Mclean Tummy Tuck doctors

Rondi Kathleen Walker, MD Rondi Kathleen Walker, MD
Washington Plastic Surgeon
3301 New Mexico Avenue, N.W. Foxhall Square, Suite 252, Washington
31 answers
Adam Tattelbaum, MD Adam Tattelbaum, MD
Washington DC Plastic Surgeon
3203 Tower Oaks Blvd 2nd Fl, Rockville
13 answers
Burton M. Sundin, MD Burton M. Sundin, MD
Richmond Plastic Surgeon
7611 Forest Ave Suite 210, Richmond
1 answer
Khalique S. Zahir, MD Khalique S. Zahir, MD
Mclean Plastic Surgeon
3301 Woodburn Road Ste 202, Annandale
1 answer
Gloria Duda, MD Gloria Duda, MD
McLean Plastic Surgeon
6845 Elm St # 708, McLean

Recent Answers

Pubic Area Appears Bigger After Tummy Tuck

I'm now 6 weeks post-Tummy Tuck, and I am pleased with the results. However, I'm bothered that my pubic area appears to be 2-3 centimeters higher/bigger that it was pre-operation. My underwear used to cover the area completely, but now they don't. Is this normal? Will the skin eventually stretch back to its place?

A: Making the pubis smaller in tummy tuck.

Thank you for your question. 

When I perform a tummy tuck I always try to bring the scar down as low as possible because the pubic skin and pubic mound tend to be elevated by tension from the upper abdominal skin.    I will often take a layer of fat out from under the pubis as well to help it look thinner and to help it line up with the thickness of the upper abdominal skin.

If you have already had your tummy tuck you may wish to discuss liposuction of the pubic area as a next best alternative.

Hope this helps.

 

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
Nerve Damage Years After Tummy Tuck and Breast Lift, Is There Anything I Can Do?

I had a tummy tuck, breast lift and implants about 6 years ago. I still have no feeling on my stomach in a large area below my belly button. As well, I've lost some sensation in my nipples. Can anything be done to restore feeling in any of these areas once the damage has been done?

A: Nerve damage after tummy tuck and breast lift.

By definition in performing a breast lift or tummy tuck we are changing the nerve supply to the tissues that we are moving or tightening.  In many cases the nerves that have been cut will regrow to the skin improving sensation to some of the numb areas within the first year.

In the areas that are farthest away and farthest moved such as the tummy skin above the pubic area after tummy tuck it is common to have some permanent numbness. In some cases the nerves to the nipples in breast augmention or lift can be stretched or damaged as well. This does not mean you had a bad surgery or surgeon. It is simply a know consequence of embarking on these procedures.

While sensation can sometimes improve up to a year, I think it is unlikely you will see improvement six years later. I know of no treatment currently that will restore sensation. 

I hope that you still find great satisfaction in your surgery non the less.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
I Have Had 5 Pregnancies, with One Being Quintuplets. I Am Fight my Insurance About Getting my Muscle Walls Fixed. Suggestions?

Since my insurance wont pay, I cant afford to get all of it fixed on my own. What should I get fixed immediately and is there anything I can do to help. I have a hard time getting out of my bed due to lack of muscles in my stomach. My back hurts all the time since its doing the work that my stomach muscles should do. I get infections due to the flap being so long and it rubbing. I have done physical therapy and they said until I get my muscles fixed, they cant help. I am lost and needing relief.

A: Getting a tummy tuck covered by insurance.

When I was a medical student in 1985 we saw the tail end of a time when the insurance companies would cover the repair of the separation of the abdominal muscles after childbearing known as Diastasis Rectus.  Since that time I have seen very few people succeed in getting coverage.

In this day and age healthcare dollars for elective and semi elective surgeries  continue to shrink.  The same is true for procedures such as elective breast reduction.

I think you'll have an uphill battle trying to get your surgery covered but if you're going to try all you need to establish a medical history that will help you to achieve your goals.  Supporting documentation about your  back pain, difficulty with hygiene and disability  will need to be clearly laid out .  Essentially, you will need to prove a medical necessity.

Even with the right documentation it's still tough to get these things covered nowadays.  Before you go to the trouble you may wish to double check the fine print in your contract with your healthcare company.  Many of them very specifically exclude procedures such as this.

 I wish you luck on your quest and I hope that you're successful.

Adam Tattelbaum, MD
Washington DC Plastic Surgeon
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