Can an IBS sufferer get a Tummy Tuck?

Question

After child birth, many lapyscopic GYN surgeries, including a hysterectomy, and bouts of IBS, my belly pokes out. Even with strenuous exercise and diet, my belly will not reduce. Is a tummy a safe option to regain my former slim belly?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Is not unreasonable to have a tummy tuck even if you have irritable bowel syndrome.  If your plastic surgeon is unsure about irritable bowel syndrome he or she should discuss this with your primary care physician.

Adam J. Oppenheimer, MD, FACS · Answer

Previous abdominal surgery and irritable bowel syndromes are not contraindications to the tummy tuck procedure. In many cases, the scars from previous surgeries can be replaced with a single, low bikini-type incision that is well hidden.A thorough physical examination is required to evaluate the abdomen for any hernias. Sometimes I order a CT scan to further rule this out if there are concerning findings on physical examination.The tummy tuck or abdominoplasty procedure is ideal not only in removing excess skin, but also tightening the underlying muscles of the abdomen. This is called "rectus plication" or "diastasis repair". It is essentially done by performing an internal corset with permanent sutures that bring the six-pack muscles back together in the midline. It is responsible for the hourglass waistline and drop in dress size that occurs following tummy tuck procedures.

Kenneth Hughes, MD · Answer

I would discuss this with your doctor with regard to the nature of your symptoms.  A tummy tuck would not necessarily be contraindicated.Kenneth Hughes, MDLos Angeles, CA

Ali Sajjadian, MD, FACS · Answer

Thanks for your question.In my practice, I have done many tummy tuck procedures in patients with IBS.It is highly recommended to have a through physical examination to determine if you are a good candidate for this operation.Best wishes,Dr sajjadain

Robert Najera, MD · Answer

Yes, you can still be a good candidate for a tummy tuck. Your plastic surgeon would have to examine you and make sure that your previous abdominal scars will not interfere with the "blood supply" to your abdominal skin when they pull "down" on your skin. In addition, it is important that you stop any immunosuppressive medication prior to surgery to you can maximize your wound healing.

Bill Kortesis, MD · Answer

Yes it is safe to have abdominal surgery even with IBS. This
abdominal surgery in your case is a tummy tuck and can easily be performed as
long as you are a great surgical candidate. I suggest a full consultation with
a board certified plastic surgeon to make sure you are a candidate, however
this should not alter or increase your post-operative risk and/or
complications.

Tom J. Pousti, MD · Answer

Well-controlled irritable bowel syndrome is not a contraindication to proceeding with tummy tuck surgery.  You are wise in seeking “clearance” through your gastroenterologist. Communication between him and your chosen plastic surgeon will be helpful. Best wishes.

Frederic H. Corbin, MD (license restricted) · Answer

IBS is not a contraindication to an abdominoplasty and from your description it sounds like you are a good candidate for an abdominoplasty though a full examination is needed.Dr. Corbin

Can an IBS sufferer get a Tummy Tuck?

Answers (8)