Candidate for Liposuction or a Tummy Tuck After Abdominal Cyst Removal? Doctor Answers, Tips
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Candidate for Liposuction or a Tummy Tuck After Abdominal Cyst Removal?

I have had 8 abdominal surgeries for cysts. I have adhesions. Also dx: undifferentiated connective tissue disease

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12 Doctor Answers | Asked by Mary Leo
+2

Which Procedure is Best

Your history of "Connective Tissue Disease" is important to evaluate as a possible cause of complications. The best technique is determined with careful evaluation in consultation. In general, if the problem is only excess fat, liposuction may be best. For excess skin and muscle laxity, a tummy tuck may be necessary.
+2

Be very careful with liposuction if you have had many abdominal operations.

Mary, I would caution you to be very careful to undergo liposuction if you have had 8 previous abdominal operations. In liposuction, the surgeon has to blindly place the cannulas under the skin and suck out the fat. This is straight-forward if someone has not had surgery before since the area is untouched. If you have had previous surgery, then the planes of tissue are disrupted. Additionally, if any of your previous incisions did not heal properly below the skin, there may be abdominal... more
+1

Liposuction of the abdomen removes only fat. Tummy tuck takes care of excess skin a laxity as well.

The answer to your question depends on the condition of the abdominal wall.  If fat alone is a problem, liposuction is suitable.  If scars, stretch marks, excess skin or abdominal wall problems are significant, an abdominoplasty might be indicated.  Beware of shortcuts as they seldom work.

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+1

Maybe.....

Hello, You need a careful evaluation before having any plastic surgery. The answer is maybe on the tummy tuck. Best Regards, John Di Saia MD
+1

Proceed with caution..

Patients who have had multiple abdominal surgeries need to be very careful when planning a liposuction or tummy tuck procedure. Be sure that you tell your plastic surgeon about all of the surgeries that you have had. They will need this info to plan what surgery and which techniques are best for you. If you decide to have liposuction, talk to your plastic surgeon about which type of liposuction would work best for you. Ultrasound liposuction should be considered as this works well in... more
+1

Cysts and abdominoplasty

What are these cysts? What kind of connective tissue disorder do you have? Multiple abdominal procedures could have made the abdominal tissues taught and which could make an abdominoplasty difficult to perform.
+1

Safety of Tummy Tuck / Lipo after many Abdominal Operations

Each abdominal scar extends from the skin all the way to the muscles below creating a pillar of dense scar tissue and interrupting the blood flow and circulation in the skin and fat below it. In addition, each scar could be associated with a weakness of the tummy wall and a loop of intestine COULD be sticking out through the opening. Liposuction may be very dangerous under such conditions since the liposuction tube MAY puncture unrecognized intestine that may be present above the surface... more
+1

Candidate for a tummy tuck

The main issue you raise is the fact that you have had 8 abdominal surgeries. The adhesions and the connective tissue condition are not really as pertinent as the possible interruption of blood flow to the skin caused by the previous surgeries. See a very experienced plastic surgeon who can evaluate whether a tummy tuck is necessary and if the blood flow issues wouldn't be a problem.
+1

Liposuction or Tummy Tuck after 8 abdominal surgeries

It all depend on the incisions used for these 8 surgeries. One scar, or more and where. If it is one incision and the abdominal wall is intact you are NOT at a higher risk. If multiple scars and your abdomen looks like a map of incisions and scars then YES you are at a higher risk for lipo. As for tummy tuck, it depends where these incisions are and how we can work around them. Then your connective tissue disease. That needs to be defined more and what treatment are you on. Consult your... more
+1

Consultation with a plastic surgeon to determine if tummy tuck or lipo appropriate

Your question isn't one you can get ananswer to online, since there are so many factors to consider and a physical examination is necessary. As the other answers mention, a lot depends on where the scars are. Your question reminds me of a case I had a few years ago which was a tummy tuck on a patient with multiple surgical scars. There was a hernia under one of the scars which was not detectable on pre-op exam; if I hadn't recognized it then I could have inadvertently entered the bowel.... more
+1

Liposuction or tummy tuck after 8 abdominal surgeries is risky

Multiple prior abdominal surgeries is usually a contraindication for abdominal liposuction or tummy tuck. If the scars are small and located in one place, for example a c-section or lower transverse abdominal scar, a tummy tuck ot lipo can possibly be done. However multiple scars at different locaqtions including the upper abdomen make a tummy tuck or lipo very risky. Consult an experienced board certified plastic surgeon and also seek the advice of your general surgeon.
+1

Be careful with tummy tuck or liposuction with multiple previous incisions.

You are at a particulary higher risk of complications due to the multiple abdominal procedures. This can affect the blood supply to certain portions of the skin as well as interfere with the muscle repair. Liposuction is also more likely to be associated with irregularities.
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