Tummy Tuck Revision: Q&A
Ask a QuestionIs There a Higher Rick of Necrosis when a Revising a Tummy Tuck?
I had a tummy tuck 6 months ago and not satisfied with the results. I will be having a revision (more lipo and taking off remaining loose skin). Is there a higher risk of necrosis? If so, what can be done to help prevent it?
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12 Doctor Answers |
Asked by
Charlotte8766
in Charlotte
+2
Tummy Tuck Revision Usually Has Lower Chance of Healing Problems
Thank you for your question.
When the first Tummy Tuck is done the skin of the abdomen is removed from much of its blood supply. After surgery, as you heal, new blood vessels grow into the abdominal skin actually increasing circulation-this phenomena is called a "delay" and is used to improve survival of skin flaps in Plastic Surgery.
I would expect this delay phenomena to have occurred after your original Tummy Tuck and would expect that the chances of necrosis or wound...
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+1
Not usually
Hello,
There are always exceptions but in general well-planned repeat surgery is less risky than first time surgery. This is something to discuss with your surgeon as it depends upon other issues as well. The amount of surgery planned and your overall health are quite important.
Best Regards,
John Di Saia MD
see video
+1
Tummy tuck revision
I don't believe, assuming no risk factors such as nicotine use etc. and the use of appropriate technique and judgment, that you are at increased risks with your planned revisionary surgery. I'm also assuming that you're working with a well-trained/experienced board-certified plastic surgeon.
Best wishes.
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Revision tummy tuck and skin necrosis.
In general, the revision is less likely to have issues with necrosis because of whats known as a "delay phenomenon." When tissue is elevated and a portion of the blood supply is cut, it will respond by dilating and increasing the number of blood vessels which remain. What this means for a tummy tuck is that the skin is more resilient to elevation and tightening after it has had time to heal than it did from the first operation. Of course, there is a limit to the amount of tension...
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Revision Of Tummy Tuck Shouldn't Increase Risk Of Necrosis
Revising your tummy tuck 6 months after the original surgery should not be accompanied by an increased risk of skin necrosis, especially if it involves only lipo and some additional skin excision. The one thing which would change this is smoking which always leads to a significantly increased risk of skin necrosis as well as necrosis of deeper tissues.
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Higher Rick of Tissue Death when a Revising a Tummy Tuck?
Your question : "I had a tummy tuck 6 months ago and not satisfied with the results. I will be having a revision (more lipo and taking off remaining loose skin). Is there a higher risk of necrosis? If so, what can be done to help prevent it?" is very general and without examining you and knowing how your original tummy tuck was done, where the areas of unhappiness reside and what is being proposed by way of revision, it is impossible to assure you that no complications, including...
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Is There a Higher Rick of Necrosis when a Revising a Tummy Tuck?
The correct answer per text book is yes but there are so many variables to consider it is not fair to ask such a general question for your specific issues. I believe you are only having a minor excision with minor lipo so the necrosis risak SHOULD be low.
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Revision tummy tuck risks are increased with the addition of liposuction.
Revision of the tummy tuck alone carries LESS risk of necrosis (tissue death), which is the loss of some of the abdominal skin and fat due to inadequate circulation. When this occurs, the dead skin and fat is typically centered just above the pubic area, as these tissues are farthest from the blood supply. When the skin incision is made and the skin/fat layer is elevated from the abdominal wall, the only way for any circulation to get to the skin farthest from the...
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Risks revising tummy tuck
Generally there are fewer risks revising a tummy tuck, less risk of healing problems or skin necrosis. Smoking is the most controllable factor in avoiding problems altogether.
Best of luck,
peterejohnsonmd
+1
The risk should be same or less than the first time
The risk of skin necrosis is very small for tummy tuck in a healthy patient. The risk would even lower for revision.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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