What is the likelihood of needing the small vertical scar? Are there different versions or methods I should know about? (Photos)

I'm scheduled on 11/3/16 for a full TT, repair of rectus diastasis and lipo of the flanks and abdomen. I don't think I have enough upper skin to pull my belly button all the way down to what I was told would be a very low horizontal scar. I should note that I did have a c-section 10 years ago. I'm nervous about the vertical scar though I realize it's better than being too tight and risking the healing process.

Doctor Answers 25

No need for vertical

You area a wonderful candidate for a Full Tummy Tuck and NO need for a vertical incision.

You do have flaccid skin enough, on top of your belly button which make you a candidate for the  full TT. The "bulge" on top of your belly button let me know you do have a significant degree of saggy skin.

You will end up with a nice and low incision, no need of vertical, nice muscle repair to achieve a totally flat abdomen and smaller waist and looking AWESOME after all.

Be encouraged.

Dr. Cardenas

Mexico Plastic Surgeon
4.8 out of 5 stars 210 reviews

Tummy tuck

you should not need a vertical scar,  relax..........................................................

Jonathan Saunders, MD
Newark Plastic Surgeon
4.7 out of 5 stars 64 reviews

Vertical scar with TT- Needed?

Hi sylvaniamama

In looking at your pics, I think you should be fine.  The vertical incision is ONLY really needed when the hole from the old navel can't be completely removed.  You have a long torso with plenty of lax skin above the navel, so I think it should reach.  There aren't any magical techniques and it sounds like your doctor is advising you well.

Best of luck to you.


Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.7 out of 5 stars 101 reviews

No vertical scar needed

Hello and thank you for your question. Based on your photograph, you are a great candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  Your muscles can also be plicated resulting in a flat abdomen.  There is no need to worry about a vertical scar.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 124 reviews

What is the likelihood of needing the small vertical scar?

I think you can relax. With your abdomen you can easily have a TT with a very low scar and no vertical component to the scar. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Vertical scar?

If you are referring to not being able to remove all the skin where your umbilicus was, then it is often a small vertical scar about 2-3 cm's long.  The majority of the time it can be removed.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews


Based on your photos, you should not have to worry about a vertical scar.  The umbilical keyhole should be able to be completely removed from the horizontal scar.  The closure may be a bit tight but it should not compromise your healing.  Best wishes, Dr. T. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews

Vertical scar unlikely

Based on your photographs, it appears highly unlikely to me that you would need a vertical scar. 

Different techniques and your plastic surgeon's technique in particular for the tummy tuck could potentially make that scar more likely, but using the standard technique would be unlikely to need a vertical scar. 

Discuss this with your plastic surgeon and be sure that you would be comfortable with a vertical scar, just in case. 

Christopher W. Chase, MD
Chattanooga Plastic Surgeon
5.0 out of 5 stars 32 reviews

Vertical incision

Thank you for your question. Based on the picture you are a good candidate for full TT. I think you have enough skin that does not need vertical cut. Good luck

Ven Erella, MD
Austin Plastic Surgeon
4.9 out of 5 stars 30 reviews

What is the likelihood of needing the small vertical scar? Are there different versions or methods I should know about

Vertical scars are usually only needed for patients with little skin to remove or who have extra long torsos. Based on viewing your photos, I do not see any reason for you to require a vertical scar. Your surgeon should be able to even use and extend or remove completely your c section scar. 

Lawrence Bundrick, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.