Mini or full tummy tuck and future pregnancies?

I am currently looking to have a tummy tuck done. As you can see I have quite a few stretchmarks, (two pregnancies, second was a twin surrogacy for my friend). I do however plan on having another child in 5-6 years, NOT before. In the meantime, I will find it impossible to live with this belly. What do you suggest? (In this picture I am 8 weeks post c-section from the twins) Thanks!

Doctor Answers 12

Mini or full tummy tuck and future pregnancies?

Hello! Thank you for your question and photos! I hope that these answers help! Tummy tuck is an excellent method for shaping the belly and create a flatter and sculpted abdomen after the procedure. Looking at your photos, I do believe that you would be an excellent candidate for this procedure in order to remove the excess skin/soft tissue of your lower abdomen and contour the areas of your belly. Also, abdominal wall tightening may optimize your result. Stretch marks to the level of your umbilicus will also be excised. Also, a continued healthy and active lifestyle prior to the procedure and afterwards is recommended in order to maintain the benefits that the procedure has given to you.

Once you are ready for the procedure, I would likely recommend a full tummy tuck with abdominal wall tightening. This would remove the excess skin/soft tissue and stretch marks while contouring your belly. The mini tummy tuck has limited usefulness and limited candidates as it truly only addresses excess skin in a small area above your pubis. It will not address your abdominal wall and the tightening of such, frequently needed to achieve a shapely abdominal wall. While the recovery time is shorter, the benefits afforded to you by a full tummy tuck are much greater and will optimize your result. Recurrence of abdominal wall laxity and excess skin may always occur with future pregnancies and the procedure may be redone, if desired.  But, doing the procedure prior to this pregnancy will not cause you any harm.  You should consult with a board-certified plastic surgeon well-versed in body contouring procedures at anytime to go over options to assist you in deciding which procedure(s) would be right for you. Best wishes!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Mini or full tummy tuck and future pregnancies

Neither mini or full abdominoplasty should affect future pregnancy. You may wish to wait at least 6 months after C-section prior to having a body contouring procedure. Consult with 3 board certified plastic surgeons to understand your options, and choose the surgeon/surgical plan that best meets your objectives/needs.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 42 reviews

Wait for 6 months for best results. No problems with pregnancy post TT.

Thank you for your post. You certainly can have a baby after tummy tuck. In a tummy tuck, we are putting your body back together similiar to what you were like before you were pregnant. Your muscle tension, your skin and your fat contours are adjusted. Once you are fully healed from your surgery, your body is just as able to accept a pregnancy as it was before your first pregnancy. However, if your belly area stretched after your first pregnancy, then you are likely to stretch again after your next pregnancy. Most surgeons recommend to have a tummy tuck after you are finished having childern, however, in certain instances, such as starting to date again, or just not being happy with your post pregnancy body, then it makes sense to go ahead and have a tummy tuck. Just realize that you may need a revision later on.
Best Wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Mini or full tummy tuck and future pregnancies?

 Thank you for the question. Based on your history and description, you will likely be a good candidate for “mommy makeover” surgery at some point.  Best to wait at least 6 months to one year prior to seeking consultation with board certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly as well. Make sure that you are aware that this operation is associated with a very significant physical and emotional recovery period. Generally speaking, the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.  For most patients in your situation I also use liposuction surgery as a contouring tool, most often used in the flank areas, mid-epigastric areas and pubic areas. I hope this, and the attached link, helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Tummy tuck timing after pregnancy

Congratulations on your pregnancies ... you look great for just having twins!  8 weeks after delivery, especially of twins, is very early in the healing process. Your stretch marks are still red, which is a sign of early healing. Your abdomen will continue to heal, recover and shrink over the next year. So I would advise you to wait at least one year before considering a tummy tuck. You say you may have another child in 5 years, so if you wait one year from now, then you may be within 4 years of having your next child.  It may not be worth undergoing a tummy tuck if you're going to be getting pregnant within the next 4 years.


I advise you to meet with a board certified plastic surgeon and have this discussion with him/her. I hope this helps and wish you all the best!

James Knoetgen, III, MD
Fresno Plastic Surgeon
4.8 out of 5 stars 59 reviews

Timing of tummy tuck and pregnancy

Thank you for your question and photo.

Before you make any firm decision, I recommend that you wait at least six months for your tummy to heal. A good bit of the laxity may resolve. Things are still fresh right now.

I also would be hesitant for you to get a tummy tuck when you are planning on having more children. My recommendation would be for you to wait until you are doing having children.

If you do choose to go ahead with it, have a tummy tuck that removes skin and fat only and do not have abdominal plication. Save that until you are done having children.

I hope this helps. Best of luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Tummy tuck timing

From your pictures, you look like you are a good candidate for abdominoplasty.  The choice is up to you.  You can proceed with surgery now and enjoy the results for the next five to six years or you can wait until you are done having children to avoid the possibility of an additional surgery. 

George John Alexander, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 38 reviews

Tummy tuck timing after pregnancy is tricky.

The most important thing you need to do is understand that your tummy skin will continue to tighten for up to 12 months after you deliver and will continue to tighten as you loose weight. Since a tummy tuck is a big procedure that you should plan to do only ONCE i would recommend saving your money for after your last baby is born.

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 96 reviews

Choosing tummy tuck type and future pregnancy

I would not plan on having abdominoplasty surgery (tummy tuck) until you are through with child bearing. Based on your pictures, your abdomen should still improve over time, especially if you exercise.

Donna Rich, MD
Webster Plastic Surgeon
4.5 out of 5 stars 33 reviews

What type of tummy tuck and consideration for future pregnancies

You should consider waiting at least 6 months for your abdomen to revert to a more long term post-pregnancy state. Then, if you want to pursue a tightening procedure, it would be reasonable particularly given your dissatisfaction with its appearance and the fact that you are not planning to have children for at least 5 - 6 years. Which procedure would be most prudent for you to undergo would depend on the physical findings at that time.

Realize that any future pregnancy will cause your abdomen to re-stretch meaning that you may require a second tummy tuck procedure to correct the laxity.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.