Can I get a Gastric Balloon after having muscle repair?

Question

I had a Full tummy tuck with muscle repair about 11 years ago and over the years I've gained some weight . what I was wondering is can I get a Gastric balloon after having muscle repair.

Babak Moeinolmolki, MD, FACS · Answer

Hello,
Thank you for your question. I would like to echo Dr. Naim and agree you may be a candidate for the gastric balloon, which I've found to be a powerful tool to initiate weight loss and a healthier, more active lifestyle for my patients. 
Best wishes,
Dr. Moein

Jerimiah Mason, MD · Answer

While it would certainly be safe (and effective) for you to have a gastric balloon placed to increase weight loss, you may also consider a newer endoscopic procedure called the ESG, or endoscopic sleeve gastroplasty.  It is also performed using a scope passed through the mouth, but in this case the functional size of the stomach is significantly reduced by suturing a large amount of it closed.  This results in a permanent reduction in the size of your stomach, and nothing has to be removed after 6 months.

Ali Solmaz, MD · Answer

Yes, you can get a gastric balloon after having a full tummy tuck with muscle repair, but there are a few things to consider. Since a gastric balloon is a non-surgical weight loss option that is placed in the stomach to help with portion control, it does not directly affect the abdominal muscles that were repaired during your tummy tuck. However, weight loss from the balloon may lead to changes in your abdominal appearance, including potential laxity in the skin or muscles, depending on how much weight you lose.
Because you had muscle repair, your surgeon may want to evaluate whether your abdominal wall remains strong and whether any weight gain has affected the results of your previous surgery. It would be a good idea to consult both a bariatric specialist and a plastic surgeon to ensure that a gastric balloon is the right option for you. They can assess whether your stomach anatomy is suitable for the procedure and whether your previous muscle repair could be impacted by further weight changes.

Mucteba Gunduz, MD · Answer

The following conditions are not advisable for an intra-gastric balloon:
Previous gastric surgery (includes any anti-reflux operation).Hiatus hernia 5 cm in size or greater.Significant coagulation disorder (blood clotting).Potentially bleeding lesion of the upper gastrointestinal tract.Pregnancy or desire to become pregnant, and breast-feeding.Alcoholism or drug addiction or significant mental health problems.Severe liver disease.Any medical / clinical reasons so you are unable to tolerate / undergo an endoscopy.
However there is no contradiction to get a gastric balloon after muscle repair

Allen T. Mikhail, MD · Answer

yes you are still a candidate for the intragastric balloon.  The only contraindication is surgery on your intraabdominal stomach.  Not your abdominal muscle.

Thanks for the question

H. Joseph Naim, MD, FACS · Answer

You are actually a great candidate. Considering that your BMI is above 30, you should be able to get the Balloon safely, and lose about 30-50 lbs with addition of diet and exercise. 
Obviously it needs to be removed after 6 months, and with what you have learned in this period, you should be able to maintain your weight.

Edgar Serrano, MD - Account Suspended · Answer

The muscle repair is in the abdominal wall, and the balloon goes inside the stomach, there is no contraindication and the balloon is safe

Pablo Garcia, MD - Account Suspended · Answer

Hello, hope you are well. Yes, it is absolutely possible to get a gastric balloon after a tummy tuck. However, you would need to be evaluated by a certified bariatric surgeon in order to see if you qualify based on your weight ad additional factors. In other words, a tummy tuck with muscle repair would not be a contraindication. Hope this answer was useful.

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