Can I Have a Tummy Tuck if I'm Going to Have More Children?

I know that it is not advised to have a tummy tuck if I'm not done having children. I don't plan to have another one within 5 years, and I am DESPARATE to get my tummy back! I'm a dancer and an aerobics instructor, and I can't even show my tummy! AHH! I have very toned abs with less than .5" gap between my muscles.

My problem is loose skin and stretch marks. While researching, I found that it is the muscle tightening that make subsequent pregnancies difficult. So if I don't get muscle tightening, is it okay to get a tummy tuck? Do I have other options? PLEASE HELP!

Doctor Answers 26

Tummy Tuck and Children

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A tummy tuck is an extremely effective procedure for addressing excess fat, loose skin, and seperated muscle but should really be performed once you have decided to not have any more children. Although there is really no health risk to you, the risk is that you will most likely undo the results of the procedure. During surgery, any muscle separation (which commonly occurs during pregnancy) if addressed by suturing the overlying tissue (rectus fascia) towards the midline. In addition, excess skin is then excised leaving you with a flatter, toner abdomen. Stretching of the abdominal wall during pregnancy will then most likely undo these results.

Tummy Tuck and Future Pregnanacies

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You certainly may have a tummy tuck, now, and plan on a normal pregnancy, later.

Even with some muscle repair, the abdomen will respond to pregnancy and pregnancy will proceed unhindered.

Tummy tuck and pregnancies in the future

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You can but it would be a waste of $'s since pregnancies cause the re occurrence of the initial problems. You should reconsider, but we as boarded plastic surgeons will do you surgery after an informed consent outlining the risks of further pregnancies. Regards and Happy New Year.

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Pregnancy Following A Tummy Tuck

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The vast majority of women who undergo tummy tuck surgery are done having children. Rarely, women who have undergone abdominoplasty change their minds about additional pregnancies or accidentally become pregnant. Under these circumstances, tummy tuck has no negative impact upon the patients pregnancy. Unfortunately, pregnancy recreates many of the patients original problems, including loose saggy skin, weakened abdominal muscles and stretch marks.
Because of the significant investment in time, money and effort, we strongly recommend that patients be done having children before proceeding with abdominoplasty. Even when women don’t plan on having additional children, their life circumstances change and they become pregnant. Under these circumstances, revision of the original tummy tuck can be undertaken with success.

Mini tummy tuck

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It is hard to determine what can be safely done prior to viewing your photos.   However, if you're primary concern is skin excess and stretch marks below your umbilicus, you may be a candidate for a mini tummy tuck.   This would involve removal of an ellipse of excessskin, hiding a scar in your underwear line.   I would not recommend muscle plication if you are considering more children.    It may be necessary to undergo revision of this procedure or even a full tummy tuck after you are done with pregnancy.    

Paul S. Gill, MD
Houston Plastic Surgeon

Pregnancy and abdominoplasty

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Plication of the abdominal wall during abdominoplasty may place a patient at risk of premature labor with pregnancy. 

Having a tummy tuck after frist but before having more children

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You can have a tummy tuck now if it is causing you that much distress if you realize that you are aware and willing to accept the fact that it will likely have to be repeated. If you are not conidering having children for several years, it may be a reasonable option but if you plan on having children in the next 2-3 years, I would advise you to wait.

Pregnancy after tummy tuck, it's possible but not recommended

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You can have a tummy tuck now to improve your appearance as long as you understand that you may need a revision in the future after your final childbirth. Whether you need your abdominal muscles tightened (plicated) is irrelevant.  Your skin will become stretched out again and you may develop new stretch marks that need to be addressed at a later procedure.

Please consult with a board certified plastic surgeon prior to having a tummy tuck.

Best wishes,

Dr. Bruno

Yes you can have a tummy tuck and have more children but you will lose some of the aesthetic benefit of the operation.

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You can have a tummy tuck (abdominplasty) and get pregnant again.  However, as your abdominal wall stretches to accommodate the enlarging uterus, some or even all of the aesthetic benefit of the operation might be lost.  Providing you understand this, the operation can be performed.

You may be a candidate for a "mini tummy tuck".

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You may be a candidate for a "mini tummy tuck".  You are absolutely right, if one of my patients states that they are going to have more children then I try to talk them into waiting.

Hearing your situation, you may be interested in learning about mini-tummy tucks.  Performing a mini tummy tuck removes the lower skin from the abdomen and would help remove some of the stretch marks, but does not have to address anything with the muscles at this point.

Performing a mini tummy tuck now, however makes a later tummy tuck more difficult in that you probably will be left with a small vertical scar (where your belly button used to be) because all of the tissue can't be removed from the top of the belly button down to the scar line.

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.