Can I have a tummy tuck with fibroids?

Question

I have 2c-sections already and want to have a tummy talk ,can I have a tummy talk with multiple fibriod inside my tummy

Leila Kasrai, MD, FRCSC · Answer

I usually coordinate the surgical date so the gynaecologist can do the fibroid surgery first and then I would perform the tummy tuck surgery.  If your gynaecologist doesn't think you need surgery for the fibroids then obviously you can have a tummy tuck.  The only reason not to have a tummy tuck first would be if your fibroids are so large that they are changing the contour of your abdomen.  In that case you should have the fibroid addressed in a separate surgery.

Kenneth Hughes, MD · Answer

Your two doctors should be able to determine this for you.  Find an expert with great reviews and before and after 
pictures.Kenneth Hughes, MDLos Angeles, CA

Adam Tattelbaum, MD · Answer

Thanks for your questionYes, you can have a tummy tuck if you have fibroids, but it would make sense to get an idea from your Ob/Gyn as to whether your fibroids are likely to require surgery. If there is a high likelihood you may want to have the fibroids taken care of first. Fibroid surgery can be taken care of after tummy tuck but it might impact your aesthetic outcome.Hope this helps.Best wishes.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question. It is possible to have a tummy tuck if you have fibroids.  You should discuss the treatment plan and the likelihood of needing future surgery with your OB/GYN.  Some fibroids require no treatment, others can be treated with endovascular ablation without surgery, and more severe ones require direct removal or hysterectomy.  If you are in the severe category, you may want to delay your tummy tuck until they have been treated or consider a tummy tuck at the same time.  Combining procedures can be done if the risk of a blood clot is managed appropriately. Best wishes..

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.You will need to speak with your gynecologist first, but yes, tummy tuck can usually be performed at the same time if you are having a hysterectomy for fibroids of the uterus. Some precautions need to be taken to reduce the slightly increased chance if infection associated with open hysterectomy and tummy tuck.To be sure what treatment is best for you, see your gynecologist and see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.

Connie Hiers, MD, FACS · Answer

Combination surgery can be done if both surgeons agree it is your best interest. If your fibroids are very large, it might be safer to stage the 2 procedures. Please check with both surgeons and let both know you wish a combination procedure.

Kevin Tehrani, MD, FACS · Answer

Depending on the size of your fibroids and the recommendation of your gynecologist, you may want to have the fibroids addressed either prior to your tummy tuck or at the same time if the surgery can be combined together. In my practice, I perform combination procedure with gynecologist for one recovery and one anesthesia. Large fibroids may decrease the degree of muscle tightening you can expect after surgery.

Mark Deutsch, MD, FACS · Answer

Thank you for your question. A tummy tuck should be fine in a patient with fibroids but you may want to consider having a combined surgery if your ObGyn thinks the fibroids need to be taken care of.

Jeffrey Zwiren, MD · Answer

As long as your uterine fibroids are not causing you to have a medical condition you should be able to have an abdominoplasty.  Check with your OB-GYN for his input.

Nicholas Tarola, MD · Answer

Thank you for your question.  I completely agree with Dr. Wendel's response.  You should visit with your gynecologist to make him/her aware of your intent to have an abdominoplasty.  The gynecologist will determine if any treatment is required for the fibroids and, if so, whether or not it is safe to have the two procedure performed at the same time.  If no treatment is required, proceed with the surgical plan as determined by your board certified plastic surgeon following a full consultation.  Hope this helps!

Can I have a tummy tuck with fibroids?

Answers (12)

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