Does your tummy tuck cut have to be hip to hip? A previous cut from c-section. Would that cut be widen from hip to hip? (Photo)

Since one of the main objectives of a Tummy Tuck is to remove excess skin, the incision has to go as far as the excess skin goes.  From the photographs it seems as though the skin is loose all the way to the hips.  In fact this is almost always the case. Attempts to shorten the incision will lead to a "dog's ear"(in Britain they call them "standing cones"), which is a bunching up of the extra skin. So the trade-off is the long scar, but if a flat and smooth abdomen is the goal, the scar may be worth it.  Best wishes.

If your C-section scar is located low enough, your tummy tuck incision will go through the existing scar. For a full tummy tuck, it will extend it so it is longer in order to remove enough skin. For a mini, it is about the same length.

Many
patients who have tummy tucks have had prior C-section scars, which are
generally removed during the tummy tuck. The length of the incision to achieve the best cosmetic result varies depending on your individual anatomy and extent of tissue laxity.
Following the advice of anyone on this or any other website who would presume
to tell you exactly what to do  without taking a full medical history,
examining you, feeling and assessing your tissue tone, discussing your desired
outcome and fully informing you about the pros and cons of each option would
not be in your best interest. I would suggest that you find a plastic surgeon
that you are comfortable with and one that you trust and listen to his or her
advice. The surgeon should be certified by the American Board of Plastic
Surgery and ideally a member of the American Society for Aesthetic Plastic
Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California