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How to Re-correct Muscle Seperation After Full Tummy Tuck?

asked 11 months ago by Farz in Vancouver (CANADA)
Latest answer by Tom J. Pousti, MD
Question viewed 1,746 times
Tags: muscle separation

I am 2.5 months post full TT. I just went to the walk in clinic today and the doc said I have a little bit of abdominal muscle seperation above my BB, which is where the bulge is. My question is, do I have to get the whole incision line cut open again and flap lifted or can this be done endoscopically. No fat and no skin needs to be removed. Just muscles need to be re-tightened in this area only. Are there any docs in Vancouver, BC or even Seattle that does this (endoscopically). Pls Hlp!!

4 answers to How to Re-correct Muscle Seperation After Full Tummy Tuck?

+1

Tummy tuck complication

I am a little confused about your situation- why would you be allowing “walk in clinic doc" to make a diagnosis in your situation 2.5 months after abdominoplasty? In my opinion, without a accurate/reliable diagnosis discussing treatment options is wasting your time. It would behoove you to follow-up with your plastic surgeon who knows your situation/anatomy far better than any other walk-in doc or online consultant. Best wishes.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Re-do abodominoplasty

How much surgery you will need really depends on how large the area of weakness is and why it occurred. If it is a matter of just one or two plication sutures popping during a postoperative coughing fit, it may be possible to use the umbilical incision to access the weak area and put in some additional sutures. If, however, a lot of sutures broke or pulled out, your surgeon will need better access. It may be that this could be done with a scope or even a lighted retractor... more
Lisa L. Sowder, MD

Seattle Plastic Surgeon
+1

Can a Muscle Seperation AFTER a Full Tummy Tuck be corrected?

I agree with Dr. Rand. The first step in every military mission or in surgery is a debriefing. All information is collected and analyze to learn what we could have done better. Muscle separation less than 3 months after surgery implies that either your stitches broke, cut through the tissues, the stitches were weak or poorly placed or that you put inordinate pull on the muscle (recurrent coughing, vomiting, blow to the stomach or doing abdominal exercises). Endoscopic tummy tucks are... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Re-do tummy tuck

This is not as easy as it might sound to you and in my opinion, you would need to reopen the entire surgery to retighten the muscles. The most important question before considering any of that is "why did this happen?" Unless there is a correctable reason, it may well happen again and the process wouldn't be worth it. Ask your doctor for some ideas about the "why" part. Were you too active, tissues too thin, gained weight, inexperienced surgeon, etc more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

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