What Are the Risk of Having a Circumferential TT and Total Hysterectomy? Do You Recommend?

I am scheduled for a Total Hysterectomy and would like to have a circumferentia TT at the same time. I'm a little worried about the length of time I will be under anesthesia. How long is safe for a person to be under general anesthesia? Do you recommend having both surgeries together?

Doctor Answers (10)

DVT and Pulmonary Embolus

+3

The number one bad risk you need to be aware of is pulmonary embolus.  A combined intra-abdominal surgery/body lift will greatly increase your risk of getting leg vein blood clots during recovery and then those blood clots traveling to your lungs.  Simply put... a complication you could die from.  Do yourself a favor, don't worry about the double recovery and do the surgeries separately.


San Diego Plastic Surgeon
5.0 out of 5 stars 12 reviews

Do not recommend it

+2

Hello,

I see little benefit other than one recovery period to undergoing a circumferential tummy tuck and hysterectomy at the same time.  I would recommend getting the hysterectomy first and then revisit the body contouring surgery (circumferential tummy tuck) at a later date.  In addition to improved safety, doing so will also allow your plastic surgeon to spend more time doing liposuction if needed which will further improve your results.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 91 reviews

Combining procedures

+2

I have performed tummy tucks at the same time as a hysterectomy and feel it can be done safely.A full belt lipectomy, however, is a different situation.  It is a much longer procedure and involves repositioning the patient twice.  it is well known that complications are more likely the longer the procedure, especially the risk of blood clots after a tummy tuck.I would consider performing a regular tummy tuck at the same time as the hysterectomy.  It can always be converted to a circumferential TT at a second procedure if necessary.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 10 reviews

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Abdominal contouring and hysterectomy

+2

It is not uncommon to have a tummy tuck at the same time of an OB/GYN procedure like a hysterectomy.  However, your plastic surgeon will need to review your overall health status to determine if it is wise and safe  to combine the two procedures.  But by "circumferential tummy tuck",  you are referring to a body lift (aka circumferential body lift), I would approach with caution.   A body lift is a longer procedure.  It requires position changes i the operating room and require more time to complete. Please visit with a board certified PS surgeon to learn more about your options. Best of luck.

Dr. Basu

Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 117 reviews

Hello

+2

 

 

Having both surgeries together is definitely possible if you’re doing it with the right doctor and in the right facility. The only thing is that a tummy tuck and a hysterectomy on its own, the recovery is pretty hard. Doing them together can be and will be very hard to handle, if you think your strong enough to handle it and your doctor feel comfortable doing it.. Good luck.

 

 

Stuart B. Kincaid, MD, FACS
San Diego Plastic Surgeon
4.5 out of 5 stars 7 reviews

Tummy tucks and combined procedures

+2

While it is quite common to have a standard abdominoplasty combined with hysterectomies, I would caution you against having a belt lipectomy (360 degree tummy tuck) because of the length of surgery and the increase in risk.  You should strongly consider doing this in stages or doing only the front with the hysterctomy then doing the back at a later time.

 

Delio Ortegon, MD
San Antonio Plastic Surgeon
4.0 out of 5 stars 13 reviews

Combining Tummy Tuck with Hysterectomy

+2

I have performed Tummy Tucks at the same time as Hysterectomy several times.  In San Antonio, it is something we do quite frequently.  There are risks involved, so I do choose  patients carefully for the combination.

 

Although I perform Circumferential TT quite often, I cannot think of having combined it with Hysterectomy.  I would recommend caution as this is a much more involved and longer operation than the basic TT.  Generally speaking the risks of Wound healing complications and Deep Venous Thrombosis (blood clots) would be much higher than doing either operation alone.

 

I would recommend that you see a few Board Certified Plastic Surgeons near you and get their opinion.  In the right hands, the chance of having one of the above complications can be reduced.

Suresh Koneru, MD
San Antonio Plastic Surgeon
5.0 out of 5 stars 8 reviews

Not recomended to mix any internal surgery with any TT/ no se recomienda practicar cualquier cirugia interna con TT

+2

the fact to mix an internal (intra abdominal or thoracic) , with an external  surgical could be herniae,bladdeer,hysterctomy should be avoided by the fact to jeopardize the surgical act the reasons are  time consumming and high risk of  internal coagulation problem., that would not affect in the case of external procedures like lypo and TT or BBL simoultaneously in selected patients of course

el hecho de mezclar dos operaciones una interna y otra externa( intra toracica o abdominal) pone en peligro el acto operatorio al aumentar el tiempo quirurgico y elevar la pósibilidad de una trombosis interna, cosa que no sucede  cuando se practica 2 o 3 externas al mismo tiempo, como  lypo, BBL y TT claro solo en pacientes  seleccionados

Ramon Navarro, MD
Mexico Plastic Surgeon

Circumferential TT and Total Hysterectomy

+2

As always, there are pros and cons for doing these together. The main pro is only having one recovery period. The con is the added risk if the operation excessively long.  It is not uncommon to combine hysterectomy with a body contouring procedure. If your plastic surgeon is one who does this procedure in 4 hours it sounds reasonable. If it is one who needs 6 or 8 hours it may be better to do them separately. And be prepared for a possible change of plans if something were to go other than planned during the hysterectomy. 

You might find that since the GYN procedure will probably be done in hospital that the operating room fees are enough higher than would be a surgicenter fee that separating the procedures will make financial sense. 

Thanks for your question, best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 31 reviews

Abdominoplasty and GYN surgery

+1

Timing and planning of multiple surgical procedures is a common question and patient concern.  Combining an abdominoplasty and a hysterectomy is not an unusual request.  There is a slightly higher risk of complications with this combination including infection.     As long as you are in good physical health and have no overriding medical conditions you should be a good candidate. With this combination the highest priority has to be safety and the prevention of DVT and PE.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

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.