Tummy tuck in Seoul: improvement of uneven abdomen after C-section childbirth (with photos)
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
57kg |
165cm |
21 |
Surgical site
Surgical site : Abdomen, S~M type, Abdominal wall tightening, hernia repair, umbilical floating｜ liposuction aspirate volume : 2,200cc
Women who delivered via
Cesarean section and consider
abdominoplasty surgery often share
several common concerns.
Beyond skin laxity and
rectus diastasis, many patients
are also troubled by
abdominal adhesions,
uneven skin surface, and
visible surgical scars.
These complex issues can
generally be corrected safely
through abdominoplasty, but
accurate diagnosis, an
individualized surgical plan, and
careful follow-up with
proper aftercare are essential
for optimal results.
We emphasize this point
because some patients attempt
self-diagnosis based only on
other patients’ outcomes, and
visit with predetermined ideas
about incision length
or surgical methods.
Today, we will present
a case in which
abdominoplasty surgery helped
not only resolve
sagging abdominal skin, but
also improve
adhesion-related changes and
post-Cesarean abdominal concerns.
If you share similar concerns,
this case may help you
better understand your options
and prepare for consultation.
[Patient Information]
Age: Late 40s
Height: 165 cm
Weight: 57 kg
BMI: 21
Even with similar body specifications,
surgical results may vary by individual.
After delivering two children
via Cesarean section,
the patient gradually developed
progressive abdominal skin laxity,
and the abdominal contour
became increasingly uneven.
In particular, the skin
around the umbilicus
was thin and wrinkled,
with visible adhesions,
resulting in an irregular
and uneven surface.
The right lower abdomen
showed firm tissue attachment,
creating asymmetrical tension
between the left and right sides.
While pregnancy and
Cesarean delivery
may contribute to adhesions,
the patient’s prior
liposuction procedure
was considered the primary cause.
Irregular residual fat distribution
and adhesion-related tension
were identified as key factors
contributing to the uneven contour
and sagging appearance.
In addition, a subtle
umbilical hernia finding
was observed on the right side.
The surrounding skin
was slightly pulled downward,
causing the umbilicus
to appear deviated
to the right.
This further emphasized
the asymmetry
and sagging contour
of the abdomen.
Due to the patient’s
thin skin and
reduced elasticity,
there was limited capacity
for aggressive skin elevation
through standard
abdominoplasty surgery.
Therefore, rather than
extensive upper abdominal elevation,
a dissection range slightly higher
than a mini abdominoplasty
was considered more appropriate.
The existing C-section scar
showed hyperpigmentation,
with thin and wrinkled
surrounding skin.
The surgical plan focused on
removing the previous scar
through abdominoplasty,
and creating a cleaner,
more refined scar
with improved abdominal contour.
Surgical Plan
1. Abdominoplasty (S–M type) + Adhesiolysis
– Performed abdominal lifting
to excise severely adhered
and wrinkled lower abdominal skin
– Removed the previous
Cesarean section scar
– Performed umbilical floating
to reposition and stabilize
the deviated, elevated umbilicus
– Carefully released
irregular adhesion areas
to correct pulling
and improve surface smoothness
2. Abdominal wall tightening
(Rectus muscle repair)
– Performed rectus muscle repair
to correct separation
caused by pregnancy and childbirth
– Restored weakened
abdominal wall support,
which had contributed
to abdominal protrusion
3. Hernia repair
– Corrected the subtle
umbilical hernia
adjacent to the navel
4. Abdominal liposuction
– Removed residual fat
from the anterior abdomen
– Improved the transition
between the abdomen
and waistline
– Enhanced the overall outcome
through synergy with
abdominoplasty surgery
Below are the
4-month post-operative photos,
demonstrating improvement
in abdominal sagging
and contour irregularities.
Before abdominoplasty,
the abdomen showed
uneven adhesion-related distortion
and pulling,
creating visible imbalance.
After surgery,
the abdominal surface
appears significantly
smoother and more balanced.
Following the previous
Cesarean section,
multiple folds and
skin sagging developed
below the umbilicus,
creating a heavier
lower abdominal appearance
and disrupting
overall contour harmony.
Through abdominoplasty
and abdominal liposuction,
adhesions were released,
excess fat was removed,
and sagging skin was excised.
In addition,
rectus muscle repair
restored abdominal support,
creating a firmer,
more defined anterior abdomen
and flank contour.
With the umbilical floating technique,
the previously deviated
and elevated umbilicus
was repositioned
to align with
the abdominal midline
and flank contour,
resulting in a stable,
natural-looking navel position.
From the side view,
previously uneven adhesion-related irregularities
and abdominal wall protrusion
have been fully corrected,
revealing a firm,
well-supported anterior abdomen.
These photos were taken
4 months after abdominoplasty,
and although tissue recovery
is still ongoing,
the abdomen shows
a stable, natural curve
and improved elasticity.
Despite thin, delicate skin
that limited the extent
of full abdominoplasty,
central abdominal firmness
was successfully restored.
The umbilicus,
as the visual center point,
is now positioned
in a stable, natural location,
improving overall
body balance and proportion.
The previous Cesarean scar
was removed,
and the new abdominoplasty scar
is being carefully managed
through ongoing
laser toning and postoperative care.
From the early recovery phase,
the patient expressed
high satisfaction with the correction of
wrinkling, sagging,
and uneven skin texture
around the umbilicus.
As abdominoplasty requires
a longer recovery period,
consistent aftercare
and careful follow-up
remain essential
for optimal long-term results.
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#UmbilicalFloating
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