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: Do you find suturing of the abdominus rectus muscles during a cesarean section decreases the need for reconstructive surgery? Cesarean sections are for delivering babies... really not a time to perform a cosmetic procedure in my opinion. Secondly, the limited exposure of the csection incision would severely limit the plication. Good luck
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Answer: Do you find suturing of the abdominus rectus muscles during a cesarean section decreases the need for reconstructive surgery? Cesarean sections are for delivering babies... really not a time to perform a cosmetic procedure in my opinion. Secondly, the limited exposure of the csection incision would severely limit the plication. Good luck
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November 21, 2014
Answer: Plication with C-section is not a tummy tuck It is really not feasible to plicate the muscles at the time of a C-section in the way they would be at tummy tuck. First, the uterus is still enlarged so it is not possible togged the muscles tight enough. Second, the C-section exposure and the tummy tuck exposure are completely different. This is not a good idea.
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November 21, 2014
Answer: Plication with C-section is not a tummy tuck It is really not feasible to plicate the muscles at the time of a C-section in the way they would be at tummy tuck. First, the uterus is still enlarged so it is not possible togged the muscles tight enough. Second, the C-section exposure and the tummy tuck exposure are completely different. This is not a good idea.
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November 21, 2014
Answer: Muscle Plication with C-section I realize that this would seem to be ideal since you are already under anesthesia and just had your baby, but in reality it has never caught on as a procedure. For one, it increases the complication rate for the C-section since you have to undermine the abdominal skin to do the muscle tightening. Also, there is really no way to know how much muscle tightening to perform or how much skin to remove immediately after delivery. It is best to let your tissues shrink up, then have the abdominoplasty.
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November 21, 2014
Answer: Muscle Plication with C-section I realize that this would seem to be ideal since you are already under anesthesia and just had your baby, but in reality it has never caught on as a procedure. For one, it increases the complication rate for the C-section since you have to undermine the abdominal skin to do the muscle tightening. Also, there is really no way to know how much muscle tightening to perform or how much skin to remove immediately after delivery. It is best to let your tissues shrink up, then have the abdominoplasty.
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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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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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