Can I have a BBL, Lipo 360 and Tummy Tuck if I had a colostomy reversal 11 years ago? (43 years old) (photos)

Question

I had Colostomy bag 11 years ago due to an sexual accident that caused me a recto vaginal fistula) so I had a temporary colostomy bag (for 3 monts)after that everything have been normal as before no problems or no complications, that only problem if that I have those ugly scars on my belly, also other scars of c section (1987) and appendectomy (2014) ,now I would like to have tt lipo 360 and bbl so i would like to know if its ok to get it done or if I'm elegible for these procedures?

Geuris Cruz Quiroz, MD · Answer

Thank you for your question. Based on the information you have shared there is no contraindication for not being effective for this type of surgery, but I recommend that you schedule a physical consultation with a certified surgeon for a better evaluation.
Good luck!

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding the possibility of undergoing a Brazilian Butt Lift (BBL), Lipo 360, and tummy tuck after a colostomy reversal 11 years ago. Based on your history and physical examination, you would be an excellent candidate for these procedures.

I would suggest starting with liposuction, particularly focusing on the abdominal wall. Following this, we could proceed with an extended tummy tuck, involving incisions made below the pubic region and the rib cage. This would allow us to address scar tissue from the colostomy, possibly remove most of the scarred abdomen evident in your pictures, and fix any hernias resulting from the colostomy.

The harvested fat from the liposuction could then be used for a BBL. This procedure could be performed either concurrently with the tummy tuck or separately, based on your preference. If you choose to stage the procedures, I would recommend performing the liposuction and BBL first, then considering the tummy tuck three to four months later.

This approach might yield superior results as more aggressive liposuction can be performed when it is not combined with a tummy tuck. For the most impactful results, I suggest a Lipo 360 in conjunction with the BBL, followed by a tummy tuck a few months later. However, if necessary, all procedures can be performed at the same time.

Thank you for your question regarding the feasibility of a BBL, Lipo 360, and tummy tuck following a colostomy.

Sincerely,
Dr. Katzen

Daniel Barrett, MD · Answer

Dear Pioneering151458,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Connie Hiers, MD, FACS · Answer

I would suggest starting with liposuction to remove the excess fat and see how much loose skin that can be gained.  Once healed, then a lower reverse tuck could be considered to try and lower the scar.  You won't be able to have a traditional tummy tuck scar unless a lot of loose skin is gained after liposuction. Just liposuction alone will be helpful to reduce bulges.

Camille Cash, MD · Answer

You should be able to have a tummy tuck, but an examination and review of your history is needed to know for sure.  Go on a few consultations with board certified plastic surgeons to hear opinions.  There are recovery considerations when determining if these procedures should be performed at one time or broken into stages.

Cengizhan Ekizceli, MD · Answer

Thank you so much for your question! Yes, you are eligible for the surgeries despite the colostomy, but for better examination especially for your back side and buttock area I will ask you to send pictures of it. Before the operation you will do several tests in our hospital in order to understand whether you are suitable for the surgery for sure or not. Take care!

Douglas Taranow, DO, FACOS · Answer

I do not do the lipo 360 with a tummy tuck. What I mean is that while I do liposuction your sides and lower back (flanks) along with an abdominoplasty procedure, I do not liposuction under the anterior abdominal flap to avoid loss of the blood supply. The BBL may be performed at the same time, just remember that you will have to sit on your buttocks post tummy tuck procedure (which affects the viability of the fat cells transferred to the buttocks.

Best wishes.
Dr. Taranow

PS: You should have a very nice looking abdomen post abdominoplasty!

Best wishes.
Dr. Taranow

PS:  You should have a very nice looking abdomen post abdominoplasty!

Darryl J. Blinski, MD · Answer

Thanks for posted photo. Your abdomen has multiple scars from previous surgeries. I offer staged TT in that I do an initial lower abdominal incision to incise the inferior epigastric vessels so the abdominal skin vascular supply is from superiorly thus giving lees complication of skin necrosis. After 1 -3 months healing then preform full TT with lipo waist, flanks, back (can not lipo abdominal areas because of previous multiple surgeries and TT lifting of skin) with BBL under ultrasound guide injections. Fee en toto $15,000. Best to virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

