I had a tummy tuck a year ago. Three months ago I was rear ended by a car going 55mph. Since then I've had pain and a lot of muscle spasms along with a bulge below my belly button. Due to insurance, I had a surgeon switch. The new surgeon says it's NOT accident related, though none of this was before the accident?? He also wants to do the whole operation over with added lipo (which will cost me $$ out of the pocket). I don't think this sounds right. Any advice, please?
Car Accident 1 Year Following TT- Bulging, Muscle Spasms
Doctor Answers 4
Auto accident and tummy tuck impact.
A year after a tummy tuck, the abdominal tightening is well healed. A car accident is very unlikely to cause any "bulging" from the abdomen. If you truly have abnormal bulging, the recommendation would be to see a general surgeon to evaluate for a possible ventral hernia. These bulges are commonly evaluated with a CT scan. If a symptomatic ventral hernia does exist, this may be covered by insurance depending upon your policy coverage. Not sure how an insurance switch would necessitate a new plastic surgeon when a tummy tuck is never covered under insurance as it is a COSMETIC procedure.
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Tummy tuck repair after auto accident
One year after a tummy tuck your abdomen is soundly healed and it is unlikely that an auto accident could alter your results. The muscle spasms makes sense, and if there is a bulge then a CT scan of the abdomen will confirm if the bulge is related to a ventral hernia. The advice of 'do the whole operation over with lipo' sounds like a red flag to us, and we suggest other opinions.
Best of luck,
Abdominal bulge following tummy tuck
Tummy tuck is a cosmetic procedure and never covered under medical insurance. It would be difficult to imagine a car accident 9 months following the procedure having an impact on the fascial repair ("muscle tightening"), however if your original surgeon has post-operative photos confirming your post-operative appearance prior to the accident, you may potentially have a claim against the auto insurer.
If you originally had a hernia repair as part of the procedure, the hernia may have recurred, and repair of the hernia should be covered by your medical insurance.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board-certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
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Doing a Re-Do Tummy Tuck under Insurance Coverage
A Tummy Tuck is a Cosmetic operation. An operation done to improve appearance NOT function. No insurance company that I am aware of would knowingly pay for a cosmetic operation and the vast majority of Plastic surgeons are not willing to risk their integrity and potentially much more by lying to insurance companies to get such cases approved.
Your surgery MAY be partially paid by your insurer if you have a VENTRAL HERNIA (the presence of an weakness in the tummy wall and the slippage of intraabdominal contents through this opening). If you get your PCP to order either a CT scan or a MRI and IF such a study proves that the bulge is a ventral hernia not the recurrence of your pre-Tummy Tuck pooch, then correction of the hernia MAY be covered subject to your insurance plan. You can readily see just how many "IFS" the answer has. If you want to go the way of insurance, you will need to first prove to them you have a "covered benefit". If you want the pooch flattened without that hassle, you will have to pre-pay your Plastic surgeon to have a revision Tummy Tuck.
Dr. Peter A Aldea
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.