Possible to Have Tummy Tuck After Laparatomy?

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.

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

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.

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.

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.

Rolo,
The risks of abdominoplasty surgery in the face of previous laparotomy may be slightly higher than if you had a virgin abdomen, but they are still low.  The benefits that you appreciate in body contour and scar improvement will be great, making the risk to benefit ration relatively low.  Good luck!

You have the normal risks of tummy tuck. Depending on the scar orientation, you may or may not be at increased risk for tissue loss or wound healing problems. Your doctor can tell you more on exam.
The thing you need to know is that many people have surgical abdominal scars, and they do fine with tummy tuck. Be sure to optimize your risks by quitting smoking, get in good health, etc.
sek

The answer to your question lies in the available blood supply to the abdominal flap as well other factors like smoking ,diabetes etc.Assuming that you are a non-smoker, etc., abdominoplasty could be perfomed. Sound surgical principles must be followed with limited underming and presrvation of the blood supply. Best of luck!

Hi!
In New York City, we have seen this situation a number of times, and it is entirely safe to do an abdominoplasty after a laparotomy. You can often remove all or most of the laparotomy scar in the process.
We use a minimal undermining technique for the tummy tuck, which preserves the lymphatics, protects the blood supply to the skin, and minimizes the risk of seroma (fluid collection).