Hysterectomy and tummy tuck at the same time?

Question

Would you recommend a hysterectomy and mini tummy tuck at the same time? Due to endometriosis a hysterectomy is my final option. After two c-sections and an ectopic pregnancy I would like to see my scars gone with a mini tuck. Thanks you for you for sharing and helping me get started down this long road.

Peter Hyans, MD · Answer

A hysterectomy and tummy tuck can usually be performed safely at the same time.  The recovery for both of these procedures is similar.  The need for 2 surgeries, anesthesia and increased recovery time are less with combination surgery, as are usually the total costs.   Make sure you talk this over with your gynecologist and plastic surgeon regarding the risks and benefits.

Austin Hayes, MD · Answer

It's a good question. Technically these two operations can be performed together safely. However, make sure that your board-certified plastic surgeon is okay with combining these procedures. Some surgeons would prefer to have your hysterectomy performed first, give you time to heal fully, and then perform a mini- or full tummy tuck during a separate surgery.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Both a hysterectomy and tummy tuck can be safely performed at the same time but realize that you are exchanging your old scars for a new one.  I would see an ASPS board certified plastic surgeon in consultation to discuss your candidacy for a mini or full tummy tuck.  Hope this helps.

Robert Heck, MD, FACS · Answer

Dear Lesley,  This can be done during the same operation but without pictures I can not comment on if you are a mini or full Tummy Tuck Candidate. Seek consultations with a board certified PS who works with your OB GYN physician and they can definitely help you through the process. Best of Luck.

Connie Hiers, MD, FACS · Answer

If both surgeons agree, then the mini tuck can be done after the hysterectomy.  I have done mini and full tucks once the gyn surgeon was finished.

James Knoetgen, III, MD · Answer

Performing a hysterectomy and a tummy tuck at the same time, also known as a combined surgery, is possible in some cases, but it depends on several factors, including your overall health, the reasons for the surgeries, and the recommendations of your medical team. Here are some things to consider:

1.) Medical Necessity: The primary consideration is whether both procedures are medically necessary. A hysterectomy is a surgical procedure to remove the uterus and can be done for various reasons, such as treating certain medical conditions like uterine fibroids, endometriosis, or cancer. A tummy tuck, on the other hand, is a cosmetic procedure to remove excess skin and fat from the abdominal area. Combining these procedures may only be considered if there is a legitimate medical need for both.

2.) Health Status: Your overall health and medical history play a crucial role in determining whether it's safe to have both procedures simultaneously. Your surgeon will assess your physical condition, including any underlying medical conditions, to ensure that you can tolerate the length and complexity of the combined surgery.

3.) Surgical Team: It's important to have a skilled surgical team with experience in both procedures, as the combination of a hysterectomy and a tummy tuck can be more complex and lengthy than each procedure on its own.

4.) Recovery: Recovery from a combined surgery may be longer and more challenging compared to recovering from each procedure separately. You should be prepared for a potentially longer hospital stay and a more extended recovery period.

5.) Risks: Combining surgeries increases the risks associated with anesthesia, infection, blood loss, and complications. Your surgeon will discuss these risks with you and help you make an informed decision.

6.) Cosmetic Goals: If you're considering a tummy tuck for cosmetic reasons and it's not medically necessary, you might want to reconsider combining it with a hysterectomy. Cosmetic procedures are generally best performed as standalone surgeries to minimize risks and optimize outcomes.

Ultimately, the decision to have a hysterectomy and a tummy tuck at the same time should be made in consultation with your healthcare team. They will assess your individual circumstances, discuss your goals and options, and help you make the safest and most appropriate choice for your situation. Always seek multiple opinions from qualified medical professionals to make an informed decision about combined surgeries.

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Hysterectomy and tummy tuck at the same time?

Answers (6)

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