Lipo After Vertical C-Section? (Photos)

Hello and thank you for your question. Based on your
photograph, you are a better candidate for a tummy tuck with liposuction.  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.
Harvard-trained plastic surgeon

Thank you for your question.  Patients often come in asking for liposuction when it's not always the best operation in order to achieve the result you are looking for.  Liposuction is an excellent operation to reduce localized fat and improve contour when the skin elasticity is good and the underlying muscle support is in tact.  Based on your pictures, you have developed noticeable muscle laxity of your abdomen, which is common after pregnancy.  The only way to address this issue is with an abdominoplasty, or tummy tuck.  This would also given you reliably the flattest abdomen and allow the surgeon to remove most, if not all of your vertical scar.  Liposuction alone can be done and will reduce the thickness of your tissue but may leave you with a bloated look due to the muscle separation.  You can, of course, do liposuction first and see the results.  The skin removal and muscle tightening can be done in a second surgery if you desired.  The best thing is to see a board certified plastic surgeon and be sure they understand your goals and preferences.  Good luck.