Indentation after my 2nd C Section. What is causing this and can it be fixed? (photos)

Good morning and thank you for using RealSelf.It appears that you have some scar tissue under the skin at the indentation site that is causing the deformity.  Possibly from previous surgery.  The loose skin above that area makes it look worse.  In regards to a possible tummy tuck, you seem to be an excellent candidate.  I do believe you would benefit from a complete tummy tuck that does include tightening of the rectus muscles.  That will certainly give you a flatter tummy.  Removing the excess skin and fat is also part of the tummy tuck.  Results are dramatic with a more toned abdominal wall.  Of note, your c section scar would be removed as well as all of the scar tissue causing the present problem.Choosing an experienced, board-certified plastic surgeon will provide you with not only a great result, but minimal risk of complications.  Dr Spies

As plastic surgeons, we see indentations following C-Sections frequently.  The problem is generally 2 fold; 1) with each pregnancy the abdominal skin stretches and more laxity is created above the incision, and 2) When the C-Section incision is closed, if the various layers of the fascia are not fully reapproximated to one another, the incision can scar down to the deep fascia. In other words, there is fat beneath the skin above and below the scar, but not at the scar.  This causes the indented appearance. Combined with the increased laxity of the skin, then the problem is very noticeable.  Dr. B.

A full tummy tuck with muscle repair would be the best solution for this.  Besides your scar/indentation, a tummy tuck will greatly improve the overall contour of your abdomen.  Your result should be even better if you complete your weight loss as you are planning.  Hope that helps!

A tummy tuck is a good solution to your problem. The C section scar can be released and scar tissue excised. This is very common in many of our tummy tuck patients.

Thank you for your pictures.  This issue is due to scarring beneath the surface of the healed incision.  A tummy tuck can improve this area. Please seek consultation from several board certified plastic surgeons.