175cm, 58kg, thin, 4cm diastasis, minimal skin laxity, 6 months postpartum - is a tummy tuck right for me? (Photos)

Dear Creative353812,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A full tummy tuck would most likely be suitable to achieve your goals. This would resolve muscle separation, excess fat and loose skin above and below your belly button.

Hello,

And thank you for your question. I would definitely recommend to wait at 1 year postpartum to allow for full tissue recoil after childbirth.

Based on the photos, you have very good muscle tone and very minimal skin excess. You may be a candidate for a mini tummy tuck to achieve flat abdominal contour, while limiting the extent of the incision and the scar.

I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options and expectations.

I hope this helps.

Best, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Thanks for your question! I do think you would be a candidate for a full tummy tuck when you are a little further postpartum. My guess is that you do have enough laxity to get the scar nice and low. Good luck!

It is not possible to give you a medical opinion on your problem based on limited information and photographs. You need an in person consultation with an examination. However, it possible to make some general comments about what is typical or may be possible, but you should not consider these a medical opinion on your concerns. However, they may help you to understand potential options.
A full length diastases rectified or divarication would need exposure of the full length of the rectus sheath in order to repair it. This usually requires a standard abdominoplasty or tummy tuck (same thing). I seldom float the belly button because it does tend to result in it looking abnormally low. For some people it is a good option but not often. The belly button is preserved with TT but there would need to be a scar around the margin of the belly button. There may also need to be a short ~5cm scar vertical scar between the new belly button and the pubis. This is the hole left from where the original belly button was positioned. A mini TT does not give adequate access to repair the length of the rectus diastases.
Repairing a diastases does help some people with their core and helps some people with back pain. It is not possible to predict who it will help and there would be no guarantee that repair would help someone's back problems if they had surgery.
It makes good sense to lose excess pregnancy weight and get oneself into good physical condition before considering surgery. You also need to consider how you or who would help you look after a baby while you are recovering.
If you are planning more children then I would advise you to finish your family before having an abdominoplasty.
I hope this helps. I advise you to have an in person consultation with a suitably qualified and experienced plastic surgeon to discuss your concerns and what may be possible.
Best wishes and good luck!

Dear Crative353812,I can see from your posture and the little hood above your belly button that your rectus diastasis is along the full length of your abdomen. I would perform a full tummy tuck on you as repairing the muscle is an important part of the procedure. I would not float you belly button but would leave it in the same place it is, and make a new opening for it, once the excess skin has been removed. Usually the small hole of the 'old belly button' can reach down to the horizontal scar, even if there isn't hanging skin. But if it can't, then there may be a small discreet vertical scar which can easily be hidden in a bikini. Once your muscles are repaired, your core will be strengthened, your posture and your lower backache will improve, and so will your bowel actions. This is mostly a function operation, but having an attractive belly button is the 'icing on the cake'!I hope this information is helpful.

thanks for your question and photo.

I'm assuming you've had children.

Yes, your muscle split is almost certainly the problem. This can be repaired through a relatively short scar as you don't have much skin excess. If the split continues above the umbilicus, then a floating umbilicus technique can be employed, but it looks more like yours sits below.

This is a form of tummy tuck but not classical or standard and doesn't require removal of any skin and leaves the shortest scar possible, broadly speaking the same width as a Caesarean section scar.

Hopefully that helps.

I have some useful information on my YouTube channel Adam goodwin surgery if you might be interested.

Best wishes, Adam, Goodwin.

You might consider trying EMSculpt to help thicken and tighten your abdominal muscles and help shrink the fat component. If you are planning any more children, then you should wait on a tummy tuck. Just based on photos, you might do well with a mini tuck.

An in person evaluation is always best but from your photos and description it appears you would have the best result from a standard tummy tuck. This would give full repair of the diastasis both above and below the belly button. Excess fat and skin will also be addressed. Visit with a board certified plastic surgeon near you to learn more.

Hello, thank you for your question and pictures.

After evaluating your case you seem to be a great candidate for a tummy tuck to remove the skin excess on the abdomen combined with 360 liposuctions to reshape your body, The BMI need to be under 33 for surgery. By combining these procedures, we can achieve good results.

Make sure to approach to a certified surgeon to help you clear all your doubts.

Best wishes!