Can I Get a Mommy Make-over and Tubal Ligation at the Same Time?

The mommy makeover and tubal ligation can be performed during the same operative procedure. Once a woman decides to undergo a tubal ligation, it often represents the beginning of a new phase in their life. Not only do they want a tubal ligation, but they also want to reverse the changes in their body associated with pregnancy. This can be accomplished by performing a tubal ligation in combination with a mommy makeover. The mommy makeover includes cosmetic breast surgery, liposuction, and abdominoplasty.
When tubal ligation is added to a mommy makeover, it adds significantly to the operating room time. The procedure is usually done laparoscopically, which means that air is infused into the abdominal cavity during the procedure. This air is evacuated at the conclusion of the tubal ligation. Unfortunately, some air may be left behind, which potentially makes tightening the abdominal wall difficult. For this reason, some plastic surgeons prefer staging these procedures.
This type of procedure combination has an increased potential for complications. For this reason, patients should undergo a comprehensive pre-operative medical examination before proceeding with surgery. Make sure your plastic surgeon and gynecologist have good communication and have co-ordinated their surgical plans. With this type of approach, cosmetic results can be excellent.

These procedures are certainly done together all the time safely across the country. You should, of course discuss this with both your Gynecologist as well as your Plastic Surgeon and make sure they have worked together in the past to perform these combination procedures.

Hi there-
Generally speaking, I would not personally want to perform a tummy tuck on anyone on the day of a tubal ligation...
These are usually done laparascopically nowadays, meaning that your GYN is going to fill your abdomen with gases- which would make the tummy tuck a bit more difficult and may compromise your outcome. Further, the combination of the gas in your belly and the tightening of your muscles will increase abdominal pressure a lot and may increase your risk of blood clots in your legs... Not safe in my opinion.
I would also agree with my colleagues that it would be in your best interests to lose some weight before spending your money on a tummy tuck.

At 5'3" and 185 lbs you have a BMI of over 32 and are considered at least 40 pounds over your ideal body weight. Your risks for complications are higher including DVT with PE (fatal blood clot). Measures to diminish this risk are availalable but not without other possible side effects or complications. In addition, the cosmetic outcome would be less than ideal.

Of course, the ideal situation prior to your surgery is to
get a more height and weight proportionate situation; however, having said
that, it appears that you may benefit from the Mommy Makeover procedures of
tummy tuck, liposuction, and possibly a breast lift.It is possible to do these for a healthy
patient who is medically cleared all in the same day and to coordinate with an
OB/GYN surgeon regarding the tubal ligation. Definitely coordinate with your board-certified plastic surgeon to be
sure this is a safe option for you.

It is possible to have a tubal ligation at the time of your tummy tuck - it just requires patience and flexibility on your part in order to accommodate and schedule with two surgeons (you need an OBGYN for the tubal ligation and a plastic surgeon for the tummy tuck). In order to decrease your risk of blood clot and other complications I would recommend having two procedures instead of one for all of the things you want to have done.

There is a new procedure for sterilization,called Essure, where little coils are placed in the Fallopian tubes, plugging them up and preventing any pregnancy.  This is an outpatient office procedure that does not need an anesthetic or even a IV started.  This is a much better alternative than having a tubal ligation and all the risks associated with that procedure, I predict Essure will totally replace tubal ligation in the near future.

Once you are sterile, then you can have your mommy makeover without the worries of scheduling with an OB/GYN doctor, hospital, insurance, costs, etc.

Good Luck!

Although a tummy tuck can be performed at the same time as a tubal ligation, you would need the cooperation of two completely separate surgeons. A plastic surgeon or cosmetic surgeon will perform the tummy tuck, and an obstetrician will handle the tubal ligation.

This isn’t impossible, although as others here have stated, coordinating these efforts can be challenging sometimes. Keep in mind that if you have a target weight you’d like to reach, that should happen before your tummy tuck appointment as well. Losing weight after a tummy tuck may cause unwanted skin laxity, and subsequent weight gain will likely mask your body contouring results.

I would stage the procedures and have them performed in different settings and at different times. You will have a better result with some initial weight loss

Thank you for your question.

In general, having these procedures performed at the same time is possible.  I would encourage a conversation between your OBGYN and Plastic Surgeon to make sure everyone is on the same page.

Also, making sure that you are at your lowest, most stable weight prior to the surgery will help get you the best results.

Best Wishes!