Tummy tuck after surgery to remove tumor from liver? (photo)

With the v shaped scar on your upper abdomen a traditional tummy tuck could be problematic from a blood supply standpoint. The tummy tuck may need to be customized to reduce that risk. It may need to be done as a reverse tummy tuck pulling the skin up instead of down. Many different ways to work around the problem.

Your abdominal wall scar from the tumor removal cut some of the blood supply into the upper part of the flap.  If you had a conventional tummy tuck that skin would probably die.  As an alternative, you should undergo an upside down tummy tuck.  This will excise the old scar and hide the incision closer to your inframammary folds of your breasts.  However, the scar will be visible crossing the sternal area.Best Wishes,Gary Horndeski, M.D.

You must understand that the prior surgery has damaged permanently  the blood circulation of the abdominal skin and that has eliminated the possibility for you, to get a conventional Tummy Tuck. Your options are design for safety of the skin blood circulation. In my experience your only option is the Fleur de Lis which is a vertical incision in order to do a muscle repair because your muscle is very loose, most likely you have an umbilical hernia, and very saggy skin with stretch marks. The saggy mons pubic may be treated through a regular inferior incision but without undermining the skin. Liposuction Can still be done to waist and lovehandles. Be encouraged  Dr. Cárdenas 

Dear QueenLeo82,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Because of the position of the scar from the tumor removal, the blood supply during a traditional tummy tuck could be compromised.  The complications that could arise are poor wound healing, infection, and tissue death.  I encourage you to visit with a board certified plastic surgeon near you to discuss options.

The scars from your previous surgery definitely influence how you can flatten your abdomen. A Side view of your abdomen would have been very helpful to see how much your abdomen protrudes, thus requiring suturing of your rectus muscles.With all of that in mind, you need a personal consultation with a plastic surgeon for an evaluation and a plan.My first approach would probably be a liposuction to remove the excess fat plus a Renuvion, which will tighten the skin. Combining the procedures would remove the excess fat and also tighten the skin, but it wouldn't tighten your muscles, which may not need tightening. Again, you need an in-person examination to determine this.If your muscles need repairing, a reverse TT with liposuction and upper rectus muscle repair would be in order followed by a mini-TT with suturing the lower rectus muscles at a later date.Thank you for your interesting question, and good luck to you.

the abdominal incision that you have puts the abdominoplasty flap at risk from a blood supply standpoint. This means that you might have large wounds after your surgery requiring months of wound care or even possible return trips to the operating room. A solution that avoids this problem is the idea of a reverse abdominoplasty where rather than removing the lower abdominal skin and pulling down, the surgeon removes upper abdominal skin and pulls upwards to give a flatter abdomen. This would be a safer option in your case. I hope that this helps.

The presence of an upper abdominal chevron scar would pretty much rule out a traditional tummy tuck.   it would be possible to do a reverse tummy tuck utilizing the current scar and pulling up instead of down. The results are pretty good although the scar remains in a visible area.