This is a very common concern after C-sections. Here's a breakdown of your surgical options for treating a C-section shelf, based on your profile: With a BMI of 25 and history of 2 C-sections, your options depend on whether the issue is primarily skin, fat, muscle, or scar tethering. OPTION 1: Scar Revision Only Best for: Minimal fat or loose skin, tight muscles, just a visible shelf where scar pulls skin in. • Removes and re-closes the C-section scar to “release” the shelf • May improve appearance if the problem is mostly tethering or poor scar healing Limitations: Won’t address excess skin, fat, or muscle separation. Often not enough on its own if there’s bulging. Pros: Less invasive, faster recovery Cons: Limited improvement if the problem is more than just the scar OPTION 2: Liposuction Best for: Good skin elasticity, minor bulge caused by fat — no loose skin or muscle separation. • Removes localized fat deposits through small incisions • Can be combined with scar revision Limitations: Won’t tighten loose skin or fix abdominal wall laxity. Pros: Minimally invasive, less downtime Cons: Can make shelf look worse if skin isn’t tight OPTION 3: Mini Tummy Tuck Best for: Issues below the belly button only — small pouch, mild loose skin, possible minor muscle laxity. • Removes extra skin and some fat below the navel • Can include muscle tightening below the belly button • Scar is similar to a C-section scar but usually longer and flatter Pros: Shorter scar than full tummy tuck, faster recovery Cons: Doesn’t address anything above the belly button OPTION 4: Full Tummy Tuck (Abdominoplasty) Best for: Loose skin, bulging from muscle separation (diastasis), or more dramatic changes. • Removes excess skin and fat from above and below the belly button • Tightens abdominal muscles from rib cage down • Reposition the belly button Pros: Most comprehensive and long-lasting results Cons: Longer scar, longer recovery, higher cost Consult with a board-certified plastic surgeon to evaluate your skin laxity, muscle separation, fat distribution, and the quality of your C-section scar. They can physically assess which option would give the flattest, smoothest result.