Is it OK to get a hysterectomy and tummy tuck at the same time?

Question

I am a 45 year old female with 3 kids. I have a large uterine cyst (it's benign) and my ob/gyn is recommending a hysterectomy. She will also take the fallopian tubes but leave my ovaries. I asked about getting a tummy tuck at the same time and she thought it would be OK. They would just do the hysterectomy "open" and then have the plastic surgeon come to perform the tummy tuck. What are the next steps you recommend?

Dallas Buchanan, MD · Answer

Thank you for your question. Although these two procedures could be combined from a technical standpoint, it is often not advised to combine a necessary medical procedure with a cosmetic procedure. I think that if you do combine them, you are taking on an increased risk of complications such as infection or other surgical complications. This is not to say that it cannot or should not be done, but that it comes with increased risk. Discuss this with your OB and with your board certified plastic surgeon in detail. If they think they can safely perform the procedures together and you are accepting of the increased risk of complications, then proceed. If not, then delay and stage the procedures.Hope this helps!

Rodger Shortt, FRCSC · Answer

So long as your plastic surgeon and gynaecologist both feel you are a safe candidate for surgery it is likely fine to proceed with a  hysterectomy and tummy tuck.  They will know best.  The recovery may be a bit more sore for a few days but should not change it dramatically.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I hope your surgery goes well.  It is safe to undergo a tummy tuck procedure with a hysterectomy.  Your plastic surgeon will elevate the skin from your stomach muscles which then will allow your ob/gyn to open the muscles in order to remove your uterus.  The next step would be to find a board certified, ASPS plastic surgeon who would be willing to perform this procedure and can work with your ob/gyn to maximize your result.  Hope this helps.

Tom J. Pousti, MD · Answer

Although online consultants cannot provide you with specific advise regarding the “safety” and suitability of this combination surgery for you,  the two operations can certainly be done safely for the appropriately selected patient.  Best to be as close to possible to your long-term stable weight prior to proceeding. Make sure you have chosen your surgeons carefully. Best wishes.

Richard J. Brown, MD · Answer

Yes I agree totally with that plan. You can have both safely at the same time. So consult with each respective surgeon, but the warning is that they will both need to be on staff at the same facility to have it done. Usually for it to be cost effective for you, you want to do it at an outpatient surgery center that have cosmetic fees in place because usually they are more reasonable than the hospital fees. SincerelyDrRickAZ

Is it OK to get a hysterectomy and tummy tuck at the same time?

Answers (5)