I have had 5 kids and I have an umbilical hernia and my stomach muscles are split down the middle. There is a two inch separation. I have some exess fat but not much. I weigh 118 lbs and I am not overweight, but I want my stomach fixed.
I went to a plastic surgeon and he sent me away saying " you don't have enough extra skin for a tummy tuck, and you need to talk to a general surgeon about the hernia and muscle split."
Does that sound right to you plastic surgeons? Is that a standard response in this type of situation or should I get a second opinion?
Answer: Hybrid Tummy Tuck For women who don't need a great deal of skin removed (and a hip to hip incision), but need their muscles tightened and an umbilical hernia repaired, they may be a candidate for a hybrid tummy tuck. The hybrid tummy tuck involves a C-section-type incision with full tightening of the deep fascia, the structure that holds the muscles. Although doctors often refer to tightening the muscles, it is in fact the fascia that is tightened. The hybrid tummy tuck is not for women who have a great excess of skin and fat. Good candidates are typically fit moms. But for women who have only been offered a full tummy tuck and in fact have primarily a problem of the fascia, the hybrid tummy tuck is just the right thing.
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CONTACT NOW Answer: Hybrid Tummy Tuck For women who don't need a great deal of skin removed (and a hip to hip incision), but need their muscles tightened and an umbilical hernia repaired, they may be a candidate for a hybrid tummy tuck. The hybrid tummy tuck involves a C-section-type incision with full tightening of the deep fascia, the structure that holds the muscles. Although doctors often refer to tightening the muscles, it is in fact the fascia that is tightened. The hybrid tummy tuck is not for women who have a great excess of skin and fat. Good candidates are typically fit moms. But for women who have only been offered a full tummy tuck and in fact have primarily a problem of the fascia, the hybrid tummy tuck is just the right thing.
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CONTACT NOW Answer: Yes! Great question. That is not a typical response. Normally, a plastic surgeon is able to bring the six pack muscles back together in the midline. For patients with umbilical hernias, I will often fix small hernias myself at the same time, but larger hernias I will fix in conjunction with a general surgeon at the same time as the tummy tuck. The ability to address the muscles under the skin is independent of skin laxity, as you can do a mini tummy tuck, with small incision at the C section location to address the muscles only without taking away extra skin. Perhaps there was just a misunderstanding, but I would seek out another plastic surgeon to meet with and get his or her advice. best of luck! -David Mattos, Harvard-trained plastic surgeon
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CONTACT NOW Answer: Yes! Great question. That is not a typical response. Normally, a plastic surgeon is able to bring the six pack muscles back together in the midline. For patients with umbilical hernias, I will often fix small hernias myself at the same time, but larger hernias I will fix in conjunction with a general surgeon at the same time as the tummy tuck. The ability to address the muscles under the skin is independent of skin laxity, as you can do a mini tummy tuck, with small incision at the C section location to address the muscles only without taking away extra skin. Perhaps there was just a misunderstanding, but I would seek out another plastic surgeon to meet with and get his or her advice. best of luck! -David Mattos, Harvard-trained plastic surgeon
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May 23, 2017
Answer: Tummy Tuck 101 Hi maria7474, I would make sure the plastic surgeon you saw is board certified and then go for another consult with someone who is for sure. A board certified plastic surgeon should certainly be able to repair stretched (not torn) abdominal muscles and an umbilical hernia. This is done so very commonly with abdominoplasty surgeries. (The muscle repair is half the reason for a tummy tuck procedure.) This is a situation that is begging for a second opinion. Without seeing you in person for an exam, none of us docs can say for sure, but this seems like a situation easily corrected with a tummy tuck. So to answer your questions, No, it does not seem right and it would not be my standard response for this type of situation. Good luck!
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Answer: Tummy Tuck 101 Hi maria7474, I would make sure the plastic surgeon you saw is board certified and then go for another consult with someone who is for sure. A board certified plastic surgeon should certainly be able to repair stretched (not torn) abdominal muscles and an umbilical hernia. This is done so very commonly with abdominoplasty surgeries. (The muscle repair is half the reason for a tummy tuck procedure.) This is a situation that is begging for a second opinion. Without seeing you in person for an exam, none of us docs can say for sure, but this seems like a situation easily corrected with a tummy tuck. So to answer your questions, No, it does not seem right and it would not be my standard response for this type of situation. Good luck!
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September 22, 2016
Answer: Combining Multiple Procedures With a Mommy Makeover The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. Healing after a #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred. However, no lifting or straining. At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.The costs of a #Mommy Makeover will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Also, such #combined operations are often performed with our Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with Mommy Makeovers. Therefore, if you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your doctor. If your surgeon feels you are a candidate, it may be possible to add additional procedures such as those you mention. #Combining these procedures decreases anesthetics, costs, and recovery time. Most importantly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
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CONTACT NOW September 22, 2016
Answer: Combining Multiple Procedures With a Mommy Makeover The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. Healing after a #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred. However, no lifting or straining. At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.The costs of a #Mommy Makeover will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Also, such #combined operations are often performed with our Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with Mommy Makeovers. Therefore, if you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your doctor. If your surgeon feels you are a candidate, it may be possible to add additional procedures such as those you mention. #Combining these procedures decreases anesthetics, costs, and recovery time. Most importantly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
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January 3, 2016
Answer: Fix loose muscles An abdominoplasty can be tailored to address some or all of the problems that a patient may have, as long as it is not intraabdominal. Hernias can be repaired, some lower abdominal scars removed, muscles tightened, and skin and fat removed, within certain limits. From your description, I suspect you would probably need an abdominoplasty type incision with abdominal wall tightening (full undermining would be necessary) and probably a limited skin excision. Of course, a formal consultation with an experienced plastic surgeon is going to be necessary to determine what you can/should have.
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CONTACT NOW January 3, 2016
Answer: Fix loose muscles An abdominoplasty can be tailored to address some or all of the problems that a patient may have, as long as it is not intraabdominal. Hernias can be repaired, some lower abdominal scars removed, muscles tightened, and skin and fat removed, within certain limits. From your description, I suspect you would probably need an abdominoplasty type incision with abdominal wall tightening (full undermining would be necessary) and probably a limited skin excision. Of course, a formal consultation with an experienced plastic surgeon is going to be necessary to determine what you can/should have.
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February 16, 2017
Answer: Surgery for diastasis and umbilical hernia Thank you for your question. While you may not have enough excess skin for a full tummy tuck to be a viable option, the same approach (low abdominal incision) can be used to access your abdominal wall, repair your umbilical hernia, and bring your abdominal muscles back together in the midline (repair your diastasis). Any excess skin that you may have can then be removed, if necessary. Repair of diastasis, as well as that of small, uncomplicated umbilical hernias, is routinely performed by qualified plastic surgeons, as part of the tummy tuck operation. Good luck to you.
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Answer: Surgery for diastasis and umbilical hernia Thank you for your question. While you may not have enough excess skin for a full tummy tuck to be a viable option, the same approach (low abdominal incision) can be used to access your abdominal wall, repair your umbilical hernia, and bring your abdominal muscles back together in the midline (repair your diastasis). Any excess skin that you may have can then be removed, if necessary. Repair of diastasis, as well as that of small, uncomplicated umbilical hernias, is routinely performed by qualified plastic surgeons, as part of the tummy tuck operation. Good luck to you.
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