Hello sbw518. Congratulations on being cleared to try for another baby, and thank you for your questions regarding the impact of pregnancy on your existing vertical C-section scar, as well as the feasibility of having abdominoplasty during a future C-section. Impact of Pregnancy on Existing Scar: Stretching of the Scar: During pregnancy, your abdomen will stretch to accommodate the growing fetus. This stretching can affect your existing scar. While the scar tissue itself does not stretch in the same way as normal skin due to its less elastic nature, the surrounding skin will stretch, which might make the scar more pronounced or slightly altered in appearance. Discomfort and Pain: Some women experience discomfort or pain around their C-section scars during subsequent pregnancies. This is due to the stretching and hormonal changes that affect skin sensitivity. However, the degree of discomfort varies from person to person. Abdominoplasty During C-Section: Feasibility: Generally, performing abdominoplasty (tummy tuck) at the time of a C-section is not recommended. Abdominoplasty is a major surgery that involves tightening the abdominal muscles and removing excess skin and fat. Combining it with a C-section significantly increases the risk of complications such as bleeding, infection, and prolonged recovery time. Safety Concerns: The postpartum period is already demanding on your body, and the added stress of recovery from abdominoplasty could complicate or hinder your ability to recover and care for your newborn. Timing: Most surgeons recommend waiting at least six months after delivery, or until after you’ve finished having children, to perform abdominoplasty. This waiting period allows your body to stabilize hormonally and physically, ensuring that the results of the abdominoplasty are more permanent and satisfying. Recommendations: Consult with Your OB/GYN and a Plastic Surgeon: Discuss your concerns and desires with both your obstetrician and a qualified plastic surgeon. They can provide personalized advice based on your health, previous surgical history, and your plans for future pregnancies. Plan for Future: If you are considering abdominoplasty, planning the procedure after completing your family is advisable. This approach minimizes the need for potential revision surgeries due to further pregnancies. Care for Your Scar: As you plan for another pregnancy, consider consulting a dermatologist or your surgeon for advice on managing your scar, possibly using topical treatments or silicone sheets to keep the skin as supple as possible. It's wonderful to hear that you are moving forward with expanding your family, and taking these proactive steps will help you manage your health and expectations regarding your existing scar and future surgical options. Best wishes for a healthy and joyful pregnancy ahead. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon