I would like any scar tissue and extra fat taken out of my stomach area. Would OHIP would cover this?

Dear Rosie87,

Thank you for your clinical
post. It is unlikely that OHIP or the
managed health care services in Ontario will pay for a scar revision or
aesthetic contour or irregularity of your abdomen. For the frequent urination I would get your
family doctor to refer you to a urogynecologist to ensure there has been no
post pregnancy alteration to the neck of your bladder leading to stress
incontinence or frequent micturition.
OHIP would certainly cover that anatomical abnormality if it were to
have occurred.

As for the external appearance the
“muffin top” or extra tissue hanging over the scar is common when the scar has
attached the underlying muscle and retracted causing an indentation. In general, this is a amenable to several
operative possibilities. If your skin
tone is reasonable high-tech liposuction techniques such as SmartLipo of
BodyTite can remove the overhanding tissue or muffin top and a radio frequency
V dissector can be used to free the retracted scar and smoothen it. This has the advantage of being
non-excisional, minimally invasive and can be performed under local
anesthesia. A second alternative would
be to perform the advanced SmartLipo or radio frequency assisted liposuction
and then perform a scar revision or mini tummy tuck. This is usually a skin only procedure, does
not involve muscle work and can tighten your skin or reduce the overlying bulge
and flatten the tummy. If you have good
core muscle strength of the rectus abdominis after 3 pregnancies this is often
a good option as it can be performed under local anesthesia with little downtime.

If you have underlying muscle
diastasis and bulging due to rectus abdominis separation and alterations to the
belly button that appear unattractive than a full tummy tuck with a repair of
the belly button, tightening the muscles or removal of the extra skin and scar
revision would be performed. This can be
performed with a little bit of liposuction on the hips and flanks to complete
your Mommy makeover.

To find out which is your best option
visit two or three plastic surgeons in consultation and pick the team and
surgeon that gives you the most confidence.

I’m sure you’ll get an excellent
result and best of luck. To find out more, please visit the
link below. I would also suggest you visit the areas of Mommy makeover as I
have been performing cosmetic plastic surgery for 24 years and the restoration
of abdominal hip and flank contour after babies is a very common procedure.

To schedule a consultation simply
click on one of the online consultation request forms or call the number and a
SpaMedica client representative will get back to you promptly.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto