Possible to Have Tummy Tuck After Laparatomy?
- Asked by Rolo in UK
- 4 years ago
I had a laparatomy 13 years ago, and am now considering having a Tummy Tuck. What are the risks?
Laparotomy usually involves a vertical midline scar
As laparotomy usually involves a vertical midline scar and this area is undermined to tighten the rectus fascia, there is minimal increased risk to the procedure. That said, there is sometimes a need to revise the vertical scar if it tethers when the skin is pulled inferiorly.
Risks and benefits
The risks of abdominoplasty surgery in the face of previous laparotomy may be slightly higher than if you had a virgin abdomen, but they are still low. The benefits that you appreciate in body contour and scar improvement will be great, making the risk to benefit ration relatively low. Good luck!
Should be fine!
You have the normal risks of tummy tuck. Depending on the scar orientation, you may or may not be at increased risk for tissue loss or wound healing problems. Your doctor can tell you more on exam.
Added risk but easily managed
You can certainly have a tummy tuck after a laparotomy and depending on the placement of you incision you may be able to remove most if not all of the scar.
The main concern for the plastic surgeon will be the possibility of small hernias which may have developed in the muscle closure from the laparotomy. Blood supply of the skin is also a concern as it has been altered by your previous surgery. Each of these can be dealt with easily by a board certified plastic surgeon
Good luck and enjoy your new contour.
Tummy Tuck after other Abdominal Surgery
As long as you don't have any hernias, or your plastic surgeon is comfortable repairing any hernias you have, your previous history of abdominal surgery should not prevent you from having a tummy tuck.
It is very important that you find a surgeon certified by The American Board of Plastic Surgery- after a review of your goals, an exam, and a discussion of your options, they'll be able to best advise you on the procedure of choice for you.
You can have a tummy tuck after a laparotomy.
In New York City, we have seen this situation a number of times, and it is entirely safe to do an abdominoplasty after a laparotomy. You can often remove all or most of the laparotomy scar in the process.
We use a minimal undermining technique for the tummy tuck, which preserves the lymphatics, protects the blood supply to the skin, and minimizes the risk of seroma (fluid collection).
Yes, you can have this procedure
You can have a tummy tuck after a laparotomy, however, you need a physical exam done by your plastic surgeon to determine if there are any hernias present. These can be fixed at the time of the tummy tuck if necessary. A significant portion of your scars can actually be removed during your surgery and any muscle herniation/laxity can be fixed. I really like treating patients that have had prior surgery because often times the results are outstanding.
Possible, but many factors must be analyzed
The answer to your question lies in the available blood supply to the abdominal flap as well other factors like smoking ,diabetes etc.
Assuming that you are a non-smoker, etc., abdominoplasty could be perfomed. Sound surgical principles must be followed with limited underming and presrvation of the blood supply. Best of luck!
Web reference: http://newportplastic.com/
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.