I’ve had two c-sections and want to fix the overhang of skin where my incision is.

Question

I’m in pretty good shape, I’m 40 years old, 5’8” and weigh 140lbs As I’ve gotten older I find under my c-section incision it feels chubby ... where I feel it leads to a chubby vag too I’ve had two c-sections over a decade ago What is the best procedure for me?

John J. Corey, MD · Answer

It is very common for women to get just a little bit of extra skin or pooch right above the C-section scar. The scar indentation makes it look even worse! Most of these respond really well to a bit of revision around the C-section scar almost like a “mini mini” tummy tuck and then a little Lipo in the pubic region to thin that area out. It works really well!

Justin Yovino, MD, FACS · Answer

This is an easy fix and can be performed under local anesthesia with light sedation.  Typically, it’s to your benefit to couple the skin removal and abdomen tightening with Liposculpting.

Lewis Albert Andres, MD · Answer

Thank you for your question! 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.  It sounds like you would be an excellent candidate for the full tummy tuck 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.  I would highly recommend continueddiet and exercise prior to any consideration for body contouring as getting down to your ideal weight prior to the procedure will certainly give you the best results. Also, a continued healthy and active lifestyle will be needed in order to maintain the benefits that the procedure has given to you. Once you are ready for the procedure, I would suggest a full tummy tuck with abdominal wall tightening along with some liposuction to the hips/flanks for additional contouring. This would remove the excess skin/soft tissue and stretch marks while contouring your belly. You should consult with aplastic surgeon at anytime to go over options to assist you in decidingwhich procedure(s) would be right for you. The mini tummy tuck has limited usefulness and limited candidates as it truly only addresses excess skin in a small area above your pubis.  However, without seeing you, this may be an adequate option. While the recovery time is shorter and cost is less for a mini, the benefits afforded to you by a full tummy tuck are much greater and will optimize your result.  Best wishes!

Daniel Barrett, MD · Answer

Dear AZgirlatheart,it is hard to tell for sure without an examination but based on your information, you will most likely need a tummy tuck. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Andrew T. Lyos, MD, FACS · Answer

I would recommend a Full tummy tuck combined with liposuction. A full tummy tuck corrects the aftermath of pregnancy:	1.  The separation of the abdominal muscles (diastasis recti) is repaired to reduce the bulge	2.  The loose skin is tightened	3.  Fat deposits can be reduced with liposuction	Liposuction alone would not correct the bulge due to the muscle separation or the loose skin and would, in all likelihood, lead to a disappointing result for you.	I would recommend a consultation with a Board Certified Plastic Surgeon.	Best regards, Andrew Lyos MD, FACS

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your
question. The best advice you can receive is from an in-person consultation.   Based on your description, you may benefit from a tummy tuck.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Shaun Parson, MD · Answer

Thanks so much for your question.  It clearly sounds like you have redundant skin so some type of skin reducing procedure would be best.  Whether that's a mini tummy tuck or a full tummy tuck, I would have to see you in person or at least see photos to know for certain.  Liposuction won't be a great option if you have extra skin.  Hope this helps.

Curtis Wong, MD · Answer

and if you just wanted the scar removed, a simple scar revision is all that is needed.  But you mention your chubby vag too and that suggests you will need a monsplasty as well.  Most people who have had pregnancies usually can benefit from a tummy tuck (which includes the monsplasty or it should).  You really need to see a local board certified or eligible plastic surgeon to determine what will be best for you.

Robert Singer, MD · Answer

There are a variety of procedures that can produce a good cosmetic result in the appropriate patient: liposuction, a mini tummy tuck, a modified with an umbilical float, or a variety of a full abdominoplasty. All of the tummy tuck variations may or may not include tightening of the muscle and liposuction. Generally if there is significant loose skin above the umbilicus (belly button), a full tummy tuck will result in a greater correction and better outcome.
  
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without seeing photos and more importantly without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
  
Robert Singer, MD FACS
  
La Jolla, California

Richard J. Brown, MD · Answer

Great question. Photos would really help here. You may only need as little as a scar revision with some skin removal to a full tummy tuck depending on what is going on. I apologize if you have photos here, but I just do not see them. Best of luck.

I’ve had two c-sections and want to fix the overhang of skin where my incision is.

Answers (17)

More Tummy Tuck Questions

WE SEND PRETTY
EMAILS

Answers (17)

More Tummy Tuck Questions

Why is my stomach creasing? I’m 12 days post op and I have a vertical deep crease going down my stomach. (Photos)

Stitch abscess... is this common? 3 months post-op.

Do you need to be standing to tell if you have a seroma?

3 weeks post TT and severe sharp shooting stabbing pain in abdominal, localized. Advice?

Am I making a mistake not getting MR with my TT. I have had three c sections but NO diastasis.

What are the lifting restrictions after having a tummy tuck with muscle repair?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS