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Tummy Tuck/ Mini Tummy Tuck During Complete (Open) Hysterectomy?

asked 1 year ago by SuperShourds in Salisbury MD
Latest answer by Francis (Frank) William Rieger, MD
Question viewed 1,053 times
Tags: age 25-34, female, 110-129 lbs, 5 ft 0 in to 5 ft 3 in, combination, hysterectomy

I am 27 and the mother of 4 children by cesarean. I am having a hysterectomy in a couple months to put myself into menopausal not by choice. After, I'm not allowed to have abdominal surgery unless my life depends on it due to the 4 cesareans and scars etc. But I don't fit my skin. I have worked very hard to lose all of my baby weight now I am about 115 and 5'2 but I have about 3 in of skin hanging down over my scar. How likely will my doc or a plastic surgeon be to team up and work on me?

19 answers to Tummy Tuck/ Mini Tummy Tuck During Complete (Open) Hysterectomy?

Combined hysterectomy with tummy tuck

If your gynecologist agrees with your desire to have both procedures performed together, I see no reason to not do this . I have worked with gynecologists often to combine both procedures. The patient will stay in the hospital for several days, as they would with the hysterectomy alone. Some gynecologists are not comfortable with this because of their inexperience in this cooperative effort. Don't accept the first opinion if the answer is no. Get... more

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon

Tummy Tuck and Hysterectomy

In my opinion, the two operations can be done safely together, as long as the following conditions are met: There needs to be comfort level between the plastic surgeon and GYN. The hysterectomy cannot be for cancer related diagnosis since you may need chemotherapy and radiation therapy and that would affect wound healing, The total combined operations should last more than 4 hours because it puts you at increased risk for deep vein thrombosis and infections. And the plastic surgeon... more

Anthony Dardano, DO
Boca Raton Plastic Surgeon

Tummy Tuck and Hysterectomy in One Setting

A tummy tuck can be easily done following a hysterctomy. In fact, I perform a tummy tuck at the time of a hysterectomy or other Gyn procedure at least once a month. As long as the patient is healthy enough for the combined procedures and your OB/GYN is OK with a combined procedure, I would suggest doing both procedures at the same time. Hence, you are consolidating your recovery as well. Of course, any treatment plan requires dialogue between your surgeons.

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Tummy tuck and hysterectomy

I have performed a tummy in conjucntion with urologic and gynecologic procedures before but this requires a thorough discussion between the doctors to make sure that it is feasible.

Steven Wallach, MD
Manhattan Plastic Surgeon

Tummy Tuck / Mini Tummy Tuck During Complete (Open) Hysterectomy?

It is unclear to me why you are not allowed to have abdominal surgery unless your life depends on it. I think your surgeon must have been referring to surgery inside your abdomen and not on the skin. There may be other health issues going on which are not divulged in your question. In a normal healthy patient a tummy tuck and hysterectomy are safe. However the decision to do that depends on the comfort zone of both surgeons. You should discuss this with the board-certified plastic... more

Andrew Kaczynski, MD
Sacramento Plastic Surgeon

Hysterectomy and tummy tuck can be done together.

The safety and efficacy of combining hysterectomy and tummy tuck has been established by studies of patients who had the operations together vs others where they were staggered. In properly selected patients, having the uterus removed and the abdominal wall reconstructed in one operating session is completely satisfactory.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Combined hysterectomy and tummy tuck

This does entail addtional risk but can be arranged by contacting your gynecologist for a referral to plastic surgeons they have worked with in the past. Arrange a consultation and discuss the feasibility of a combined procedure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Tummy tuck at the same time as a hysterectomy

This is actually a very common request. There is definitely a slightly greater risk of combining the two surgeries but many people find that it is helpful to do both surgeries at the same time. I agree with the comment about never having abdominal surgery. This doesn't make any sense! I would talk to your OB-GYN and have them recommend a Board Certified Plastic Surgeon that they are comfortable with and discuss the option of a combined surgery. I hope... more

Gregory A. Buford, MD
Denver Plastic Surgeon

Tummy Tuck/ Mini Tummy Tuck During Complete (Open) Hysterectomy?

