Choosing the appropriate level of the tummy tuck scar is a matter of proper surgical planning. We plastic surgeons may not be able to control exactly you’re your scar looks like (that is mostly a genetic thing), but we can control the location of the scars we make.
The markings made right before surgery determine where everything (including the pubis) will end up. In order to give patients that scar location that they want I typically have them put on a bathing suit or panties that they want to be able to wear after the tummy tuck. I outline the border of the garment in red ink and then have them remove it. At that point, I know that as long as my incisions are located within the red lines, then she will be able to cover the scars that are made later on. I am also very aware of the elevation of the pubis because I want the area to be “rejuvenated” but not stretched halfway up to the belly button! To this end, we may sometimes remove a bit of the hair bearing area in this region. In the end, the patient should end up with a smooth, even scar that is well hidden by a swimsuit and also with a “normal” looking anatomy.