Can a Mini Tummy Tuck Repair a Vertical C-section Scar? (Photos)

Question

I have had two c-sections, both with vertical incisions. The scar seems to be stuck to the muscle, as it causes two bulges on either side. I know I need some liposuction. I am in relatively good shape (5'2" 107 lbs) and active. At my lowest weight (~102), I still have a lower abdominal bulge). I don't know if my muscle is separated. The area above the belly button has some sagging. Can I get by with a mini tummy tuck? Because of down-time concerns, can I get the lipo first and the tuck later?

James Knoetgen, III, MD · Answer

A mini tummy tuck, also known as a partial abdominoplasty, can improve the appearance of a vertical C-section scar to some extent. It can help by removing excess skin and tightening the abdominal muscles, which may reduce the prominence of the scar. However, the degree of improvement can vary depending on the individual and the scar’s characteristics. It’s important to consult with a board-certified plastic surgeon to discuss your specific situation and determine the most appropriate procedure for your needs.

Jeffrey Zwiren, MD · Answer

NO, you would need a standard abdominoplasty to completely remove the old vertical C section scar.

Robert L. Kraft, MD, FACS · Answer

There are a lot going on here in terms of the thickness and length of the scar, abdominal bulge and excess lower abdominal skin. A mini-tuck will not address the entire Caesarean scar. You will need to assess what is most troubling. If it is the scar and its adhesions, you could begin with scar revision/release plus liposuction, but to adress all of the issues, a full abdominoplasty would be the most comprehensive procedure.

Steven Wallach, MD · Answer

A minim tummy tuck does not take out all the sk in in this region., You will need a full tummy tuck to accomplish that.

Brian Klink, MD · Answer

A agree that the only way to completely remove the vertical incision is with a full tummy tuck. That will leave you with a lower abdominal incision. If your main complaint is contour, then another option is to have liposuction, revise the vertical incision, release it from the underlying wall and repair the lower abdominal muscles through that incision. The scars will be in the same place you have them now, but would presumably look better with a better contour. Good Luck!

Can a Mini Tummy Tuck Repair a Vertical C-section Scar? (Photos)

Answers (7)