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CosmeticSurg Blog

Dr. Rodriguez discusses Plastic Surgery, Medicine, and Stem Cell Research

What do Tummy Tuck Scars look like?

Many patients are afraid of getting a Tummy Tuck because of the scars. But patients should not be afraid, because these incisions can be surgically placed so that they are not noticeable, even when you wear a bikini after the surgery.

Patient before and after tummy tuck with scar below the panty line

The resulting tummy tuck scar is below the panty line

However, you should know that the appearance of the final scar is very dependent on the technique your surgeon uses. Based on some of the before and after photos that I have seen on the web, there is a wide variation in scar placement for this procedure. There are very concrete steps that a surgeon can use to ensure a scar is well placed (and thin enough) to allow the patient to wear a bikini after having a tummy tuck.

To summarize the procedure as it relates to scarring, a full tummy tuck will require two incision locations in order to tighten the stomach muscles and remove the excess skin.

The two incision locations (and their objectives and concerns) are:

  1. Horizontal incision to remove stretch marks and excess skin:
    Should be placed well below panty line
  2. Belly Button incision to secure belly button in place:
    Should leave the belly button with a natural shape

Both of these incisions can be made with great care so that wearing a bikini without drawing attention to the scar can be possible. However, scarring concerns should be discussed both during your consultation AND on the morning of your actual surgery. Be sure you know where your scars will be placed and be sure your surgeon knows how important it is to you!


The horizontal tummy tuck scar is the one most patients are familiar with. This incision must be made in order for your Plastic Surgeon to remove excess skin. The scar is placed between the belly button and the pubic mound. However, the exact placement of the scar in relation to the panty line is one of the most important decisions that we make. The scar should be placed below the panty line! In fact, there is a way to get the scar low enough on the belly that a bikini can hide it!

panty line scar after tummy tuck

The markings for the scar location are made on the morning of surgery by your Plastic Surgeon. Before you go under anesthesia, you should know exactly where your scars will be placed!

To get the lowest horizontal scar, your Plastic Surgeon should mark the incision line while pulling up on the abdominal skin. If the marking is made without pulling the skin up, there is a big chance you will get a scar that is too high. In all cases, the incision line should be no more than 3 inches above the vaginal crease if you want to ensure that the scar will be placed low enough for a bikini to hide it.


Many people are not even aware that an abdominoplasty also requires a small incision at the belly button. When you wear a two piece bathing suit after your procedure, the scar around the belly button can be a clear giveaway of a tummy tuck. The best scar for the belly button is an “inverted U” because it duplicates the look of a real belly button. A scar that leaves the belly button with a round shape usually looks unnatural.

Type of Belly Button Scars The belly button scar that remains after surgery will therefore be determined by your surgeon’s technique. If he makes a round scar around the belly button, it will look as if there is a bull’s eye or donut right in the center of your belly. Likewise an “inverted Y” scar will make it look like an arrowhead. However, if the surgeon makes the incision as a half circle above the belly button, it will heal as an “inverted U” and duplicate the look of a natural belly button.

When a patient is standing up, the skin on the top of the belly button looks like an inverted U as it hangs slightly over the hole in the belly button that is attached to the abdominal wall. The bottom slants downward because the skin is hanging away from it. Look in the mirror at your own belly button and you will see what I’m referencing. Look at other belly buttons next time you’re at the beach.


Make use of all the before and after plastic surgery photo galleries and really scrutinize tummy tuck belly horizontal scars and belly buttons. In fact, you can go on over to our photo gallery right here to take a look at our before and after abdominoplasty pictures. These are very representative pictures because the techniques I’m describing in this post give a reliable result.

A final thing to consider if you’re looking at a tummy tuck is that if you do not have very loose skin or a lot of stretch marks, the tightening of the stomach muscles could actually be done entirely through the belly button incision. You would not need a horizontal incision at all. I have done this procedure several times and it will be the subject of a separate blog post. Stay tuned!

Wondering if a tummy tuck is right for you?
Contact Us to schedule a complimentary in-office consultation or consider a virtual consultation for just $75 (which gets applied to your surgery when you book). Or just give us a call at +1-410-494-8100!
Note: Virtual consults can also be used to get second opinions.

Tummy Tuck Recovery: learn about the first 4 weeks of your Tummy Tuck Recovery

Posted in Body

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  • wrote
    June 19, 2016 at 7:23 pm

    If I were to say what is an ideal candidate for a Brazilian Butt Lift it would be somebody like you.
    You work out so your frame is in great shape. At 5’6″ and 150 you are just right. We will take the fat from areas where you don’t like it and put it where you like it. The changes are permanent. If you gain wight you will gain it where we did the fat graft because it is the same fat that was in another part of your body where you did not like it and it behaves the same way.
    I’ll let Kelly at kelly@cosmeticsurg.net know about you so you can connect. If you want to we can have a virtual consult over Skype or Face Time

  • wrote
    April 21, 2016 at 9:26 pm

    I’m a 49 yr old female I workout 5 to 6 days a week I want a Brazilian butt lift reason I workout so hard I just want to look great I’m 5’6 150 lbs

  • wrote
    December 11, 2014 at 4:08 pm

    Scar varies with individual, but also with technique.
    I use the Lockwood technique which relies a lot on offloading the tension on the skin by using sutures on scarpa’s fascia.
    How did it go with your consultation?

  • wrote
    November 27, 2014 at 1:07 am

    Thanks for the blog. I have got excess skin in my abdomen and I have been considering tummy tuck since last 1 year. But I was at my pregnancy stage that time and now I think I’m a good candidate to undergo it. I have booked for a consultation with Dr. Robert Backstein in Toronto next week. The only worry that I have about undergoing the procedure is scars. And your blog was really a great information regarding the scars which are developed during a tummy tuck. But does the case vary for individuals?

  • wrote
    February 24, 2014 at 11:34 pm

    Check out this blog post so you know what to ask for in your consultation.
    This other post has to do about the treatment at the waist which is just as important.
    Another post has to do with treatment of the fat grafts so they have optimal survival.
    Finally, come see us! We see a lot of people from out of town. We’d be delighted to see you!

  • wrote
    February 21, 2014 at 2:14 am


    I’m interested in getting a Brazilian Butt lift as soon as possible. I have a consultation with DR. Singh in Chevy Chase MD next week! Do you recommend him?