60 yr old female, 4'10", 148 lbs - is my fascia too stretchy & nothing can be done? (Photos)

Question

I'm a 60 yr old female, 4'10", 148 lbs. Had a TT a year ago. Developed cellulitis, fluid retention, had to be opened back up. Went home with picc line, daily shots in leg. Back to surgeon after a month. Swelling, but felt great how it was looking. Started bloating at 2 month mark. Had CT scan-no hernia. Went to another plastic surgeon and bariatric surgeon. Said muscles separated again, fascia too stretchy, nothing can be done. I'm stuck with this?! I'm so sad!!

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what can be done for your abdomen one year after a tummy tuck. In regards to your specific case, I would suggest mesh supplementation. Additionally, you may want to consider insertion of mesh, as it could help anchor your abdominal wall. A large piece of mesh may be required to get your abdomen flat, possibly an 8“ x 10“ piece to get complete repair of the rectus fascia. You've come a long way from your before pictures. However, I think by inserting mesh, you will have optimal results. I hope this helps answer your questions regarding what can be done one year after a tummy tuck with fascia that is too stretchy.

Sincerely,
Dr. Katzen

Nancy de Kleer, MD, FRCSC (Plast) · Answer

I agree with you that this is disappointing, however there may still be some things you can do.

I recommend you tighten the muscle and fascia layer as much as you can with exercise to strengthen your core.  This will be a gradual process, and can help flatten the tummy.  You may want a personal trainer to assist you with finding the right exercises.

To go along with this, my second suggestion is to loose a bit of weight. The reason I suggest this, is that intraabdominal fat can make the abdomen bulge and appear bloated.

I agree that more surgery will not be helpful.

On a positive note, I do see improvement from your pre-op photo.

All the best to you,
Dr. Nancy de Kleer

Daniel Barrett, MD · Answer

Dear Sincere219028,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I'm sorry to hear of your frustrations since surgery.  If the muscle repair has failed a revision is needed in order to correct it.  If the contour is from visceral/internal fat then weight loss should improve your results.  I encourage you to visit with a board certified plastic surgeon near you for an evaluation.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about the difficulties you have experienced after your tummy tuck procedure. It's understandable that you feel sad and frustrated with the outcome.

Firstly, you might consider seeking the opinion of another plastic surgeon or specialist to obtain a third opinion. It's possible that there might be some options available that the previous surgeons have not considered.

Secondly, it may be helpful to speak with a therapist or counselor to help you process your feelings about the situation and provide some support during this challenging time.

Thirdly, you might consider exploring alternative treatment options, such as non-surgical procedures, to address the fluid retention and bloating that you are experiencing.

Lastly, it's important to remember that your worth and value are not tied to your physical appearance. You are a valuable and unique individual, and it's important to focus on self-care and self-love as you navigate this situation.

I hope this helps,
best of luck !

60 yr old female, 4'10", 148 lbs - is my fascia too stretchy & nothing can be done? (Photos)

Answers (7)

Answer: Results

Answer: Results

Answer: TT

Answer: TT

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Everything you need to know about Tummy Tuck Revision

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60 yr old female, 4'10", 148 lbs - is my fascia too stretchy & nothing can be done? (Photos)

Answers (7)

Answer: Results

Answer: Results

Answer: TT

Answer: TT

Browse related questions

Recommended reading

Everything you need to know about Tummy Tuck Revision

Our mission is to create a world where every investment in modern beauty is Worth It.