I see no reason why you can’t have a tummy tuck.
You didn’t include a full set of pictures so we can’t make an assessment regarding your candidacy for a BBL.
Try having a picture taken from about 8 feet away showing your body from your shoulders to your knees wearing undergarments including pictures of your front, side and back side.
Have someone else take the pictures or use the timer on your camera.
The number of procedures you’ve included it’s a bit much in my opinion to do in one session.
You can probably find providers willing to do it. In my opinion quality work that’s detail oriented takes time and to me if you want quality outcomes it is simply too much surgery to do in one session.
I’ve seen plastic surgeons do a full tummy tuck in 90 minutes and I have seen people take all day. Fast surgeons generally cut corners. 
Quality work simply takes time and a full tummy tuck is the biggest cosmetic procedure you can have.
Liposuction of your full torso with gluteal fat transfer is also a significant procedure.
Simply trying to recover without putting pressure on your bottom after having a tummy tuck is a challenge in itself.
Of the two procedures the tummy tuck is by far the most invasive and intense to recover from.
Without pictures we can’t begin to make an assessment regarding your candidacy for the BBL.
Based on the single picture included I’m guessing you have enough fat to do a proper BBL after a tummy tuck.
My recommendation would be to get a quality tummy tuck done first and then see how you feel and where things stand and if you want to move forward and have the BBL then you can do so. do you appear to have significant skin laxity of your torso and this is probably contributing more than your subcutaneous fat layer. You may want to consider discussing the possibility of having an extended tummy tuck in order to get an ideal torso contour.
An extended tummy tuck involves turning the patient during surgery and they should be made very clear well before your procedure exactly how far the extent of the procedure will be and what position you will be in during surgery.
In the end there are only two variables that matter. Patient candidacy and skill of the surgeon.
We can’t tell if you’re a candidate for a BBL but we can certainly tell you that a tummy tuck should be a good procedure for you.
Judge take me to results based on surgeons who consistently get natural looking belly buttons with a tractive central abdomens.
The second variable to look for is a very low sets car that follows an atomic contours naturally and even Leon both sides leaving the torso looking attractive balanced and appropriate from all angles including from behind.
Defined the best provider I recommend patients have multiple in person consultations.
There’s no correct number of consultations needed but I suggest most patients consider having at least five in person consultations before choosing a provider.
Ask each provider to show you examples of previous patients with similar body characteristics to your own.
As providers to open up their portfolio and show you their entire collection of before and after pictures.
Providers may be apprehensive to do this and will instead most likely prefer to show you preselected images representing some of the best results of their career.
What is baby nice and impressive it does however not tell you what average results look like or how many procedures they’ve actually performed.
As providers to show you examples of excellent outcomes, average outcomes and outcomes that did not turn out as well as they had hoped. Ask specifically what the revision rate and revision policy is. When reviewing complications ask the surgeon what the frequency of each complication is how many times it’s happened to them and how they managed the patient after.
For reference and experience surgeon should have no difficulty showing you at least 50 set of before and after pictures of commonly performed procedures like a full tummy tuck or BBL.
Delivering consistent quality liposuction and fat transfer results is more difficult than most people believe.
There’s more variation in liposuction results than any other plastic surgery procedure based on who does the surgery.
For this reason that patients should be extremely selective when it comes to liposuction and fat transfer providers.
Being board-certified and plastic surgery with an overall good reputation and years of experience does not mean that somebody has mastered liposuction or fat transfer.
When reviewing before and after pictures of BBL results look very carefully at all areas treated with Liposuction to make sure there are no skin contour irregularities in any of the treated areas. ask the providers to point out exactly what areas were treated and what areas were not treated and look carefully at transition zones between treated and untreated areas. personally I view the torso as a single anatomic unit and prefer to treat the entire torso when doing Liposuction.
By treating the entire tour so there are no transition zones between treated and untreated areas and patients are left with a natural even thin the fat distribution on their entire torso.
A full torso includes upper abdomen, lower abdomen, love handles all the way to the top of the hip dip, waist, full back and under arm (arm pit )all the way to the side of the breast.
For fat transfer results always confirm how long the after pictures were taken from the date of surgery.
Early fat transfer results can look highly impressive but do not represent final results. Fat transfer results change drastically over time and after pictures should not be taken within the first three months. Preferably after the picture should be taken at least six months after surgery. 
You should specifically confirm when after pictures were taken in reference to recovery time.
There are a substantial number of decisions to be made.
Both a tummy tuck and BBL are permanent and irreversible procedures.
You’ve done poorly it’s generally difficult to improve on the outcome.
This is especially true for liposuction and fat transfer.
In regards to doing this as a combined versus separate procedures there are opinions and arguments for doing them as combined or separate procedures. some providers also prefer to do the BBL first followed by the tummy tuck six months later.
Personally I do not like doing a tummy tuck after liposuction, liposuction creates a diffuse Nettwerk of scar tissue that does not have the natural pliability or stretching as a virgin tissue. The net work of scar tissue that’s created from liposuction limits and inhibits how much skin can be effectively removed during the tummy tuck. Some surgeons don’t think this is a significant impact but in my experience I believe it impairs the ability to get ideal outcomes from a tummy tuck procedure.
The second reason I prefer or recommend doing the tummy tuck first is because it is most likely the procedure that’s going to have the biggest impact or in addresses the issues that bother you most.
A very well done tummy tuck could give enough body contouring to leave you satisfied and not necessarily need to have a BBL.
I recommend choosing providers based on what they are known for.
This is especially true for Liposuction and for the transfer.
I suggest patients have five in person consultations to start with and consider scheduling more if needed.
You should feel very confident that you are in the hands of the best provider in your community.
Generally speaking I do not recommend people having virtual consultations and also recommend against traveling long distances for elective surgical procedures whenever possible.
Good luck,
Mats Hagstrom MD

Can I have a BBL, Lipo 360 and Tummy Tuck if I had a colostomy reversal 11 years ago? (43 years old) (photos)

Answers (9)

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