Does the integrity of fascia impact the tummy tuck outcome?

Hello, you are ideal patient for tummy tuck surgery. You have sagging and laxity skin. In the surgery your tummy wall push down and your muscle repair inside so the fascia integrity is done. Therefore after the surgery your tummy looks more flat. It does not matter you have fatty hernia. I will repair at he same time.

Weakness in abdominal midline fascia will be corrected automatically with appropriate muscle tightening during a full tummy tuck.
As long as your hernia was small, and in the midline, it should be corrected automatically simply doing the procedure correctly.
I suggest having multiple in person, consultations with local, board-certified plastic surgeons in your community. During the consultation, bring up your medical history, including your description of facial weakness and potential ventral hernias.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. And experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Pay close attention to each providers typical results focusing on who gets the most natural looking belly button with a very low set scar that follows anatomic contours naturally and evenly on both sides, leaving the torso looking, balanced, appropriate and attracted from all angles, including from behind.
There’s no correct number of consultations needed to find the right provider. Expect there to be a significant difference in style and approach, skill and experience among each provider. The more consultations you scheduled the more likely you are to find the best provider.
For permanent irreversible body contouring procedures, I suggest patients consider having five consultations before scheduling surgery.
Best,
Mats Hagstrom, MD