Tummy Tuck Possible with Vertical Incision?

I am due to have a abdominal hysterectomy with vertical incision in a couple of month's time. I have asked about cosmtic surgery or Tummy Tuck at same time, and the consultant has said he will look at it, but not definitely agreed.

What cosmetically could be done with a vertical incision? Is it possible to have a Tummy Tuck with a vertical incision? I am worried that when they remove my enlarged uterus (looks about 6 months pregnant) due to multiple large fibroids, I will be left with lots of excess skin and saggy belly. I am also trying to lose some more weight prior to surgery as well. I've lost 30 lbs so far.

Doctor Answers 4

You would need to coordinate this with a plastic surgeon and your gyn surgeon

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If your gyn surgeon felt comfortable with the plan and if your plastic surgeon felt you were a good candidate for a tummy tuck, these could be done possibly at the same time. The advantage is that it eliminates the vertical skin scar and has only one recovery. The plastic surgeon starts the case by lifting the abdominal wall up to the level of the xyphoid thus exposing the entire abdominal midline. The gyn surgeon then comes in and can open the midline even more than when they make a scar from umbilicus down. The muscles are closed after the hysterectomy and then the tummy tuck is finished by the plastic surgeon.

Full Tummy tuck after Vertical hysterectomy

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Yes this is possible and as discussed by the other plastic surgeons, it is likely that the vertical scar could be eliminated. In the event that the vertical scar could not be eliminated, you could undergo a horizontal and vertical scar abdominoplasty also known as the fleur-de-lis abdominoplasty.

Discuss your options with a plastic surgeon as well as your gynecologist. Most are willing to work together as a team to accomplish your goals. There may be additional risks to a combined procedure such as blood loss or DVT but you sjhould discuss this with your surgeons.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Vertical scar excision with tummy tuck

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Thanks for your question -

Typically if your vertical incision is below the belly button it is likely that all or most of the incision would be removed at the time of abdominoplasty.

Results will be best if you are at your goal weight.

Find a board certified plastic surgeon and discuss your issues in depth.

I hope this helps.

Tummy Tuck at the time of Hysterectomy

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This is a good time to ask that question. If you can coordinate surgery with a plastic surgeon and your gynecologist, they can arrange to do the hysterectomy at the same time as the tummy tuck, and you will end up with a normal tummy tuck scar. Sometimes it is not appropriate to combine the operations, but if you try to coordinate the plan before hand, they should be able to agree on a scar that gives your gynecologist full exposure for the hysterectomy component of the operation, but is still a reasonable length / orientation to be fully removed in a follow-up tummy tuck.

You certainly can remove skin and tighten the muscles through a vertical scar, but this is not idea because you will not be able to hide the scar in a 2 piece bathing suit. Ask your gynecologist if they have worked with any plastic surgeons before for combined operations, and then arrange a consult with that surgeon to discuss these issues.

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.