Can I do diastasis recti & hernia repair & A to B cup breast augmentation in 1 surgery?

Question

Can I do all three in one surgery? I believe I have a small umbilical hernia. I do have decent three finger ab separation, rib to pubic bone, it's deep, three knuckles. I'm debating a very small boob job. I'm a tiny 36a, and I'd only want a small B. I don't want a boob job, but my husband would really like me to get one. Help with some minimal sagging after breastfeeding all our kids.

Gianfranco Frojo, MD · Answer

Yes, this is a frequent combination of procedures. I recommend limiting general anesthesia to 6 hours or less.

Brian K. Reedy, MD · Answer

Hi & thanks for your question.
Schedule a consultation with a board certified plastic surgeon to discuss your options and to be evaluated. Best wishes!

Daniel Barrett, MD · Answer

Dear randomstuff088,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Robert M. Wald, Jr., MD · Answer

Yes, you can do all 3 surgeries at the same time. You will have to see your plastic surgeon to discuss this and make sure they are comfortable doing all this at one time. I would also recommend a abdominal ultrasound to evaluate your hernia.

Brian Bassiri-Tehrani, MD · Answer

This is a great question. The short answer is: yes. 
Doing a tummy tuck with hernia and diastasis recti repair with a concomitant breast augmentation is a feasible and safe operation to have at one time presuming you are in good health and your plastic surgeon deems you are a good candidate. An important question to consider is if you are thinking of having more children in the future, as the pregnancy related changes to skin and muscle (diastsis recti and hernia) may recur after another pregnancy and future breast feeding. It is also important to understand the risks and benefits from the procedures in one stage. This means understanding the risks of having a longer surgery and being exposed to anesthesia for a longer period of time (increased risk of blood clots, longer recovery and pain after surgery). The benefit is that you have multiple areas treated at once without having multiple surgeries to address multiple areas. Lastly, it is important to think if you yourself are interested in moving forward with the breast augmentation and that you are doing the surgery for yourself, not for your husband.

Miguel Mota, MD · Answer

Yes. This can all be done in at once on qualifying patients. It is essentially a mommy makeover. But, in order to confirm that you qualify for these procedures, a surgeon would need to evaluate your medical history and physic. You can post a follow up question with photos if you like. For a more specific answer.

In any case, your mommy makeover would be a tummy tuck (which should always include muscle repair), plus umbilical hernia repair and breast augmentation. This is very doable and if you like this can be combined with liposuction as well.

Best of luck, 
Dr. Miguel Mota

Jonathan Heistein, MD · Answer

Yes, as long as you are in good health, doing these procedures together should not be a problem.  It is very frequent that we do multiple procedures in one surgery, which makes it very convenient for our patients.  Best of luck!

Zoran Potparic, MD · Answer

Generally speaking, abdominoplasty, small hernia repair and diastasis recti repair, are procedures that are done tougether when indicated. Only on the basis of in person evaluation, surgeon could give you more detailed answer. Breast augmentation with small implants, 200-250 ml. range, could be added to these. Hope this helps.

Scott W. Vann, MD, FACS · Answer

Umbilical hernias are fixed by repairing the diastasis rectus all the time. A breast augmentation could be added without any problem. However, you need to decide for sure if you actually want a breast augmentation. You and your husband need to have a discussion, but this is your body and you get the deciding vote. Good luck.

Connie Hiers, MD, FACS · Answer

I would suggest meeting with a board-certified plastic surgeon, being examined, and discussing your options and what can be done safely in one surgery.

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