How Can You Determine the Need for Muscle Repair During a TT Evaluation? (photo)

asked 6 months ago by Hummelstown5016 in harrisburg pa
Latest answer by J. Jason Wendel, MD
Question viewed 201 times
Tags: muscle repair, consultation, mini

I am wondering how it is determined that you need muscle repair or not. Full or mini tuck just by observation. My first consult did not even look at me without cloths before he decided full. The second looked without cloths and said mini and lipo. How do you know repair is necessary? When it is repaired what actually happens??? Thanks for all your help. Also are you insulted when a patient tells you exactly what you expect and what they want?

10 answers to How Can You Determine the Need for Muscle Repair During a TT Evaluation? (photo)

Tummy tuck and muscle repair

An evaluation for tummy tuck includes examining the abdomen while the patient is relaxed and leaning slightly forward on exhalation. If the abdomen protrudes, then muscle repair wound be beneficial. When a tummy tuck is indicated, it is rare not to perform muscle repair at the same time. I hope this helps.

J. Jason Wendel, MD
Nashville Plastic Surgeon

Muscle repair during tummy tuck

You are on the right track. My advice: Don't return to the office that rendered an opinion without directly looking at and feeling your belly. It is impossible to offer a professional evaluation with clothing covering your belly. If you plan to have more children, strongly consider deferring full tummy tuck until after the final child. I NEVER do a tummy tuck without tightening the fascial envelope surrounding rectus abdominis muscles, because it is this... more

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Diagnosis for Tummy Tuck

Hi there- Generally speaking, if a surgeon doesn't examine you completely, you should not let them operate on you... Similarly, anyone who offers to operate on you should be able to explain why the operation would benefit you, the alternatives available, and why the recommended option is best for you... Unfortunately, it sounds like your two visits achieved very few of these goals... The best advice I could give you would be to keep looking until you find a surgeon Certified... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Plastysma plication in abdominoplasty

Any consultation for surgery requires a full examination. If you saw a surgeon who skipped the examination, then you should skip out on that surgeon and find someone who performs a complete evaluation before making a recommendation for surgery. Tightening of the muscle is required when there is laxity. Under such circumstances, the tummy tuck would remove excess skin but there would still be a bulge in the abdomen. Photographs alone cannot disclose whether there... more

Robert L. Kraft, MD
New York Plastic Surgeon

Testing for a muscle repair for tummy tuck

There is a simple process to find a diastasis or muscle separation before a tummy tuck. If you lay on your back and press your finger into the midline of your abdomen near the belly button, and pick your head fully up as in doing a sit-up, you may feel the separation between the muscles as they tighten. What is actually repaired during tummy tuck is the outter layer of tissue (fascia) over the muscle closing the gap and tightening the abdomen. You must tell your surgeon what you expect and... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

How you determine if muscle repair is needed with a tummy tuck?

This is determined on the physical examination during the consultation. I have my patients lie supine in the exam chair and have them lift their heads up from the head rest. This way I can palpate the muscle edges and determine the degree of distance of muscle separation. Also tells me if the person has a midline hernia as well.

George Marosan, MD
Bellevue Plastic Surgeon

Muscle repair in tummy tuck

One helpful way to see if a muscle procedure will improve things is to let your stomach hang out, and compare that to sucking your tummy in some. If you look flatter and like that, then muscle plication usually helps the way your results will look. In my practice, almost all tummy tuck patients choose to have their muscle tightened. Some need muscle repair, but due to their desire to avoid pain, or due to concern about downtime, they choose to not have muscle tightening. A mini-tuck... more

Victor Au, MD
Chapel Hill Plastic Surgeon

Abdominal evaluation

I would avoid a surgeon who doesn't do a complete examination. I would also be suspect of a surgeon who won't listen to what you want, even if listening to you means disagreeing with you. Regarding muscle plication, I think this is an overdone part of an abdominoplasty. This is especially true for someone who has significant fat layers since muscle tightening may not change the external appearance of the abdomen and increases risk of pulmonary and deep vein thrombosis complications.... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Tummy Tuck and Muscle Repair?

Thank you for the question and pictures. The need for “muscle repair” is based on obtaining a good history and physical examination. The status of the abdominal wall muscles can be determined by visual examination and palpation in the upright and bent over (diving) positions. The reapproximation (plication) of the rectus muscles is an important part of all tummy tuck procedures I do. These muscles have spread apart during pregnancy and/or weight... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Muscle Repair with Tummy Tuck is needed when Physical Exam reveals a split between the Rectus Muscles called a Diastasis Recti

Muscle repair during a Tummy Tuck is done to repair a split between the two Rectus Abdominus Muscles of the abdomen. This split is usually occurs after pregnancy. Diagnosis is made during Physical Exam. With you lying on the exam table the Physician will ask you to do a partial sit up while the doctor is examining your abdomen. As your abdominal muscles tighten, the doctor can feel the split between the two large Rectus Abdominus muscles. If muscle repair is required during your... more