Will I Need a Small Vertical Incision for my Tummy Tuck? (photo)

Thank you for your pictures. Based on your pictures I think that you will end up with a small T closure. This can't be position within the panty line. I believe that you'll get a great improvement of your abdominal contour. Best wishes.

Dr. ES

Great question!

There are a number of issues here.

If you want to position the incision through the previous caesarian scar (which you should) then I think it likely that you would end up with a small T scar. However, after a year or so, the vertical  stem of the T may be removed once the tissues soften up, leaving you with a normal transverse scar. Whenever I anticipate this, I position the belly button a little higher than normal because the second operation (removing the stem of the T in a transverse ellipse) will bring it down a little.

You appear to have an umbilical hernia and this should be fixed.

Lastly, your abdomen bulges significantly and this is not all due to subcutaneous fat. There may well be a permanent intra-abdominal component. Despite muscle tightening, and the removal of loose skin, you may still be left with a convex abdomen. Intra-abdominal fat cannot be removed. It may only be reduced by diet.