Ask your GYN surgeon for a referral to a PS he works WELL with! Than see this PS to discuss your options in DETAIL. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Tummy Tuck in combination with a Hysterectomy

Can I have a tummy tuck with my hysterectomy? This is a fairly common request. If you are a healthy women, and have excess skin laxity and/or muscle laxity - it is very reasonable to perform these together as long as the total length of surgery is reasonable and the amount of blood loss is acceptable. You can think of it as a good thing that comes out of necessary surgery. Unfortunately, insurance considers the tummy tuck to be a cosmetic procedure and will not cover that portion of the... more

Richard Greco, MD
Savannah Plastic Surgeon

Combined tummy tuck and hysterectomy

While this is possible to do, I essentially never do it because I believe the complications are higher. I also do not understand the statement that if you don't do it now, you can't ever do it because you can only do emergency surgeries on your abdomen. This is not true at all.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Perfect opportunity for tummy tuck

As long as you are healthy and there are no medical contraindications, it is very reasonable to combine an abdominoplasy with your hysterectomy. There is very little additional recovery and little additional risk by combining these two procedures. I would ask your gynecologist if there is a Plastic Surgeon that they work with. Good luck.

Lawrence Iteld, MD
Chicago Plastic Surgeon

Combining Tummy Tuck And Hysterectomy

I have performed a number of these combination cases and have found that patients with vaginal hysterectomies for small fibroids, bleeding, or other issues do quite well. Larger fibroids, severe endometriosis, heavier bleeding with preop anemia, and multiple prior abdominal surgeries make the hysterectomy more involved and may involve taking down more adhesions (internal scarring). This group of patients in my experience has been more of a problem and have longer... more

John LoMonaco, MD
Houston Plastic Surgeon

www.DrLoMonaco.com

Combining procedures can save recovery time and limit your anesthesia exposure

Combining a tummy tuck with a hysterectomy is commonly done, and it saves the patient from having two separate surgeries. I have worked with many OB/Gyn doctors where I help them from the beginning to the end of their part and then finish with a tummy tuck. For the patients, this means only one recovery period and anesthesia exposure as well as saving money. With my practice in Baltimore, I enjoy working with Dr. Dee-Dee Shiller at Northwest Hospital. She is an... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

www.BaltimorePlasticSurgery.com

Tummy Tuck Can Be Performed With Hysterectomy

It is certainlt possible to perform either a mini or full TT at the time of a hystectomy if both your gynecologist and plastic surgeon agree. There is some increase in risk but this would be a very small increase with a mini-TT. You should first ask your gynecologist if he/she is Ok with a concurrent TT. If so, ask for a plastic surgeon referral to someone with whom she/he is comfortable working.

John Whitt, MD
Louisville Plastic Surgeon

Combination procedures have a higher complication rate

Studies have shown that combining tummy tuck and gynecologic procedures have a higher rate of wound infection and DVT. I don't recommend combining the two types of procedures. Other surgeons may have different experiences with the combo- my opinion is based on the data that has been published.

Scott Sattler, MD
Bellevue Plastic Surgeon

Tummy tuck with hysterectomy

You should talk to a Plastic Surgeon who works at the same hospital as your Gynecologist. This will allow them to coordinate your care. Because of the hysterectomy, there is an increased risk of infection. You will need to discuss this with both. Even if the decision is to do the abdominoplasty later, this should be possible since the tummy tuck does not enter the abdomen where the scar your physicians are worried about is.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Hysterectomy and tummy tuck

This combination is quite common but you should be sure your surgeons confer with each other and preferentially have worked together before. If your gynecologist was planning an open procedure using your C-section scar, then it is very reasonable to combine it with an abdominoplasty. Your gynecologist can usually recommend a good plastic surgeon that he or she is familiar with.

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

Hysterectomy and simultaneous Abdominoplasty

Your circumstances seem a bit unique. My best advice for anyone who falls outside the "norm" is to take time to discuss this in person with your plastic surgeon, where they can go over your medical history, perform their own physical exam, and come to a decision specifically tailored for you as the patient. It is not uncommon for women to have combined procedures, including a hysterectomy and abdominoplasty, after being informed of the risks versus the benefits of... more