I do have the “c section pouch” above my scar and I’m wondering what kind of procedure I would need to remove it (photo)

Options for this problem depend on overall abdominal skin laxity and patient preference.
Removal/revision of the scar with downward traction on the skin below the belly button will smooth out the lower abdomen, but the scar will need to be longer than the existing C-section scar. If there is a small amount of overlap without a lot of excess skin, the scar can be minimally longer than the C-section scar.
If the problem is primarily excess skin in the lower abdomen, and the skin laxity above the belly button is acceptable to the patient, the procedure can be confined to the lower abdomen, with the scar of varying length depending on the amount of skin redundancy.
If there  is upper abdominal skin laxity and the patient wants this to be smoother as well, the procedure must free the skin above the belly button, which is a full abdominoplasty.
Scar revision with removal of a moderate amount of skin is an office operating room procedure. An abdominoplasty is done in the operating room with general anesthesia.

At minimum, to achieve an appreciable change will require a mini tummy tuck. Depending on your goals you may chose a more extensive procedure. A consultation with a board certified plastic surgeon will allow you to evaluate all of your options and the anticipated improvements each would provide.  

Thank you for your question! Based on your photos, I recommend a tummy  tuck. This procedure will  completely remove the scar from the c-section, in addition to the excess skin and fat to your abdomen. I recommend consulting with a board certified plastic surgeon, who can create a personalized plan for you. Best of luck!

Hi, thanks for your photos and your question.  This type of fullness above the scar is common after some c-section incisions  so you are definitely not alone.  This is one reason why various “mommy makeover“ procedures exist. There are actually multiple options  from as simple as an in-office scar revision to as comprehensive as a full tummy tuck (abdominoplasty). There are also hybrid  procedures (at least 2) that are still surgical but less involved. It would be best for you to have an in-person assessment to determine what is right for you, based on your anatomy and your goals for outcome and recovery. 

Thank you for posting your question.  Typically a c-section pouch will not improve significantly with non-surgical treatments.  A mini tummy tuck or full tummy tuck can effectively remove redundant skin in this region.  If you seek a consult with a plastic surgeon they will be able to discuss the most appropriate options.

Dear SarahR1554,
Based on your photos and pregnancy history, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. If you want to avoid fully tummy tuck, you can consider mini tummy tuck which will remove the skin above your incision but it won't affect area above the belly button. Liposuction will only remove fat leaving saggy skin.  I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. Based on your photos you appear to be a good candidate for full tummy tuck with intense liposuction to improve your body contour and get better curves especially in your laterals and waist and Dominican Butt lift taking the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

The scar cannot be made smaller but the skin can be leveled out with either a mini tummy tuck or a full tummy tuck.  The full tummy tuck is a better choice overall but a mini tuck is also an option if you prefer a less involved procedure.

I do see a number of women who really are only bothered by that small little flap of skin over the C-section scar and it sounds like you might be in that category! It doesn’t sound like you were looking for a big tummy tuck procedure because you were even asking about non-surgical options so I have found many women like you are very happy with just a very small removal of the excess skin that is folding over. No need for a drain or muscle repair just removal of the puckered scar and little flap of skin. It works great for just that small little area!

For my patients, this really deserves a solid, in-person exam to look at the separation of the muscles, quality of the tissues with stretch marks, personal goals etc. But often when patients have loose skin above the level of the umbilicus, then a full abdominoplasty may be best to address the entire abdomen and not just the little bit of skin above the C-section scar. However I have had a few patients that don't want to address the other global issues and I have just excised the excess over lying skin (or pouch). But they have to understand that this small excision has a limited aesthetic outcome. Make sure to see a board certified plastic surgeon.