What is the risk of death with a tummy tuck?

Question

i know this sounds morbid, but i really fear death from getting a tummy tuck. what is the actual risk in terms of this?

Richard H. Tholen, MD, FACS · Answer

Published mortality rates associated with tummy tuck range from 0.02% to 0.16%. These include all causes of death for one month after surgery, with the most common one being pulmonary embolism (blood clot from legs to lungs). To put this in perspective, the death rate for elective C-section delivery is about 0.02%, with emergency C-sections having a slightly higher risk. Even a normal vaginal delivery has a death rate of 0.0067%, by some estimates.

These statistics may be misleading, however, as recognition of these risks and attempting to minimize them can reduce the likelihood of any complication, including death.

For example, in the 22 years our accredited in-office surgical facility has offered general anesthesia capability, I and one or more partners have performed about 16000 general anesthesia procedures without a single death, heart attack, or stroke. We have experienced a single (proven) blood clot which was not fatal or had any long-term consequence. We now provide active anti-embolism stockings for EVERY patient, not just those with long operations or higher risk factors. I insist on early patient ambulation, which helps keep the blood moving in the patient's extremities, and  I see almost all of my surgical patients the day after surgery (yes, even on weekends), which forces them to get up, get ready, and come to the office for recheck. We take care to keep the patient well-hydrated during and after surgery, minimize blood loss with careful technique during surgery, and in general do as many of the things possible that most plastic surgeons do to keep their patients safe.

I personally believe that inpatient hospital care after tummy tuck is a "hidden" risk factor that I avoid with outpatient surgery. My patients are not kept (immobile) in recovery for 2-3 or more hours after inhalation anesthesia, and are not put in a hospital bed with side rails and a button to push if they want a pain shot, a bedpan, or a drink of water. At home, the patient must do these things herself, and the movement and activity helps to prevent blood pooling and stasis that occurs when a patient is (un)safely and comfortably asleep (sedated) in the hospital with all of the sick patients and bad bacteria surrounding her!

So are there risks? Absolutely! Could you be "the one?" Yes. But is it likely? Honestly, in a good place with a good surgeon and staff, not really! Dr. Tholen

Eric Pugash, MD · Answer

The risk of death from abdominoplasty is very likely lower than the chances of dying in your car.

	Some patients are at higher risk of blood clots and pulmonary embolism, the usual causes of death after this procedure.

	An experienced and careful plastic surgeon will look at your medical history and take appropriate precautions. These include the use of air-driven leg compressors during and after the operation, and possibly blood thinners.

Ricardo A. Meade, MD · Answer

This is a morbid question but the odds are always good to know. I've read from 0.04% to 20 per 100,000 and other incidences. It is important to know that the deaths are predominantly from clots after surgery that start in the legs and can propagate to other parts. This is typically due to immobility and lack of proper prevention. Discuss these topics with your board certified plastic surgeon as he has likely spent a considerable amount of time thinking over this topic for you at his/her many continuing medical education meetings. There have been many recent updates on this topic. Best wishes,

Scott C. Sattler, MD, FACS · Answer

Probably the most feared fatal complication related to TT surgery is a venous thromboembolism event resulting in a massive pulmonary embolism. We take maximal precautions to prevent this complication. The use of intra-operative sequential compression boots, using them post-operatively at home, and the use of preventative blood thinners (Lovenox) after surgery have helped to reduce the rate of this complication. Shortening the surgery time for combination cases to less than 6 hours has also helped.

Otto Joseph Placik, MD · Answer

I have heard numbers ranging from 1 out of 4000 at the highest to 1 out of 40,000 at the lower end of the scale and these deal primarily with deep venous thrombosis when tummy tuck is combined with liposuction

Tom J. Pousti, MD · Answer

Thank you for the question. The best published data I can find regarding mortality rates associated with tummy tuck surgery range from 0.02% to 0.16%.   In other words, mortality rates are extremely low. The most common cause of that is related to pulmonary embolism (blood clots that moved to the patient's lungs).

Your best bet: choose your plastic surgeon very carefully; everything else including good judgment/advice/planning, anesthesia provider and safe surgery facility will follow.

This careful selection should give you some peace of mind that you will be safe around the time of surgery.

Best wishes.

Shahin Javaheri, MD · Answer

The risks are extremely low.  The people with the highest risk factors are ones who smoke, prior history of blood clots, combination with other major procedures, history of cancer, and taking higher estrogen containing birth control pills.

Kamran Khoobehi, MD · Answer

The risk of major complications and death is extremely low for the healthy patients. The combination of the full pre-op evaluation , performing the surgery in a accredited surgery center and limiting the surgery time has helped to reduce the risk.

Stephen Delia, MD · Answer

There is risk with any surgical procedure. As cosmetic body contouring procedures are all elective procedures, our goal is to minimize risk as much as possible and as noted it is quite low. Appropriate medical screening with history and physical, use of special stockings to prevent venous thromboembolic events,limiting length of multiple procedures may all help. Doing the surgery in an appropriate setting, either hospital or certified surgicenter with a board-certified plastic surgeon experienced in body contouring surgery cannot be overemphasized as well.

Steven Wallach, MD · Answer

The death rate from a cosmetic surgical procedure is extremely low, however it can happen like with any surgery. Precautions are taken with every surgery to insure the safety of our patients. Taking an appropriate medical history and properly screening patients lowers the risk.

What is the risk of death with a tummy tuck?

Answers (11)

More Tummy Tuck Questions

WE SEND PRETTY
EMAILS

Answers (11)

More Tummy Tuck Questions

6 Months Post-Op Tummy Tuck - Still Numb And Very Swollen - Is This Normal?

Any Advice on How I Should Prepare Myself for a Tummy Tuck?

Bromelain Before Tummy Tuck - Is It a Blood Thinner?

Hanging Skin 4 Months Post-Tummy Tuck

Will a c-section be hard after a tummy tuck?

How Long Should I Leave my Dissolvable Stitch Alone?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS