What procedures would you suggest for me after 2 C-Sections? Tummy Tuck or Liposuction? (photos)

I have had 2 kids both delivered via c-section. As you can see I have a pouch above my scar and excess "something" either fat or skin. It is more pronounced when I'm in a plank position--it hangs. I'm 37, 5'3" and weigh 116 (I am working on losing 5 lbs.) What course of action do you suggest?

Doctor Answers 19

Procedure after c-section

Hello and thank you for the excellent photos. 
I believe you would do best by getting a full tt.
This will allow the ps to tighten your loose muscles and also get rid of the loose skin just above the belly button. Liposuction alone will not give you a satisfactory result.

San Antonio Plastic Surgeon
4.9 out of 5 stars 53 reviews

You have options

It appears from your pictures that your issue is mainly skin laxity and not excess fat of the abdomen.  For that issue, a tummy tuck is a better treatment option.  There are differences between a full and mini tummy tuck which you may also consider.  Obviously you cannot do a physical exam on pictures posted here, so you would be best served by a consultation with a board certified plastic surgeon who can not only do a proper history and exam, but can also discuss with you the pros and cons of different approaches.  

Mini tummy tuck and C-section scar revision should work for you.

Thank you for your question and photograph.  From your photograph I do not believe that you have enough skin for a full tummy tuck without the scar being unacceptably high on your abdomen.  A mini tummy tuck with C-section scar revision should give you the result that you want.

Mini Tummy tuck for lower abdominal fullness and skin excess

Based on your picture, I would recommend a lower abdominoplasty ("mini") with liposuction. Your upper abdomen is fairly thin with a good contour. The lower abdominoplasty would remove the lower skin laxity and also allow tightening of the muscle which has  been stretched by your two pregnancies. The scar can be placed very low (below the c-section scar even) and should not be visible when you wear underwear. I hope this helps.

All my best,
Daniel Medalie, MD

Tummy tuck vs. liposuction

This is a very common question from patients and really requires an in person exam and explanation of what each procedure can accomplish.  You look to also be a candidate for liposuction combined with a mini-tummy tuck.  However, less improvement in the upper abdomen and no muscle tightening are usually accomplished with that approach.  Good luck.

Dean Fardo, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 12 reviews

What procedures would you suggest for me after 2 C-Sections? Tummy Tuck or Liposuction?

You have redundant skin of the lower abdomen.  The surgery that will address your concern is a tummy tuck.  I also prefer to perform liposuction to help contour the waist line with the tummy tuck.  I would make the incision low enough to remove the old C-section scar.  One more thing, if the upper abdominal skin is a bit too tight, you may require a short (2-3 cm) vertical scar as well as the low horizontal scar to ensure that the closure is not under too much tension.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 78 reviews

What procedures would you suggest for me after 2 C-Sections? Tummy Tuck or Liposuction?

I chose a mini TT with lipo of hips/mid/upper abdomen as my decision for you based only on the posted photos./// 

What procedures would you suggest for me after 2 C-Sections? Tummy Tuck or Liposuction?

A short scar tummy tuck will remove loose skin and tighten the muscles to produce a nice, flat, tight abdomen.

Find a board certified plastic surgeon who performs hundreds of tummy tucks and body contouring procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

What procedures would you suggest for me after 2 C-Sections? Tummy Tuck or Liposuction?

Based on your pictures, a tummy tuck may give you a much more dramatic result since liposuction does not improve loose skin.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 67 reviews

Post pregnancy tummies need Tummy Tuck

Post pregnancy tummies need a fix ot tummy tuck.  That is with or without c-sections.  Don't let anything change your mind about it, because anything else will disappoint you.   

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 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.