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Doctor Recommendations for Tummy Tuck Revision

asked 1 year ago by Ranger WV
Latest answer by Thomas Fiala, MD
Question viewed 815 times
Tags: doctor referral, pain, recovery

I had a tummy tuck in April 2010. I had severe scarring and neuropathy, which is very painful even today. My physician suggest revision surgery but not from the plastic Surgeon who did the original surgery. He says I need a specialist from UVA or DUKE. Can you recommend someone qualified and skilled enough to do this revision? Im terrified to have to have it re-done because of the pain I went through and still deal with but Im being told adhesions and scar tissue may be causing the neuropathy.

16 answers to Doctor Recommendations for Tummy Tuck Revision

Postop pain after a tummy tuck

Your early photos look like you have great shape. The bruising appears totally normal and the scars seem to be well healed. If you have an additional comorbidity then I'd tend to that (paresthesias from diabetes, high anxiety, anything else). If the scars have widened treat them with silicone sheeting or hybrisil, you'd be amazed at how well the silicone/steroid combination do for incisions/scarring. If all is well healed and you just have pain, give it... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Complications after Tummy Tuck

You received great advice. Go to the Plastic Surgery Service at either University and you will receive excellent care. Your situation is unique and I am not sure what the problems are or of the nature of your original surgery. Go to the University. You will receive fine advice and care. Of course the very best first step is to visit your primary plastic surgeon. Se what advice you get. Get a second opinion from the university service.

George Commons, MD
Palo Alto Plastic Surgeon

Scarring and neuropathy

These photos look like your early post-op photos. How long ahve you been since your surgery and what do they look like now?

Steven Wallach, MD
Manhattan Plastic Surgeon

Tummy Tuck Revision

I agree with the other Plastic Surgeons. In your early post operative photos which you post here, your results look excellent. You do not post recent photos, so I cannot comment on whether a scar revision for unsightly scars would be warrented. I do however agree that revision surgery for pain is usually not helpful. I would also recommend that you see a pain specialist, or return to your original surgeon to discuss your options. I dont really see any... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Scar Revision after a Tummy Tuck- 4 Reasons

You have an impressive result from your body contouring surgery . I would not recommend doing anything with your scar except for normal scar therapy . I only recommend scar revision in a tummy tuck for the following 4 reasons 1. Wide ,deep or very asymmetrical scar after one year 2. If I can improve it by at least 50% after one year of normal wound healing 3. A Hypertrophic Scar due to excess tension not responsive to conservative intra... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Tummy tuck

Judging the early post-op photos, I would agree with the other plastic surgeons. It appears that your result is good. The pain that you describe is unusual, especially a neuropathy. If the pain is from the scars themselves, they should subside in time.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Significant Long-Term Pain After A Complex Tummy Tuck Is Unusual

Your early results from your fleur-de-lis tummy tuck look quite good and there is certainly nothing wrong with the cosmetic result. Your pain issues are a different story and are quite uncommon after this kind of surgery. Why you have such pain is not clear but revisional surgery is both not indicated nor likely to be therapeutic at this point for your pain issues. Since it is over nine months since your surgery, it is time to see a pain specialist to see if they can help. While scars... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Tummy tuck revision - don't!

Your photos appear to have been taken soon after surgery. You look to be doing well - the overall contours are very pleasing. I would advise against having more surgery to deal with pain. It is unlikely to succeed. I recommend seeing a specialist in pain management who can work with you to allow you to be more comfortable.

Eric Pugash, MD
Vancouver Plastic Surgeon

Tender scar after tummy tuck

Scars can be sensitive or tender after a tummy tuck though you should not jump to revision until the scar has had adequate time to soften and resolve. The can take a year or more. Your photos show you have only recently had a vertical and horizontal correction of the skin excess which can be needed in those who have lost excessive weight. Time now to be patient and recover. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Tummy tuck revision

I see nothing wrong with what your doctor did in the early postop photos you show. So there is no need for a revision from what you have shown. Also, revising you for pain will likely not work. You should see a pain specialist, not another plastic surgeon.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Doctor Recommendations for Tummy Tuck Revision

Thanks for the posted photos, and I must comment that your result looks GREAT!. I doubt a revision for scarring is indicated. But I recommend waiting a full year as drs Placik, and Aldea stated. As for the "neuropathic pain" syndrome, sounds like your Primary doc is trying to transfer the problem. Try Biofeedback or pain meds management. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Painful scarring and tummy tuck

Following any surgery the body requires about a year to fully mature a scar and see what the final results will be. If you are having trouble with painful spots in your incision you can have these treated with trigger point injections. The best person to help with this would be your surgeon. Re-excising scars is no guarantee that you will not have the same painful situation return. You have had a complex procedure so you should give it time to fully heal. ... more

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Painand scarring from tummy tuck

I cannot advise you specifically since I do not know the details of your case. You have both a vertical and horizontal component to your tummy tucks, This generally leads to more scarring and potential complications with healing but it occasionally called for if you have disproportionate laxity in the horizontal dimension. A revision will not change this. Pain is something we are very cautious about in performing surgery for. Surgery will often cause pain, not remove it unless there is a... more

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

Doctor Recommendations for Tummy Tuck Revision

Regarding: "Doctor Recommendations for Tummy Tuck Revision I had a tummy tuck in April 2010. I had severe scarring and neuropathy, which is very painful even today. My physician suggest revision surgery but not from the plastic Surgeon who did the original surgery. He says I need a specialist from UVA or DUKE. Can you recommend someone qualified and skilled enough to do this revision? Im terrified to have to have it re-done because of the pain I " While I very much sympathize... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Complex tummy tuck complicated by pain

Judging from your incisions, you underwent a complex tummy tuck with both vertical and norizontal components also called a fleur-de-lis. Your immediate resutls are impressive. I wound undergo scar therapy for at least a year before considering revision.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Revision of fleur-de-lys tummy tuck

Honestly, your early post-op photos look quite typical for a fleur-de-lys abdominoplasty. It's a very big surgery, with long incisions. The scars generally look their worst in the first 3-4 months after surgery, with a lot of redness, but these will improve with time. Your overall shape looks good. Scar redness can often be treated with intense pulse light (IPL) or laser therapy. Continue with scar massage and use of silicone sheeting on the scar. As... more