LapBand Revision During Tummy Tuck?

My lap band was placed in Dec of '07, and it never really worked right - I had it confirmed via flouroscopy in '09 that the band itself was leaking and I needed to have it replaced. I didn't have the money for that, so I dieted and exercised on my own, using what little restriction I had from the band. To date, I've lost 110 lbs, and am now getting a full tummy tuck. My plastic surgeon recommended a colleague of his to do the band revision...has anyone encountered this? Any ideas about cost?

Doctor Answers 4

Lap Band revision while performing a Tummy Tuck

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As a double fellowship trained surgeon in both disciplines of bariatric surgery and cosmetic surgery I am in a unique position to answer your problem.  Most Lap band issues can be divided into two categories one is the intra-abdominal part of the band and one is the subcutaneous part of the band.  The majority of leak problems occur at the subcutaneous level - usually at the Port site. 

The surgery is very simple to repair the tubing and perform the tummy tuck.  In these circumstances I will also change your port to a low profile port so it will be less visible and more comfortable.  This is one of the few advantages of advance training in both discipline to be able to address these type of problems without having two surgical teams involved.

Tummy tuck with simultaneous LapBand revision

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Since you have lost 110 lbs without using the LapBand, there is probably no need to revise it.  I have performed abdominoplasties in the presence of LapBand's without difficulty.  However, if you do want to revise the LapBand (unless a complication such a stomach or intestinal injury occurs) you can do the tummy tuck at the same time.  It is very common in my practice to do open tubal ligation at the same time of abdominoplasty without increase of complications.

Best of Luck,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Combining A Tummy Tuck And Lap Band Revision

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As long as you have a general surgeon and a plastic surgeon that are willing to work together, I do not see any major problems with combining these two procedures together. It is very common to do large hernia repairs at the same time with an abdominal panniculectomy without undue problems...although your recovery will be longer than that of a tummy tuck done alone. Costs would have to be determined on an individual surgeon and facility basis.

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Combining an intra-abdominal surgery and a tummy tuck is probably not a great idea.

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In general combining an intra-abdominal surgery (such as lap band revision) and a tummy tuck is probably not a great idea as it increases the risk of intra-abdominal infection and band infection.  The risk is small but the complication severe if it happens.  In my opinion it is not worth it.  Better to keep them separate.

I am personally not aware of any plastic surgeon that combines intra-abdominal procedures and tummy tucks.  Sometimes women having C-section get a panniculectomy at the time of their C-section, which is a combination of intra- and extra-abdominal surgery.  However I would still recommend keeping them apart, unless your PS has done this several times before.



Martin Jugenburg, MD, FRCSC

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 521 reviews

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