Possible to Have Tummy Tuck After Laparatomy?

Question

I had a laparatomy 13 years ago, and am now considering having a Tummy Tuck. What are the risks?

David Rankin, MD · Answer

You can have a tummy tuck after a laparotomy, however, you need a physical exam done by your plastic surgeon to determine if there are any hernias present. These can be fixed at the time of the tummy tuck if necessary. A significant portion of your scars can actually be removed during your surgery and any muscle herniation/laxity can be fixed. I really like treating patients that have had prior surgery because often times the results are outstanding.

J. Timothy Katzen, MD, FACS · Answer

Hello,
Thank you for your question about the possibility of having a tummy tuck after undergoing a laparotomy 13 years ago. It's good to know that a previous laparotomy doesn't automatically rule out the option of a tummy tuck, but there are important considerations to take into account.
The key factors your plastic surgeon will need to evaluate include the reasons for your original laparotomy, what was discovered or treated during that procedure, and whether any mesh was used to repair defects in the abdominal wall. This information is crucial as it will inform your surgeon about the structural changes and potential challenges that might impact a tummy tuck.
It's essential to thoroughly discuss your surgical history with your plastic surgeon, including showing them the scars from your laparotomy. There are various incision patterns for laparotomies, such as horizontal, vertical, or Chevron, and each has its implications. One significant concern with prior abdominal surgery is the potential impact on blood flow in the area, which is a critical factor in healing post-tummy tuck. However, experienced plastic surgeons are often adept at navigating these challenges and can modify their surgical approach accordingly to ensure a successful outcome without compromising blood flow.
In conclusion, while a prior laparotomy presents certain challenges, it doesn't necessarily preclude you from having a tummy tuck. Consult with a qualified plastic surgeon who can evaluate your specific circumstances and provide a tailored approach to your tummy tuck procedure.
I hope this information has been helpful in addressing your concerns about undergoing a tummy tuck following a laparotomy. Wishing you the best in your consultations and potential surgery.
Good luck.
Sincerely,
Dr. Katzen

Robert W. Kessler, MD, FACS · Answer

You can certainly have a tummy tuck after a laparotomy and depending on the placement of you incision you may be able to remove most if not all of the scar.The main concern for the plastic surgeon will be the possibility of small hernias which may have developed in the muscle closure from the laparotomy. Blood supply of the skin is also a concern as it has been altered by your previous surgery. Each of these can be dealt with easily by a board certified plastic surgeon
Good luck and enjoy your new contour.

Armando Soto, MD, FACS · Answer

Hi there-
As long as you don't have any hernias, or your plastic surgeon is comfortable repairing any hernias you have, your previous history of abdominal surgery should not prevent you from having a tummy tuck.
It is very important that you find a surgeon certified by The American Board of Plastic Surgery- after a review of your goals, an exam, and a discussion of your options, they'll be able to best advise you on the procedure of choice for you.

W. Tracy Hankins, MD · Answer

As laparotomy usually involves a vertical midline scar and this area is undermined to tighten the rectus fascia, there is minimal increased risk to the procedure.  That said, there is sometimes a need to revise the vertical scar if it tethers when the skin is pulled inferiorly.

Possible to Have Tummy Tuck After Laparatomy?

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Possible to Have Tummy Tuck After Laparatomy?

Answers (9)

Answer: Tummy Tuck after other Abdominal Surgery

Answer: Tummy Tuck after other Abdominal Surgery

Answer: Laparotomy usually involves a vertical midline scar

Answer: Laparotomy usually involves a vertical midline scar

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