C-Section after Tummy Tuck?

Hi, I had a tummy tuck and a muscle repair 2 years ago because my second pregnancy left me with loose skin and a lot of dark stretch marks. Now I’m 20 weeks pregnant and debating if I should give birth by C-section. Does it influence the surgery in any way? I don’t know anything about it but it’s better to be safe than sorry.


F, 38, Maryland

I completely understand where you are coming from with this question. As many factors as you typically have to consider with an upcoming birth, those factors are only compounded when you also have to consider something like a tummy tuck. I have actually been in the same boat as you, so I can speak from experience.

I found out I was pregnant with my fourth after having a tuck 2 ½ years prior. I opted for an elective c-section for two main reasons: (1.) I was told by my doctor that should an emergency occur during delivery that it would take close to 30 minutes to perform a c-section because of the layers of scar tissue and (2.) I tend to go overdue and didn’t want to put the extra stress on my body. So especially if you have concerns like mine, it would likely be best to consider opting for a c-section.

As for my experience, I went through with the c-section, and everything went very smoothly. After the fact, my scar has healed nicely, and my stomach is flight and tight like it was prior to this fourth pregnancy. I hope that helps you decide what is best in your case!

My sister had her son only a year after her tummy tuck. She had a healthy baby boy that she carried to full term with no complication. She chose to do a C-section. She did have a stretching sensation and a much smaller baby belly and after her tummy tuck, but her doctor told her it was due to the tightened abdominal muscles. Her doctor’s main concern was the scar tissue she had from her tummy tuck. The tissue there was slightly thicker, so it is important that you let your OBGYN know about your past procedure. My sister was also concerned about the scar from the C-section. She discussed the scar and the placement with her OBGYN and she was able to get a low pelvic incision. I would make sure you tell your doctor your concerns and ask him if there is anything specific you can do to prepare. 

Even if your pregnancy happens before you've healed completely from your Tummy Tuck, you will probably make a full recovery just fine. Not only is it possible to have a C-section performed after having had a tummy tuck, but it could be a practical decision. Your tummy tuck scar may be looking good, but there is some amount of thickness to it that could cost time if there were to be any kind of emergency during delivery, and your OB/GYN may be able to use the same incision as the one for your Tummy Tuck.