How to get rid of c-section shelf without a tummy tuck? (Photos)

From your photos it appears you would have nice improvement from liposuction to the area that concerns you. Scar revision can also be performed to help to minimize your scar. Therapies such as Embrace Scar Therapy System can also be used to help promote favorable scarring.

C-section shelf or excess tissue above the scar is fairly common.
Liposuction can remove excess fat above c-section scars in appropriate candidates. Examination with a plastic surgeon will help determine if the excess fat is causing the c-section shelf or if it is muscle separation.
Keloids can be addressed with topicals and injections.

I would revise the c-section scar and at the same time perform liposuction that will take care of the fullness between the umbilicus and pubic region.

Best Wishes,

Gary Horndeski, M.D.