Fibroid removal after Lower Body Lift? Will it damage my repair?

Question

LBL(2019)- to fix a botched TT. Since I've been diagnosd with a fundal fibroid that is comparable to a 15 week pregnancy. I'm stretched like I'm pregnant and have tenderness where my MR was. It's painful. I'm set to have a myectomy robotically next week. Will any of this ruin my muscle repair? I've heard mixed thoughts. My biggest incision will be 2.5cm. My gyno said due to previous abdominal surgeries it's more challenging but can be done.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do with fibroids after a lower body lift. I’ve encountered this problem many times in my practice. All of my patients have successfully undergone fibroid removal without lower body lift or tummy tuck revision. The incisions made for fibroid removal are very small. You must realize that the fibroid is stretching your abdomen and stretching the muscles specifically. The removal of the fibroid will remove that pressure and allow the muscles to contract and ideally, the skin as well. It is not that the surgery will ruin your results, it is that the fibroid is currently distending the muscle. By removing the fibroid, it will reduce the pressure on the muscle and reduce the pressure on the skin, thus allowing your body to heal on its own. I fully believe that you will not need any revision of your tummy tuck, or lower body lift, after your fibroid removal. Good luck and I hope this helps to answer your question regarding fibroid removal after a lower-body lift.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Daniel Barrett, MD · Answer

Dear Fierce3710,
it is hard to tell for sure without an examination. 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

James Hoyt, MD (retired) · Answer

A Lower Body Lift (LBL) is a surgical procedure commonly performed to address sagging skin and tissue in the lower abdomen, buttocks, thighs, and hips. The surgery involves removing excess skin and tightening the remaining tissues to improve body contour. On the other hand, fibroids are noncancerous growths that can develop in the uterus.
If you're considering having fibroid removal after a Lower Body Lift, there are several factors to consider:
1.) Consultation with Specialists: You should consult with both a gynecologist or fibroid specialist and the surgeon who performed your Lower Body Lift. These specialists can help you determine the best course of action based on your individual health, the size and location of the fibroids, and the specifics of your surgery.
2.) Timing: The timing of the fibroid removal in relation to your Lower Body Lift could be crucial. It's important to discuss with your doctors whether it's safe and appropriate to undergo another surgery so soon after the Lower Body Lift.
3.) Surgical Approach: Depending on the size and location of the fibroids, they may be removed using different surgical techniques, such as a myomectomy (removal of the fibroids) or a hysterectomy (removal of the uterus). The surgical approach chosen could impact your recovery and potential risks.
4.) Healing and Recovery: Any surgery carries potential risks, including infection, bleeding, and complications related to anesthesia. Combining surgeries may increase these risks. Additionally, the healing process from your Lower Body Lift may also be affected by a subsequent surgery.
5.) Impact on Results: Depending on the location of the fibroids and the extent of the surgery required, there could be an impact on the results of your Lower Body Lift. It's important to discuss your expectations and concerns with your surgeons.
Ultimately, the decision to undergo fibroid removal after a Lower Body Lift should be made in consultation with your healthcare team. They can provide personalized advice based on your medical history, current health, and the specifics of your surgeries. It's important to have a thorough discussion about potential risks, benefits, and possible outcomes before making any decisions.

Fibroid removal after Lower Body Lift? Will it damage my repair?

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Fibroid removal after Lower Body Lift? Will it damage my repair?

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