Is a mommy makeover a possible option for me? Does my gall bladder scar make a tummy tuck more challenging? (photos)

Unfortunately, you have not told us your height, just your weight. Depending on your BMI, you may or may not be a good candidate for surgery. In terms of your breasts, I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. In terms of the abdomen, the previous gall bladder scar does make the situation for a tummy tuck more difficult. The skin underneath the scar may turn black and die after a tummy tuck. However, I would recommend you lose weight before considering a tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Hello @alexistrav, thank you for your question and showing your pictures. I suggest an extended lipectomy with muscle plication from the first branch of the line to the end, that is, up to the pubis. You could also have a liposculpture to improve body shapes and harvest fat to make a fat injection in the buttocks with micro seeding not so much to generate more volume but to lift the base of the buttocks. For improving the breast consider breast lift through the nipple and an inverted J incision with fat transfer. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

The gallbladder scar affects how the skin of the tummy will get blood and nutrients after tummy tuck, so it can limit how much skin can be removed from your tummy. Based on your photos, your abdomen does bulge outward like you are pregnant as you mentioned. You would need an exam on whether that is related to spreading of the muscles (diastasis) or fat inside the abdomen. If you have significant fat inside the tummy and the previous scar limits the amount of skin removal, you may not have a completely flat stomach even after tummy tuck surgery. The fat inside the tummy can be reduced with weight loss.

Dear alexistrav,
generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery.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

Thank you for your question. Gallbladder scars certainly increase the risk of complications. That being said, I have performed dozens of tummy tucks on patients who have the exact same scar as yours with excellent outcomes and very few complications. Best wishes to.

The scar you have is in a position where it can compromise the blood circulation to the skin below it, which is the skin that would move to the lower abdomen with a tummy tuck. So yes there are risks, but I have done it successfully. your surgeon may require having the option to do it in stages.

With the gall bladder incision, you can safely have a minituck to pull in your lower abdomen. You might also add liposuction to remove excess fat to your upper abdomen.

hi dear, I hope you are ok, according to your photos, you are a good candidate for tummy tuck with muscle repair, due your high percentage of body mass you are not a candidate for a mmo, my recommendation is to wait for a second round of surgery to work on your breasts as your health is the most important thing for us.

Yes! You can get a tummy tuck with a gallbladder scar like you have. However, it is worth noting a few things:1. Cuts change the blood supply of your abdomen. Blood supply is crucial to healing. Because of this, I limit the surgery and reduce the complexity of the tummy tuck I perform. For instance, the liposuction I perform at the same time is minimal compared to my standard tummy tuck. 2. Your diastasis appears to be holding a significant amount of content. It looks like you also might have a hernia in your belly button. I know you state you are comfortable in your own weight, but some weight loss might be necessary prior to fixing your diastasis. Intra-abdominal fat cannot be addressed except through weight loss.
Good luck!

I’m guessing you probably have a pretty high percentage of visceral fat and for that you need to lose some weight in order to be a good candidate for a full tummy tuck.
The Domino bulging it’s a combination of muscle separation and excess visceral fat.
Visceral fat can only be reduced through weight loss.
Without prior reduction of excess visceral fat your abdomen will still bulge after the tummy tuck.
One way to assess visceral fat and to know when you’re ready to have a tummy tuck is to lay on your back and see if your abdomen goes completely flat. If it does it means the visceral fat has been reduced sufficiently.
You can have a consultation but not every plastic surgeon differentiates between visceral fat, muscle separation, subcutaneous fat and skin laxity, the four variables that determine what someone’s belly looks like.
To me it looks like you need to lose more weight first
Best,
Mats Hagstrom MD