Can I Have my Abdominal Muscles Tightened Without a Tummy Tuck? (photo)

I'm 30, and have 4 children ages 6 to 16 months. I am 7 lbs. over my pre-pregnant weight, which I got back to with the first three, and was 5 lbs. over when I got pregnant with my 4th. I can lose the weight through exercise and diet, but my abdominal muscles are stretched out. I haven't seen my flat tummy since getting pregnant with my 3rd. Can I have my abdominal muscles tightened without doing a full tummy tuck? I don't want the hip to hip scar. If it's possible, what would that procedure entail?

Doctor Answers 5

Can I Have my Abdominal Muscles Tightened Without a Tummy Tuck?

     Yes, if there is minimal skin laxity this can be accomplished through a small incision.  This would involve dissecting a small path overlying the rectus fascia and sewing the fascia together to correct diastasis.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Endoscopic Tummy Tuck

It is possible to tighten the abdominal muscles using an endoscope. The  skin is then flattened with liposuction. You would seem one of the few people on which this could work if you do not have intraabdominal fat causing the prominence pf your abdomen. The only way to tell is with an exam by a qualified plastic surgeon with experience with endoscopic surgery.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

Endoscopic abdominoplasty

Yes this can be done and is called an endoscopic assisted abdominoplasty. Only a few patients out of a hundred need this particular operation. You need to have good skin elasticity and minimal stretch marks with of course the rectus diastasis that you want repaired.Make sure you find a certified doctor who knows how to do the procedure. The biggest risk is that you have excess skin after the procedure since the muscles will be sewn together and the skin has to shrink to the new flat surface. I use a short c section incision and remove a few inches of lower skin. Good Luck!

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

Tightening the abdomen without a tummy tuck

The rectus diastasis, or the split between the rectus muscles that often occurs after pregnancy, can be repaired through a C-section type incision. Not everyone does this procedure as it is technically more difficult, so best to ask the plastic surgeon's coordinator prior to making your appointment.

Lisa Cassileth, MD, FACS
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 13 reviews

Can I Have my Abdominal Muscles Tightened Without a Tummy Tuck?

Yes a short scar TT or Endo TT can be done but very hard operation to do just recti tightening. Best to obtain in person opinions. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 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.