Can I have a hysterectomy and a tummy tuck at the same time?

Question

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

Semih Yildiz, MD, FEBOPRAS · Answer

A hysterectomy and abdominoplasty can sometimes be performed during the same anesthetic, but only after coordinated assessment by the gynecologist, plastic surgeon, and anesthesia team. The term partial hysterectomy is used inconsistently, so first clarify whether the cervix will remain, whether the ovaries are being preserved, and whether the operation will be laparoscopic, vaginal, or open. Suitability depends on the reason for hysterectomy, uterine size, prior abdominal surgery, expected blood loss and operative time, anemia, BMI, smoking or nicotine use, diabetes, clot history, and whether malignancy or infection is suspected. Combining the procedures avoids a second anesthetic and recovery, but it creates a longer operation and can increase bleeding, transfusion, infection, wound-healing, and blood-clot risks. The teams need an agreed procedure sequence, antibiotic and clot-prevention plan, and a hospital or accredited facility prepared for overnight observation and unexpected gynecologic findings. If the hysterectomy is complex, being done for cancer, expected to involve major adhesions or blood loss, or if your medical risk is elevated, staging the tummy tuck after recovery is usually more prudent. Ask both surgeons to document the total expected operating time, route of hysterectomy, recovery restrictions, and the reason they believe combining the operations is safer than separating them in your specific case.

Natalia Vidal Laureano, MD, FACS · Answer

Yes, it is possible to have a hysterectomy and a tummy tuck at the same time, and it has been done. However, there are a few important considerations.

A hysterectomy is considered a non clean procedure, while a tummy tuck is a clean procedure, so combining them can slightly increase the risk of infection. You're also combining a laparoscopic or robotic surgery with an open procedure, which means the overall surgery time, anesthesia time, and recovery are typically longer.

For that reason, I usually prefer to stage the procedures. Recovery from a laparoscopic hysterectomy is generally fairly quick, and about three months later, once the inflammation has resolved, the tummy tuck can be performed.

If you do decide to combine both procedures, they are typically done in a hospital setting, so you would need a plastic surgeon who has hospital privileges and can coordinate the surgery with your OB GYN. Ultimately, the best approach depends on your health, your goals, and the recommendations of both surgeons.

Leila Kasrai, MD, FRCSC · Answer

It is possible to combine these procedures based on the opinion of your plastic surgeon and gynaecologist, however it can sometimes be difficult to do so due to scheduling conflicts. Both the plastic surgeon and gynaecologist will need to be able to perform the procedure at the same place and at the same time.

Frank Agullo, MD · Answer

Yes, a hysterectomy and a tummy tuck are commonly done in the same setting, with your gynecologist doing their part and a plastic surgeon doing the abdominoplasty. The advantage is one anesthesia and one recovery instead of two.

#StayBeautiful,

@RealDrWorldWide

#StayBeautiful,

@RealDrWorldWide

Tyler Sbrocchi, MD · Answer

Hello, this is a great question. Yes this can usually be done safely at the same time depending on the reasoning for the hysterectomy and the comfort of the OBGYN and Plastic Surgeon involved. It is best to have a consult with your plastic surgeon and make sure they coordinate with your obgyn to make sure they are comfortable performing the surgeries at the same time to come up with the best plan for you.

Daniel Barrett, MD · Answer

Dear Carito29,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Manuel Diaz, MD · Answer

Helloo. Yes, in many cases it is possible to perform a partial hysterectomy and an abdominoplasty during the same surgical procedure In our practice, we work alongside a trusted gynecologist who can perform the partial hysterectomy during the same surgery, allowing both procedures to be completed in a single operative session when it is safe and appropriate.A thorough preoperative evaluation is essential to determine if you are a good candidate and to ensure both procedures can be performed safely based on your medical history and overall health.

Joseph A. Kelling, MD · Answer

Hi there,
I do believe it is safe to perform a hysterectomy and abdominoplasty at the same time and I regularly do this in my practice. I think the biggest thing to consider when combining these two operations is that it can elevate your risk of developing a blood clot (DVT/VTE/PE). You should make sure your plastic surgeon is screening you appropriately for the risk of this and they may offer you a blood thinner to decrease this risk post-operatively. I am fortunate to work with some excellent OB/Gyn colleagues that make this a possibility so make sure your OB and plastic surgeon are comfortable working with one another.

Camille Cash, MD · Answer

The quick answer to your question is yes it is possible to have a hysterectomy and tummy tuck at the same time.  The longer answer is yes but it will take some work.  You will need to have two surgeons with privileges at the same facility and their schedules will have to be coordinated so that they can perform one after the other.

Can I have a hysterectomy and a tummy tuck at the same time?

Answers (9)

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