Possible to Get Tummy Tuck with Low Scar/not Too Tight?

I'm 26 yrs old and have had 2 children via c-section. I'm at the weight I'd like to be, but am seeing a lot of sagging skin on my stomach. I'm considering a tummy tuck, but am worried the scar will be very high and the skin will be pulled very tightly. Is it possible to do the operation and have the scar be where my c-section scars are? Can it be done in a way that doesn't make my stomach look unnaturally tight/flat? I'd like to stay very curvy, just have smoother stomach skin.

Doctor Answers 17

Low scar with tummy tuck

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you are an ideal patient to have an "umbilical float" procedure because of the location of your belly button. this would allow us the advance your skin, tighten your muscles, and keep your scar very low. We often combine this with liposuction as well. While we can't perform this procedure too often ( not many are candidates), it is my favorite way to do a tummy tuck because you avoid the "tell-tale" scar around the belly button.

Dallas Plastic Surgeon

Tumy tuck scar location

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A tummy tuck would certainly of benefit to you. The degree of tightness depends on how the skin, fat and abdominal wall are addressed. Placing the the horizontal incision at the level of your c section scar would definitely be possible and desirable.However, because your belly button is high and your degree of skin laxity not severe, a small central vertical component may be necessary to avoid undue tension on the closure.

David A. Bottger, MD
Philadelphia Plastic Surgeon
4.9 out of 5 stars 59 reviews

Tummy tuck scar

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There is some variability as to the level of the scar placement.  Most often the previous C-section scar can be removed keeping the scar very low.  You should express your concerns to your plastic surgeon at the time of consultation, but there is no reason why you can't have curves, a flat stomach that looks natural and a low scar.  You seem to be the ideal candidate for this operation.  Good luck!


Dr. Singer

Elan B. Singer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 26 reviews

Tummy tuck with low abdominal scar

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When performing a tummy tuck or abdominoplasty, the scar is placed below the previous c-section scar so that it is easily hidden by bikini, underwear, and low cut jeans. By adding triple plication to the abdominoplasty the waistline and curviness is enhanced. Although the skin might be tight at the initial postoperative period, it relaxes to a natural state thereafter.

Low tummy tuck scar

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The incision can be placed anywhere you want.Many times I incorporate the incision into a previous C-section scar.You can pull the excess tight or have a little more laxity.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.9 out of 5 stars 69 reviews

Tummy tuck scars

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When I do tummy tucks, I have the patient bring in a bikini or undergarment to show me where they like to wear their bottoms.  Based on this, I make my marks so that the incision is hidden in this area.

Samer W. Cabbabe, M.D.

Board - Certified Plastic Surgeon

Saint Louis Plastic Surgery Consultants

Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon

A Mini-Tummy Tuck Is More Assured Of Keeping A Very Low Scar

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The best way to keep a very low tummy tuck scar and not make it too tight is to do a limited or mini-tummy tuck. Essentially the difference between a mini- and full tummy tuck is the extent of the skin and fat cutout. In a full tummy tuck, the excision pattern goes above the belly button and does the best at making the remaining skin as smooth and tight as possible. A mini-tummy tuck is where the excision pattern stays below the belly button. This removes less skin and fat but the final scar can remain very low and the skin is never too tight because less is removed. It is important to realize, however, that the abdominal result is not the same between the two procedures. A mini-tummy tuck produces less of a result than a full tummy tuck. But it would be more consistent with your stated goals.

Possible to Get Tummy Tuck with Low Scar/not Too Tight?

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Yes, I would not tighten your muscles very much and I would place the incisions just below the C-section scar. Thanks for the photo and I hope you obtain the desired result. From MIAMI 

Scar Placement for Tummy Tuck / Abdominoplasty

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Yes, you should be able to have a low scar - placed at the same level as your c-section incision.  You appear to have loose skin which should be nicely addressed during the procedure.  It is importation to communicate effectively with your surgeon so that you are both on the same page in regard to your expectations for surgery.


Good Luck.

Tummy tuck scar

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Based upon your photo, you appear to be a good candate for a tummy tuck.  You have a small waistline which  lends itself to a curvy appearance.  The incision can be placed low  at the level of your c section scar.  Your concern about  being  unnaturally tight/flat, which does not appear to be an issue on the photo,  will need to be discussed thouroughly with your plastic surgeon to make sure that he/she understands exactly what your goals are.

Beverly Friedlander, MD
Short Hills Plastic Surgeon
4.8 out of 5 stars 19 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.