A mummy makeover typically leaves a low horizontal scar across the lower abdomen from the tummy tuck, a scar around the belly button, and breast scars that depend on the procedure: a short fold scar for implants, or scars around the nipple and down the breast for a lift or reduction. Scars start red and raised, then usually flatten and fade over 12 to 18 months, although they never disappear completely.
The tummy tuck scar
A full tummy tuck leaves a horizontal scar low on the abdomen, usually running from hip to hip, placed so it can be hidden by most underwear and swimwear. Its length depends on how much loose skin there is: removing a larger apron of skin needs a longer scar to avoid puckering at the ends. Before surgery Mr Nassab will mark the scar with you standing and, where possible, with your preferred underwear style in mind. A mini tummy tuck leaves a shorter scar but treats only the area below the belly button.
The belly button scar
In a full tummy tuck, the belly button stays attached to its original stalk while the skin around it is pulled down. A new opening is made in the tightened skin, leaving a circular scar around the belly button. The shape is designed to look natural, often slightly hooded and vertically oriented. Occasionally the scar can tighten or look uneven while healing, and minor adjustments are possible later if needed.
Breast scars
The breast scars depend on what is being done:
- Augmentation: a short scar in the fold beneath the breast, usually hidden by the natural crease and underwear.
- Uplift or augmentation-mastopexy: a scar around the areola, often with a vertical scar down to the fold (a ‘lollipop’ pattern), and sometimes a horizontal scar in the fold (an ‘anchor’ pattern).
- Reduction: usually an anchor or lollipop pattern, depending on the amount of tissue removed.
Liposuction adds only a few tiny incisions of a few millimetres, placed in discreet areas.
How scars mature
In the first few weeks scars are pink, may be slightly raised and can feel firm or itchy. Between about six weeks and six months they often look at their most noticeable, becoming redder or darker as the healing tissue remodels. From six months onwards most scars gradually soften, flatten and fade to a paler line, with the process continuing for 12 to 18 months. Scars on the abdomen, under tension, sometimes widen slightly. Skin tone plays a part, and people with darker skin may notice more pigmentation change.
Scar care
- Keep wounds clean and dry: follow the dressing instructions until the wounds have fully closed.
- Silicone: once healed, silicone gel or sheets used daily for several months can help scars flatten and soften.
- Massage: gentle massage with a plain moisturiser, started when advised, can reduce tightness.
- Sun protection: keep scars covered or use a high-factor sunscreen for at least a year to prevent darkening.
- Avoid tension: follow advice about posture, lifting and exercise, as strain can widen healing scars.
- Stop smoking: nicotine impairs healing and increases the risk of wound breakdown and poor scarring.
When scars are poor
Some people form hypertrophic (raised) scars or keloids, which extend beyond the original wound. A personal or family history of keloids should be mentioned at consultation. Treatment options include silicone, pressure, steroid injections and, once the scar has matured, scar revision surgery to improve its width or position. Dog ears at the ends of the abdominal scar can be tidied under local anaesthetic. Contact the team the same day if a wound becomes red, hot, painful or starts to discharge, as infection can affect how scars heal.
Weighing the scars against the result
Scars are the trade-off for removing loose skin and restoring shape. Most patients feel the improvement in contour outweighs the scars, but it is important to be comfortable with where they will be before you proceed. Mr Nassab will show you examples and mark the planned incisions at consultation. Cosmetic surgery is for adults aged 18 and over.
Frequently Asked Questions
Will my tummy tuck scar be visible in a bikini?
The scar is usually placed low enough to be hidden by most bikini bottoms and underwear, though high-cut styles may show part of it.
How long until the scars fade?
Scars typically take 12 to 18 months to mature fully, fading from pink to a paler line.
Can stretch marks be removed?
Stretch marks on the skin removed during a tummy tuck, usually below the belly button, go with it. Those higher up remain but may be flattened or moved lower.
Does a mummy makeover leave a scar around the belly button?
Yes, after a full tummy tuck there is a small circular scar around the belly button.
Can scars be improved later?
Yes. Once mature, poor scars may be treated with injections or revised surgically.
