35 yr old caucasian female, 5ft, 133lbs, hx of keloid scars, 2 c-sections, Crohns dx otherwise healthy. Thick through abdominal area. Is it possible to have needed colon resection by general surgeon (removing approx 10 inches of combined small & large intestines d/t narrowing) & then close w/ tummy tuck +/- liposuction by plastic surgeon? I want to combine procedures & minimize likelihood of scars. Low transverse is fine, avoid vertical incision scars. What are risks? Is this ever done?
Feasible to Have a Tummy Tuck During Colon Resection Surgery?
Doctor Answers (19)
Tummy tucks can be combined with other medically necessary surgeries
Many people do like the idea of having only one recovery period after surgery, and we often do combine tummy tucks with other surgeries, like hysterectomy, hernia repair, or tubal ligation, for instance. HOWEVER, I would never consider combining a tummy tuck with a colon resection for Crohn's disease. That is a great setup for infection and serious wound healing problems. Just say no.
Colon Resection, Tummy Tuck and Liposuction.
Cosmetic plastic surgery is by its nature "clean" surgery. Tummy tucks and liposuction have low rates of infection, because, other then the skin, there is normally no other source of contamination. Peri-operative antibiotics are chosen to cover the Staph and Strep normally found on the skin, and to further reduce the incidence of infection.
Colon resection, on the other hand, has two sources of contamination, the skin and the colon. The colon has different bacteria, and requires different antibiotic coverage. Even though the colon is prepped, there is a slightly higher risk of infection with this type of surgery.
I would recommend separating your hazards. Have the colon resection, be certain that you are going to heal sufficiently from this procedure, and then later have the cosmetic procedures. Your recovery will be easier and the procedures will be safer. By following you colon resection with the cosmetic procedure, the scar can still be revised or removed with the tummy tuck.
The placement of the initial scar can be coordinated with your surgeon in conjunction with your plastic surgeon for the best cosmetic result. Staging the procedures will provide you with a safer and more predictable result, without compromising the cosmetic outcome.
Don't Combine Colon Surgery with Tummy Tuck
Combining the Tummy Tuck with other procedures is tempting to reduce cost and for efficiency combining recovery. I would advise against combining with colon surgery as too risky for complications: don't do it.
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Some surgeries can be combined, such as a hysterectomy and a tummy tuck or a hernia repair and a tummy tuck. I would not recommend an elective tummy tuck to be done at the same time as a colon resection. You may find a plastic surgeon to do this procedure, but keep in mind by combining these surgeries, you would be at a higher risk for infection.
Don't combine bowel surgery with tummy tuck
I would strongly advise you against combining bowel surgery (colon, small bowel, stomach, etc) with a tummy tuck. When the general surgeon removes the bowel, the incisions becomes mildly contaminated. This contamination, even though it is mild, will put you at increased risk of infection and wound healing problems. You're much better off having the necessary bowel surgery, allow yourself several months to completely heal and recover, then consult with a board certified plastic surgeon about a tummy tuck. I hope this helps and wish you all the best!
Tummy tuck with colon resection
It is probably not a good idea to have a tummy tuck at the same time as a colon resection for crohn's disease.
What is the rush? Wait until you have healed and recovered from the colon resection. Your risks of infection will be higher and other concerns stated.
Abdominoplasty at the same time as bowel resection.
You would be nuts to have these procedures done at the same time, absolutely nuts. If your bowel surgeon or your plastic surgeon have suggested you doing it this way, you need to find a new surgeon. The possible complications from this combination have been discussed very well in this discussion by other doctors.
Lisa Lynn Sowder, M.D.