Before and after photos of thin women hard to find. Does thin connective tissue mean the abdomen will never be flat? (photo)

You're right.  It is hard to find pics of thin patients who've had tummy tucks!  But it's not because the results are not as great as other patients.  The same concerns can still be treated and greatly improved -- loose skin, stretch marks, rectus diastasis.  Although your abdominal wall is thinner and has less fatty tissue, the fascial layer should have equal integrity to another's.  Here's a link to my photo gallery, case 2 is a thin, athletic woman who had a tummy tuck for these exact concerns.

thin women who have loose abdominal skin often have no choice but to get a tummy tuck in order to look good. As shown in your pictures, you have weak abdominal wall, and even an umbilical hernia. An abdominoplasty tightens the abdominal wall and give you a tight and flat tummy.

The abdomen is 3-dimensional, while flatness is a 2-D concept so it is important to understand all of the factors that influence the shape of the abdominal area. Tightening the skin, repairing a muscle separation when necessary, and removing localized external fat are all important. Internal fat, muscle tone from exercise, and body type also influence the shape of the abdomen. Muscle repair is very reliable.

  If you want a flatter abdomen and a possible hernia repaired, some type of surgical intervention will be necessary.  The plication will be the essential feature.  I have not seen a plication fail in hundreds and hundreds and hundreds of tummy tucks.Kenneth Hughes, MDLos Angeles, CA

It looks like you will benefit from a repair of your diastasis and possible umbilical hernia.  The location of the scar will be an important consideration for you to discuss with your surgeon in planning your best options. Good luck.