separated, so is it just skin removal?

J. Timothy Katzen, MD, FACS · Answer

Hi Mama Meg, thank you for your question regarding a possible tummy tuck revision after two additional C-sections. I appreciate you sharing your history and photos.

Since you are in the process of losing 40 to 50 pounds, I strongly recommend that you focus on reaching your goal weight first before considering revision surgery. Significant weight loss after plastic surgery can dramatically affect the results, often leading to more loose skin that may require additional correction. Most experienced board-certified plastic surgeons would advise waiting until you are at a stable weight before moving forward with a revision.

If you are finding weight loss challenging, you may want to look into GLP-1 medications like Ozempic, Mounjaro, or Zepbound. Many of my patients have had great success with these, losing around 20% of their body weight, which can improve both health and surgical outcomes.

Once you’ve reached your goal weight, we can reassess whether you need just skin removal or a more comprehensive revision. Since your OB mentioned that your abdominal muscles did not separate, it is likely that your revision would focus on addressing the “shelf” at your incision site and any remaining loose skin. Additionally, based on your photos, you appear to be a good candidate for VASER High-Definition liposuction, which can help sculpt and contour your abdomen to enhance muscle definition and achieve a more athletic appearance.

I know it can be frustrating to wait, but reaching your goal weight first will ensure the best long-term results from your revision. I hope this helps answer your questions, and I wish you the best on your weight loss journey!

Sincerely,
Dr. Katzen

Daniel Barrett, MD · Answer

Dear Mama Meg,
it is hard to tell for sure without an examination. If you had two pregnancies there is a chance that you have muscle separation. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I encourage you to wait until you have completed your weight loss goal and then visit with a board certified plastic surgeon for a consultation.  After multiple pregnancies you may need the abdominal wall to be corrected.  Excess subcutaneous fat and skin can be removed at the time of the revision as well.

Gerald Minniti, MD, FACS · Answer

the new photos are illuminating, but my recommendation stays the same. You will need a full revision abdominoplasty, and possibly some minor sculpting liposuction. The good news is you can get that scar far lower where it will disappear visually.

Connie Hiers, MD, FACS · Answer

First, lose all the weight you wish. Then go in for an examination to see what should be done besides removing excess skin.

Revision of my tummy tuck after 2 more C-sections? (Photo)

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Revision of my tummy tuck after 2 more C-sections? (Photo)

Answers (6)

Answer: New post same issue

Answer: New post same issue

Answer: Abdomen

Answer: Abdomen

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Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.