Tummy tuck without muscle tightening after Nissen Fundoplication? (Photo)

Hello,The Nissen surgery will not in anyway be affected by rectus plication. The fact you have had children makes plication a very important step in flattening your abdomen. Go visit a few ABPS certified/ASAPS member surgeons who specialize in body contouring. 

Yes, you can definitely have a tummy tuck without repairing the muscle, and I understand your concern. Based on the photos, I think you could have a really beautiful result. The muscle repair does change the tone of the abdomen (how tight it feels and looks), but the appearance with skin tightening alone will already dramatically change the contour. I love doing tummy tucks, and have done them with and without tightening the muscle, with really nice results. One side benefit of not doing the muscle repair, is there is less postoperative pain and easier recovery process, since it's the muscle tightening that gives the most soreness. Please make sure to see a board certified plastic surgeon for this type of procedure, and have a full consultation to see if you are a good candidate, and discuss all of the risks, benefits, and what you can expect during recovery and for your results. 

Based on your photos it appears that you could have a noticeable improvement with 360 degree torso liposuction and an abdominoplasty procedure without muscle tightening. Of course muscle tightening will give more dramatic results, but it's important to not impact your Nissen. 

You appear to be an excellent candida for a tummy tuck.  You wouldn't have to have your muscles tightened if you are concerned about the effects of muscle tightening on the Nissan fudoplication, especially if your muscle laxity and/or diastasis is minimal.  Please consult with a real plastic surgeon experienced in cosmetic surgeries such as abdominoplasty.Thank you.

Dear brandee101,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

Hello and thank you for your
question. Based on your photograph, you are a great candidate for a tummy tuck
with liposuction.  This can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
If you have minimal or no diastasis, then muscle plication does not need to be performed.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

I do not think that the diastasis repair would be likely to impact your Nissen, as abdominal pressures should not be significantly increased unless a very aggressive repair were done in a very thin patient. If you are adamant about not having the muscle repair, that is your choice, and your surgeon should be willing to consider this request (as long as the preference gets clearly documented).

Patients with minimal diastasis such as yourself can still expect superb results with a tummy tuck even without the muscle plication (tightening) procedure. You can have the tummy tuck to release the skin folds and remove the extra skin and dramatically your body contour and flatten your abdomen. Hope this helps!Johnson C. Lee, MD
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

I agree with the other surgeons that an abdominoplasty can be done without repairing the diastasis. I do no believe that a repair of a 1 and 1/2 finger gap would effect your Nissen-fundoplication. The excess skin and fat can be removed without tightening the muscles however you will be happier if your resting abdominal tone were supported with a repair. Have your plastic surgeon speak with your Nissen surgeon.

Hi and thanks for your question.  Yes, you can definitely have a tummy tuck without a muscle repair especially if your muscles aren't in need of repair.  If you had a lap Nissen fundoplication, that probably means you had or still have acid reflux which a muscle repair could potentially make worse.  Tummy tucks come in all sorts of modifications and techniques so it's important to do what's best for you specifically!  Best to speak to a surgeon and discuss your goals and concerns.  Best of luck!