Combining Mastectomy, Hysterectomy and Tummy Tuck Feasible?

I'm BRCA 1 positive and I'm looking to have nipple sparing bilateral Mastectomy. Plus a Total Abdominal Hysterectomy (TAH), and as a gift to myself, a Tummy Tuck. Are these feasible in one surgery?

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4 Doctor Answers | Asked by carol.p in dallas, tx

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Multiple Procedures: Do not discount complications

Please take care of the most life threatening issues, first, i.e. your breast cancer. Interview several Plastic surgeons who have active practices in breast reconstruction. You are fortunate to be located in Dallas, where there are many world class providers. Determine whether your reconstruction can be done in tandem with the cancer surgery, (immediate vs delayed) as well as whether your preference is for autogenous (your own tissue) vs alloplastic (tissue expander & implants). If... more

Lavinia Chong, MD

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Orange County Plastic Surgeon

www.chongmd.com

Combining mastectomy, abdominoplasty and hysterectomy

That is a lot of surgery. I also assume that you may want to undergo simultaneous breast reconstuction. First, address the issues related to BRCA. You can undergo an abdominoplasty at a later date. If you plan to undergo breast reconstruction which would either increase or decrease your bra size, first live with those new breasts and then assess whether the contours of your abdomen fit your chest size or how you would like to define the abdominal area in... more

No...

I understand wanting to gift yourself a tummy tuck, but don't burn that bridge until you know that you are happy with your chest first. If you are planning breast reconstruction (even if it's with implants), wait until you know that you don't need the abdominal skin for your reconstruction (TRAM, DIEP, etc). If you are not having reconstruction, still wait because you may change your mind! Good luck!

Multiple Surgeries

I would assume that you will be having a breast reconstruction at the same time. I would say NO. Way too much surgery, you will be under anesthesia for a long time and then you are combining clean surgeries, tummy tuck and breast reconstruction with a clean-contaminated (not so clean surgery) of hysterectomy. Too long anesthesia time, not safe.