There is debate amongst obstetricians whether the separated abdominus rectus muscles should be reapproximated and sutured during closure of a cesarean section. As cosmetic surgeons, do you find suturing affects the need for future surgeries to repair hernias, etc or for elective tummy tucks?
Answer: C Section and Repair of Muscles The most important thing is a safe delivery and recovery from a C section. The uterus is too large at the time of delivery to tighten the abdominal muscles significantly. A C section incision is too low to allow access to the rectus muscles up past the belly button and it would be unwise to lift the skin to attempt this. It is best to fully recover from childlbirth and plan a Tummy Tuck for when you are finished having children.
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Answer: C Section and Repair of Muscles The most important thing is a safe delivery and recovery from a C section. The uterus is too large at the time of delivery to tighten the abdominal muscles significantly. A C section incision is too low to allow access to the rectus muscles up past the belly button and it would be unwise to lift the skin to attempt this. It is best to fully recover from childlbirth and plan a Tummy Tuck for when you are finished having children.
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November 21, 2014
Answer: suturing the rectus fascia during cesarean section It would be difficult for plastic surgeons to answer this question. We certainly see women who have stretched out fascia after childbirth. This leads to a lower abdominal "pooch" which they don't like. Gynecologists could sew the fascia but that would require that they elevate the fascia all the way up to the bellybutton from the low transverse incision and a typically would not want to do that nor was they get paid for it by an insurance company. It would also increase the risks of the cesarean section with possible need for drains and wound problems. The other half of the problem is that the loose skin that is left is frequently the major problem rather than the fascia. In the absence of dealing with the loose skin, patients would likely still be disappointed in the results. Almost everyone needs skin removed. Not everyone needs their fascia tightened.
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November 21, 2014
Answer: suturing the rectus fascia during cesarean section It would be difficult for plastic surgeons to answer this question. We certainly see women who have stretched out fascia after childbirth. This leads to a lower abdominal "pooch" which they don't like. Gynecologists could sew the fascia but that would require that they elevate the fascia all the way up to the bellybutton from the low transverse incision and a typically would not want to do that nor was they get paid for it by an insurance company. It would also increase the risks of the cesarean section with possible need for drains and wound problems. The other half of the problem is that the loose skin that is left is frequently the major problem rather than the fascia. In the absence of dealing with the loose skin, patients would likely still be disappointed in the results. Almost everyone needs skin removed. Not everyone needs their fascia tightened.
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