Thanks again for your question. Congratulations on your pregnancy. I assume that you had your "tummy tuck" 7 years ago, because you had loose excessive skin and separation of your muscles and bulging or pouting of your lower abdomen. I assume also that your abdomen looked good for the last 7 years ( and that your scar has since faded). Your pregnancy at this time and any future pregancies or large weight gains will cause the skin to stretch somewhat again and the muscles to stretch and separate somewhat in the lower midline with bulging on the abdomen. Pushing the baby out during delivery should not make matters worse and will usually be possible as the muscles were only tigthened and not cut. Again, discussion with your obstetrician about whether you want to deliver vaginally or have a C-Section delivery is to be decided by both of you. Your health and desires as well as the babies should be the most important thing. After the delivery, when you and the baby have bonded and you have had a chance at breast feeding, if the abdomen does not look good because of the pregnancy, then you and your significant other can decide if you want to have some surgical revision to tighten your abdomen skin and muscle (through the same, existing scar). If you are planning any more pregancies, then I advise that you not have any cosmetic surgery on your abdomen until you are finished having babies. Once again, congratulations.

Again, the only risk of delivery after abdominoplasty is if you were delivering in the fist year after surgery before complete healing took place. But you are 5 years after surgery and are well healed and should have no increased risk for a normal delivery.