In GENERAL, ventral hernia repair can be done along with an abdominoplasty.
That being said, without examining you and knowing your full medical and surgical history, I do not know if I would be comfortable doing it in you.
First and foremost, is the liver situation resolved or might they need to go back and operate on you?
- Are you taking any medications which may interfere with proper wound healing?
- How is your health otherwise?
- You mentioned 4 abdominal operations - were these operations for liver disease OR were they to repair the same hernia?
- Are the scars of these 4 operations ALL vertical through the midline or do you have any other scars which may have potentially limited the blood supply to the tummy skin and preclude performing a conventional tummy tuck?
These are just of of the questions many Plastic surgeons would want to know to minimize major complications.
Regarding " just can not keep getting cut open. " I fully agree. But, having a recurrent ventral hernia is NOT a reason for performing an abdominoplasty which is an extensive operation. The reasons why the hernia repairs failed need to be cleared and acted upon.
Hope this answered your question.