Tummy Tuck Possible with Vertical Incision?

I am due to have a abdominal hysterectomy with vertical incision in a couple of month's time. I have asked about cosmtic surgery or Tummy Tuck at same time, and the consultant has said he will look at it, but not definitely agreed.

What cosmetically could be done with a vertical incision? Is it possible to have a Tummy Tuck with a vertical incision? I am worried that when they remove my enlarged uterus (looks about 6 months pregnant) due to multiple large fibroids, I will be left with lots of excess skin and saggy belly. I am also trying to lose some more weight prior to surgery as well. I've lost 30 lbs so far.

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excess skin hysterectomy sagging vertical incision

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4 Doctor Answers | Asked by HYH61 in UK

Doctor Answers (4)
Community Comments (0)

You would need to coordinate this with a plastic surgeon and your gyn surgeon

If your gyn surgeon felt comfortable with the plan and if your plastic surgeon felt you were a good candidate for a tummy tuck, these could be done possibly at the same time. The advantage is that it eliminates the vertical skin scar and has only one recovery. The plastic surgeon starts the case by lifting the abdominal wall up to the level of the xyphoid thus exposing the entire abdominal midline. The gyn surgeon then comes in and can open the midline even more than when they make a scar... more

Full Tummy tuck after Vertical hysterectomy

Yes this is possible and as discussed by the other plastic surgeons, it is likely that the vertical scar could be eliminated. In the event that the vertical scar could not be eliminated, you could undergo a horizontal and vertical scar abdominoplasty also known as the fleur-de-lis abdominoplasty. Discuss your options with a plastic surgeon as well as your gynecologist. Most are willing to work together as a team to accomplish your goals. There may be additional risks to a combined procedure... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Vertical scar excision with tummy tuck

Thanks for your question - Typically if your vertical incision is below the belly button it is likely that all or most of the incision would be removed at the time of abdominoplasty. Results will be best if you are at your goal weight. Find a board certified plastic surgeon and discuss your issues in depth. I hope this helps.

Tummy Tuck at the time of Hysterectomy

This is a good time to ask that question. If you can coordinate surgery with a plastic surgeon and your gynecologist, they can arrange to do the hysterectomy at the same time as the tummy tuck, and you will end up with a normal tummy tuck scar. Sometimes it is not appropriate to combine the operations, but if you try to coordinate the plan before hand, they should be able to agree on a scar that gives your gynecologist full exposure for the hysterectomy component of the operation, but is... more