8 weeks post. Need second surgery due to failure of tension closure of hernia. Can tummy tuck be improved at that time? (Photo)

Question

8 weeks post post op midline scar revision, with ventral hernia closure , right flank lipoma removal and lower scar revision with abdominal flap closure, umbilical float. It was supposed to be a Fleur de Lis, but surgeon did not do it. Tension sutures tore with a new umbilical hernia. Now I have to go back under. I still have quite a bit of vertical loose skin above and around/ below my umbilicus. Can a vertical incision help with the remaining loose skin? Okay with full vertical scar.

Ronald J. Edelson, MD · Answer

your lower abdominal skin can be tightened further along with lowering the scar.  It is too early to have that done and I advise holding off for six months.  Ideally it would be converted to a full tummy tuck, however if the umbilicus was floated this would not be possible.

Thomas Trevisani, MD · Answer

Your excess skin on the abdominal wall- is vertical- that means the excess is from upper abdomen to lower abdomen. Therefore, only a horizontal incision will fully address this excess skin . If you have a fully performed abdominoplasty  through a low horizontal incision accompanied by rectus muscle repair-you should get your best result.

8 weeks post. Need second surgery due to failure of tension closure of hernia. Can tummy tuck be improved at that time? (Photo)

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