Would a mini tummy tuck, liposuction, or scar revision be most appropriate for my c-section “shelf”? (Photos)

Question

I am a 29 year old female with a history of two c-sections. I do have a moderate amount of adipose tissue above my c-section scar that I’m aware is not directly related to the scar tissue itself, but my scar does enhance it. I do regular scar tissue massages and have done upmost of 10 neurostim scar adhesion procedures as well. I am quite active (4 days a week regularily of strength training) and eat quite well although not perfect. Based on this information and the photos provided, what treatment route seems like the best option to further explore right now? A mini tummy tuck, liposuction, or scar revision? This is in addition to exercise and diet

Frank Agullo, MD · Answer

That shelf is your scar more than the fat riding on it. A c-section scar tacks itself down to the deep tissue, the fat above has nowhere to drape, and it rolls over the lip. Which is why lipo on its own tends to let people down here, and can actually deepen the step by scooping out under a scar that is still stuck.

A scar revision cuts that tethered scar out and releases it, flattens the step, but by itself it leaves the fat pad and any loose skin alone. The mini tummy tuck buys you the most on a real shelf, since it takes the skin and old scar below the navel, frees the tethering, and I can lipo the upper flap in the same sitting to thin the fat.

Two c-sections though, so I would want to feel for diastasis, the muscle separation under there, adding to the bulge. If that is part of it you are into a full tuck with the muscle repair, not a mini. That call is an exam, not a photo.

#StayBeautiful,

@RealDrWorldWide

Daniel Barrett, MD · Answer

Dear csectionmama481216,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Would a mini tummy tuck, liposuction, or scar revision be most appropriate for my c-section “shelf”? (Photos)

Answers (2)

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