Will a tummy tuck impact pelvic floor and organ prolapse?

If you have your diastasis repaired when you have your tummy tuck, this will tighten the fascia of your abdomen and push your organs inward. If your pelvic floor is loose the organs may push more on your pelvic floor. You could check with your gynecologist about whether that should be repaired first. If your abdominoplasty is only a skin removal, I don’t believe that this would be a factor. Best wishes.

Thank you for your question regarding pelvic floor prolapse and undergoing a tummy tuck. First, I would consult with your urologist and gynecologist. If they feel you can undergo the procedure, I will consult with a plastic surgeon. If your case is mild, I do not anticipate any problem with the tummy tuck. However, if the case is moderate or severe, your case may lean or turn into, or your case may lean into a moderately severe case, the tummy tuck may exert excess pressure on the bladder and the pelvic floor. Again, I would suggest you consult with your urologist and gynecologist first, and if they give the clearance, then I would proceed to obtain the plastic surgery consultations. If not, I would proceed with what your urologist and gynecologist suggest. Perhaps, they need to repair the pelvic wall and the prolapse first and then undergo a tummy tuck. I hope this helps answer your question about what to do with mild prolapse and undergoing a tummy tuck.
If you have any more questions regarding reconstructive surgery after massive weight loss, please contact my office. Reconstructive surgeries after massive weight loss include an abdominoplasty, tummy tuck, thigh lift, breast lift, mastopexy, arm lift, brachioplasty, torsoplasty, back lift, buttock augmentation, and buttock lift. Since these reconstructive surgeries after massive weight loss, are big procedures, please seek an experienced, board certified plastic surgeon with significant experience performing these types of lifts. Do your research. Make sure they have performed at least 100 of each procedure you are considering for reconstructive surgery after massive weight loss. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.

Dear rettedgui,
tummy tuck will remove loose skin and tighten muscles but it will not affect your pelvic floor and organ prolapse. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

A tummy tuck, also known as abdominoplasty, is a surgical procedure that involves removing excess skin and fat from the abdomen and tightening the abdominal muscles. This procedure is commonly done to achieve a more toned and aesthetically pleasing abdominal appearance. While a tummy tuck primarily focuses on the abdominal area, it can have an impact on the surrounding structures, including the pelvic floor and the potential for organ prolapse.Pelvic floor muscles provide support to the organs in the pelvis, such as the bladder, uterus, and rectum. Weakness in the pelvic floor muscles can lead to conditions like pelvic organ prolapse, where these organs can shift out of their normal positions.During a tummy tuck, the abdominal muscles are often tightened, and this could indirectly affect the pelvic floor muscles to some extent. However, the impact on the pelvic floor is generally not a primary concern with a standard tummy tuck procedure. The effects on the pelvic floor are more likely to be noticed if extensive surgical procedures are performed in the pelvic region simultaneously, such as during certain forms of pelvic reconstructive surgery or combined procedures.If you have concerns about pelvic floor health or organ prolapse, it's important to discuss these concerns with your surgeon before undergoing a tummy tuck or any other surgical procedure. They can provide you with personalized advice based on your medical history and individual circumstances. If you're specifically worried about pelvic floor issues, it might be a good idea to consult a urogynecologist, a specialist who deals with pelvic floor disorders, to get a more comprehensive assessment and guidance.

Typically, the tummy tuck will have no effect on your pelvic floor and prolapse since that area is not touched with the tuck. However, in many women who have a heavy hanging pouch of skin, once that has been removed, they have some improvement with their weak floor and prolapse since less pressure is present.

Tummy tuck surgery in loves plication and tightening of the rectus abdominal muscles. This gives you a stronger core and flatter abdomen.
It does not improve pelvic floor muscles or dysfunction

If you are experiencing issues with an organ prolapse it is best to have that addressed prior to your tummy tuck. The tummy tuck itself does not address these issues but if you have a severe diastasis, the repair could impact intraabdominal pressure. I encourage you to discuss your concerns with your OB/Gyn as well as a board certified plastic surgeon.

A full tummy tuck can increase intra-abdominal pressure. This is especially true for individuals who have excess visceral fat.
Individuals with excess visceral fat typically have a bulging abdomen that requires a substantial amount of pressure to hold flat.
If your abdomen bulges then try pushing it flat with your nondominant hand and see if you can do that easily.
If you can then you probably don’t have an issue with excess visceral fat.
Another way to assess for excess visceral fat is to see if your abdomen goes completely flat when laying on your back.
If you don’t have excess visceral fat then try wearing an abdominal binder put on snuggly for a few days and see if that causes any symptoms for you.
A tightly placed abdominal binder is probably the closest you can get to mimicking what muscle tightening as part of a full tummy tuck will do.
I suggest you review with your gynecologist and discuss with plastic surgeons during in person consultations.
Best,
Mats Hagstrom MD