What Are the Risks with a 2nd Tummy Tuck?

In a second tummy tuck, the surgeon has to deal with scarring of variable extents that was not present during the original procedure. If there are quirks involving the incisions such as orientation, position and even irregularities, these have to be dealt with. Dealing with the umbilicus can also be more complex depending on how much excess tissue is present the second time around (as compared to the initial surgery).

Childbirth results in permanent stretching of the abdominal wall muscles and skin. An abdominoplasty restores the flattness of the tummy, narrows the waist and removes all excess abdominal skin left by the pregnancies. Therefore, ideally, an abdominoplasty should be dome AFTER a woman has completed her family. When an abdominoplasty is re-done after one or more pregnacies, the normal anatromic differentiation (or plane) between the muscle lining and the subcutaneous fat is filled with scar tissue making dissection very challenging and the operation longer than it could have been. . While all of us have done such cases, I know of no Plastic surgeon who enjoys revision tummy tucks.