Tummy Tuck Redo to Fix Bulge and Belly Button?
- Asked by Ann356 in New York
- 4 years ago
I had an umbilicus hernia repair with mesh along with diastasis recti repair. I feel that my stomach bulges in the area of the umbilicus, because perhaps the plastic surgeon didn't know how to suture the diastasis recti while strengthening stomach muscles in the area of the umbilicus hernia repair?
Additionally, my abs are very asymmetrical and lumpy. Do you still think that a revision tummy tuck or "component separation" surgery would be helpful here? Could it help make my abdomen look more normal? Do you think my belly button can ever be repaired? Thanks again for all your help.
Revision Tummy Tuck
You really need to see a plastic surgeon to evaluate things. It is very difficult to tell just by the photo what is exactly going on. You may need some tests like a CT scan to look at thinks more close.
Repair of an abdominal hernia
It looks like you may have a recurrent abdominal hernia. I would recommend obtaining a CT scan of your abdomen to determine whether or not you have a hernia and if so how large it is. Hernias may recur after initial repair, and if so they may require a stronger revision. This may include component separation as you had indicated. The repair may need to be bolstered with a dermal allograft as well. This should help the contour of your abdomen and the appearance of your umbilicus. Good luck!
Web reference: http://www.DrSchreiberPlasticSurgery.com
Redo tummy tuck
Just by your picture and your story it is impossible to give a good answer. Cannot tell what components are causing the apparent bulge that the picture seems to show. Your best bet is to see your plastic surgeon or another one to have the whole siteation evaluated in person.
Recent Tummy Tuck Revision Reviews
Tummy Tuck Revision Photos
Re-repairing a tummy tuck
It is possible that you could entirely redo the operation and inprove the result. The reason yours went wrong is either that you went to the wrong surgeon or that your body either has too much pressure within the abdominal cavity (ie you need to lose weight) or the tissues are particularly thin and can't stay tightened, or that you have a chronic cough, or that you didn't give your abdominal muscles a full 8 weeks to gain their healed strenght before stressing them. The answer lies in that list. Some of it you can control, some you can't.
Web reference: http://www.randcosmeticsurgery.com
Recurrent anterior abdominal wall laxity
You did not mention how long ago your surgery was performed. It does appear that you have a sizable abdominal bulge and more than just a small peri-umbilical hernia. If your abdominal fascia was extremely lax and of poor quality it is likely that you have a recurrence. You need to be examined by a plastic surgeon to determine what needs to be repaired to flatten your abdomen.
A consulation with a board certified, reputable plastic surgeon is in order. Upon examination, the surgeon will be able to discuss your results and the next steps.
On Revision Of Tummy Tuck...
Based on your complicated history and the photo you posted, I think it is very important that you see a surgeon certified by The American Board of Plastic Surgery for an evaluation.
It is possible that a revision of your tummy tuck would be helpful, but evaluation of your hernia and repair is imperative.
Web reference: http://www.DrArmandoSoto.com
Tummy Tuck to fix Umbilicus
You have an amazing amount of abdominal protrusion yet it is not indicative of a pseudoherniation from rectus diastasis. In fact from the picture it appears that you have very little muscle to the abdominal wall. Without muscular tone there is not much that a surgeon can do for you. You will need to start with a physical therapist first then eventually a trainer. You can achieve a good abdomen but now it is up to you not a surgical procedure. Your surgeons did the best they could with what they had to work with.
Redo Tummy Tuck
From your photo it appears that either you have a recurrent hernia or depending on your height and weight that you may need to get closer to your ideal body weight before having any further surgery. Of course it is difficult to give a complete answer from a limited photo. I would highly recommend returning to your plastic surgeon and discuss your concerns and review your before and after photos to see how you have progressed. This is a complex issue and needs an in-person evaluation and discussion.
Revision Tummy Tuck
From your picture it appears that you need a completely new tummy tuck with extra attention to your interal abdominal wall (the mucular layer of your belly). I revise your previous scars and significantly tighten your abdominal muscles. This would improve things significantly. Then to give you a nice belly button, I would sew this down to the inner layer.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.