Can I get a tummy tuck without a long scar?

Woman framing her flat belly with her hands. Tummy tuck with low placed incision, no long scar visible.

Written by Mark Domanski, M.D.

Tummy tuck and surgical scars

A tummy tuck removes excess skin to create a firmer abdominal contour, but it does leave a permanent scar where the skin is surgically excised.

Do you consider tummy tuck but are worried about the scarring?  Do you wonder whether you can get a tummy tuck without a long scar?

The answer is yes, but….

When I started my surgical training, we tried to make incisions as short as possible.  This certainly makes sense for procedures such as cyst removals, appendectomies, and thyroid surgery.  But plastic surgery is a little different…. In plastic surgery, we accept a scar for improved contour.  But there is a tradeoff…
The longer the scar, the more skin that can be tightened with a tummy tuck.  A longer scar may decrease the risk of a deformity called a dog ear.

Scar length and tummy tuck results
So, the better question is, “how short of a scar can we make and still get the desired results?”
Plastic surgery is like tailoring.  To tighten a garment, we must remove some fabric and re-do a seam.  The more we want to tighten, the more we must remove and the longer the seam we have to re-stitch. With tummy tuck (abdominoplasty), patients will generally accept a longer scar for a smoother and tighter belly.
What can we do to make tummy tuck scars less visible?
To minimize the visibility of the scar, we do have some tricks:
  1. Plastic surgeons will try to place the scar low, below the bikini line.
  2. My office provides scar cream complementary to postoperative patients to invest in their best results.
  3. We also have CO2 laser resurfacing available for scar treatment if the patient desires.

Therefore, careful incision placement combined with effective scar management can make scars far less noticeable.

Sincerely,
Dr. Domanski

ABOUT DR. DOMANSKI

Focusing on natural results, Dr. Domanski believes in helping patients regain control over their bodies.

Dr. Mark Domanski is a Double-Board certified Plastic Surgeon. Dr. Domanski is certified by the American Board of Plastic Surgery and the American Board of Otolaryngology – Head and Neck Surgery.

He has been recognized as a “Top Doctor” by Washingtonian Magazine, Northern Virginia Magazine and DC Modern Luxury magazine. However, Dr. Domanski’s favorite accolade is his Most Compassionate Doctor award by Patient’s Choice.

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