I am 28 years old and have had 3 pregnancies. I am very interested in a tummy tuck. I have tried several ways to lose weight and tighten my stomach, but nothing works. It has been several years since my last kids and my weight has stayed stable. I know that I am not fat, but I am bothered by my stomach. The only thing that I am worried about is a scar.
Answer from Dr. Kremer:
What type of tummy tuck you need is very much a function of what is causing your excess abdominal size. Patients who have excess skin and fat may need to have the skin and fat simply excised. If there is underlying weakness of the abdominal wall or separation of the abdominal wall muscles, abdominal wall work would be needed as well. This is particularly common in mothers following giving birth and may be the case in your particular situation as well. The length of the scar is really a function of how much excess skin and fat you have. If there is a great deal of excess tissue, particularly toward the sides of the abdomen, then the scar will need to be quite long. I try to determine the course of the resulting scar with my patients preoperatively as detailed as possible and - if desired - hide the scar within the so called "bikini line".
All body contouring surgery, unfortunately, involves trading scar for improved contour if there is excess skin or fat that needs to be excised.