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Restriction on Muscle Repair with Tummy Tuck if Had Gastric Bypass?

asked 1 year ago by Amee in ks
Latest answer by Marisa Lawrence, MD
Question viewed 98 times
Tags: muscle repair, restriction

I have 2yr old twins and a 5yr old. When I went for consultation with one dr he talked about the muscle tightening he would do. But my hesitation now comes that I found an aquaitance of mine went in for a TT with the same dr. I asked a mutual friend if she was happy, she said that the only thing she was upset about was that he did not do muscle tightening with her TT. Her TT was needed due to gastric bypass weight loss. Is there a resitriction on doing the MR with gast.by?

4 answers to Restriction on Muscle Repair with Tummy Tuck if Had Gastric Bypass?

+2

Muscle Tightening is a MUST with ANY history of Andominal Distention (Pregnancies, Obesity etc)

The ONLY reason why a Plastic surgeon would NOT repair the split Tummy muscles would be if the patient had insurance pay for a Panniculectomy (resection of the overhanging apron) in which only the overhang is removed while the muscles are not brought together, the skin looseness above the belly button is not corrected and the belly button is not relocated. This procedure is NOT really a Tummy tuck (Abdominoplasty) but a lot of people mistake it for such. In most people whose abdomens... more
+1

Rectus Muscle "tightening" is part of an abdominoplasty!

An abdominoplasty should include excision of excessive skin and subcutaneous tissue, rectus muscle fascial plication (muscle tightening), and umbilical repositioning.  A panniculectomy, which is sometimes performed after weight loss surgery, would include removal of infraumbilical skin and subcutaneous skin only.  Panniculectomies are generally performed in patients who still have high body mass indices (BMI's) but suffer from the effects of hanging lower abdominal skin. ... more
+1

Muscle repair with Tummy tuck and abdominoplasty following gastric bypass or multiple births

The story you describe does not sound accurate. Gastric Bypass is not a contra-indication to muscle repair and so I am confused. MR can easily be performed following gastric bypass and is almost mandatory in following multiple pregnancies in order to acheive an optimal result.
+1

Muscle Tightening Limitations

Having had prior surgery should not affect the muscle repair.  If there is a large hernia, I will repair that and be more conservative in tightening the muscles so there is not too much tension on the repair. Otherwise, muscle repair should be done as tight as is needed to restore the abdominal contours.

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