Tummy Tuck Through C-section Incision

I am 41 mom of four and would like to get rid of excess fat and stretch marks on my abdomen; can it be done through my C-section scar in bikini area to avoid the long vertical scar?

Doctor Answers 25

Tummy Tuck frequently done through C-section scar beneath the Bikini Line

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes the Tummy Tuck incision is frequently placed so as to remove the C-section Scar and hidden beneath the Bikini Line. The scar must be longer than the C-section scar to allow for the removal of adequate skin.

This is the case for most mini Tummy Tuck or Bikini Tuck procedures.

If however you have a great deal of skin laxity and require a Full Tummy Tuck you will have a longer scar and a scar around the umbilicus or belly button.

In some major cases of Full Abdominoplasty after massive weight loss a mid line scar is necessary.

Rarely can all stretch marks be removed with a Mini Tummy Tuck. With a Full Tummy Tuck only stretch marks up to the Navel are removed.

Newer Laser Therapy with the 1540 Non Ablative Erbium laser can improve stretch marks

Location of a tummy tuck scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A full tummy tuck scar is usually placed low, at the level of the c-section scar and extends outwards towards the hips. a mini-tummy tuck scar is much shorter and only extends within the pubic area.

Tummy Tuck Incision Through C-Section Scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

An abdominoplasty or tummy tuck can effectively remove the excess fat and stretch marks from your lower abdomen. Your surgeon should be able to utilize your existing C-section scar but it may need to be lengthened to get the most dramatic improvement. Rarely is a vertical scar necessary unless a patient has undergone a massive weight loss.

Leo Keegan, MD
Manhattan Plastic Surgeon

Tummy Tuck through a C-section incision

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A tummy tuck is a safe and effective procedure to contour the abdomen, create a tight waist, and remove extra skin, fat, and stretch marks.

In our practice, we help a great deal of women receive body contouring by taking advantage of the C-section incision. In these patients, we typically place our abdominoplasty incision below the C-section incision and design the ends of the incision in a manner that will be hidden underneath the patient's bikini or underwear. For patients that do not have a great deal of extra fat or stretch marks, we can often perform a mini tummy tuck using just the length of the C-section incision. For your best results, the most important thing is to work with a board-certified plastic surgeon that has a great deal of experience in abdominoplasty, liposuction, and body contouring. Such expert will be able to evaluate you and help you construct a surgical plan that will meet your aesthetic goals.

Abdominoplasty and C-section scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If your C-section scar if in your bikini-line, then the tummy tuck could be done through the same incision (although, the old C-section scar is typically removed at the  time of abdominoplasty). You should know that the length of an abdominoplasty incision is typically much longer than a C-section incision.

Can a tummy tuck be performed through a c-section scar?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The tummy tuck incision removes the c-section scar.  The length of the incision depends on the skin laxity.  Usually the scar is longer than a c-section scar.  Vertical scars can usually be avoided.

Tummy tuck for scars and stretch marks following c-section

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A tummy tuck scar often is placed at the level of a c-section (Pfannenstiel incision). Depending on the location and distribution of the stretch marks, some or all can be removed with either a mini or full tummy tuck. Only an examination will be able to provide you with an idea of the amount of skin to be removed and the placement of the scar.

Tummy Tuck and C-section scar

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for the question.

Tummy tucks are commonly performed along the same horizontal incision line as that of a c-section. The incision would classically be extended laterally in both directions. There is no vertical component to a traditional tummy tuck incision. A fleur-de-lis incision which is commonly performed in massive weight loss patients incorporates a vertical incision line.

Best of luck,

Glenn Vallecillos, MD, FACS

Tummy tuck and c-section

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The traditional tummy tuck incision is transverse and often coincides with the general location of a transverse c-section scar.  A vertical incision is not common for most tummy tucks.

The more skin removed, the longer the incision has to be for any operation.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There is no way to get the full benefit of a tummy tuck through a scar the length of a C-section incision.  If a tummy tuck is the best solution to a post-pregnancy abdominal problem, it is a requirement that an incision of some length is needed to remove the surplus skin.

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.