C section and tummy tuck
Tummy Tuck for C Section Scarring
It is not uncommon for a woman to request a tummy tuck if the decision has been made to revise an undesirable C-section scar. It is very important to first analyze why the scar developed in the first place. If the scar has a very thick and “ropey” appearance, then it may be due to a condition called hypertrophic scarring.
In the event that a patient is prone to this type of scarring, it may be unwise to combine a scar revision with a tummy tuck.The tummy tuck will result in a significantly longer incision and associated incision around the belly button. If a patient typically develops hypertrophic scarring, then it may lead to a very undesirable outcome.
Fortunately, this situation is quite rare.Most common presentation of a undesirable scar is one that is uneven. In this situation, there is usually an overhang of tissue above the scar itself.Many times, this is apparent in different types of clothing. It is very common in this situation to combine a tummy tuck with a scar revision.
The tradeoff for the tummy tuck is a longer recovery time. Fortunately, the time invested in recovering from the scar revision is part of the overall time required to recover from the tummy tuck surgery.
Many women opt for the benefits of the tummy tuck even though the recovery is longer, if they are planning on undergoing revision of a C-section scar. (John J. Edney, MD, Omaha Plastic Surgeon)
In my opinion, you are an excellent candidate for a tummy tuck. This should get rid of all of the stretch marks that you have in this picture, and the entire vertical scar that you have as well. The incision could be made to hide below your bikini line so that it would be very well hidden. (Sacha Obaid, MD, Dallas Plastic Surgeon)
A side-view of the tummy would help in the decision, but it looks like you do not have excess skin or much muscle poochiness. Therefore, I would just do the scar revision. (Frederick G. Weniger, MD, FACS, Hilton Head Island Plastic Surgeon)
From you picture it doesn’t look like you need a tummy tuck. If you have a little persistent fat below your belly button liposuction only might do the job. Your vertical c-section scar is slightly widened and can be likely improved with a scar revision. (Sanjiv Kayastha, MD, Albany Plastic Surgeon)
I believe you should consider a scar revision. Also, consider the idea of liposuction for fine tuning of the contours of the abdomen if that is your desire. As always, there are risks of doing these together as well as benefits. Discuss this with your Board Certified Plastic Surgeon. (Garrett A. Wirth, MD, FACS, Orange County Plastic Surgeon)
C section and tummy tuck surgery
If the vertical scar doesn’t extend above the level of the belly button and the “pouch” area is very loose and flabby, then a formal tummy tuck can eliminate the vertical C section scar. However, this isn’t always the case.
This can vary therefore a physical exam is necessary in order to ensure that the scar can be removed in its entirety. (Mel T. Ortega, MD, Miami Plastic Surgeon)
Wouldn’t it be interesting to see the results of each of your options so you could really decide what’s best for you? A revision would be likely to improve your scar but never remove it and would not address your true question, the “pouch”.
More pictures would be helpful but the “pouch” looks like a small fat deposit and pretty significant muscle separation (rectus diastasis), something only an exam can confirm.
I also see a lower zone of stretch marks from hip to hip. If you could accept the long horizontal scar, the benefits of a traditional full abdominoplasty would include a flat tummy from complete muscle repair, substantial removal of the fatty component of the “pouch” and conversion of your “unhideable” vertical scar to one that would likely be hidden under a bikini! (Gregory J. Stagnone, MD, Dallas Plastic Surgeon)
If you have a vertical scar from a C section (as depicted in the photo) a tummy tuck can remove the scar provided you have enough skin laxity. The skin from your belly button to your pubic area will be removed during a tummy tuck, which should treat your abdomen quite well. (William Bruno, MD, Beverly Hills Plastic Surgeon)
Looks like the scar of the tummy tuck is a bit wider and hyperpigmented. A liposuction of the abdomen and flanks would provide better results (Jonathan Fisher, MD, Miami Plastic Surgeon)
Tummy Tuck with a possible small vertical scar
The question that I would ask you would be to show me a side view of how much skin laxity you demonstrate when you bend at the hip. That will help let me know if we can remove all the intevening skin from your belly button to your pubic area. This way you can eliminate that vertical scar. If the skin is too tight then you can still reduce the length of the vertical scar but not entirely.
That is done by undergoing an abdominoplasty, but instead of trying to force it into a horizontal scar, we can be safe and leave a little vertical component. It will look like an inverted T. This will make the vertical scar substantially shoerter, and finer. This will also give you the opportunity to have you abdominal muscles tightened, and liposuction to your flanks. That will help the pooch that might bother you and is resistent to exercise. (Rami Ghurani, MD, Miami Plastic Surgeon)