Thank you for your question regarding a tummy tuck after an ileostomy or colostomy. Yes, tummy tucks can be performed on patients who have had an ileostomy or colostomy, but timing is critical for safety and optimal results. Generally, most plastic surgeons recommend waiting at least 6-12 months after an ileostomy reversal before considering a tummy tuck. This waiting period allows the abdominal tissues and muscle layers to fully heal, reduces the risk of complications, and ensures the skin is stable for the procedure. During this time, scar tissue from the ileostomy surgery can also mature, which is important for minimizing the risk of any surgical challenges during the tummy tuck. If your ileostomy is still present, it’s also possible to perform a tummy tuck while leaving the ileostomy in place, but this requires careful planning. It’s essential to work with a plastic surgeon experienced in operating on patients with ostomies to ensure the best approach for your unique needs. For either scenario, a thorough consultation with both your plastic surgeon and your colorectal surgeon is essential to establish the best timeline and approach for your specific case. Sincerely, Dr. Katzen