There will always be a scar after surgery, but it will be low – at the top of the pubic line – and it will fade with time. The length is different for every patient, but is generally from hip to hip on the front of the abdomen. If the belly was larger before surgery such that the skin folds extended onto the flanks, then the scar may wrap around to the flanks too (extended abdominoplasty). If you have a well-healed c-section scar, Dr. Donaldson or Dr. Sieffert may choose to simply extend it on either side. If the c-section scar is wide, or forms a “step-off” deformity, then they will likely remove or revise it at the time of the tummy tuck to ensure the best possible results. Approximately two weeks after surgery, the surgical glue begins to peel away, and it is time to begin medical-grade scar treatment. Dr. Donaldson or Dr. Sieffert and their staff will teach you how to massage scar gel or cream along the healing area twice daily, and they will help monitor your progress. The final appearance of the scar is often not established for several months to a year.