Can I get a Tummy tuck if I have a permanent colostomy? I have a big apron that hangs over after 100 pound weight loss.

Congratulations on your weight loss.  I would obviously assume when you mention that it is permanent, there is no reversal in the future, therefore that is not an option.At times with the weight loss it does make it more difficult with the application of the appliance and leakage can occur which may be a big problem.  A panniculectomy or tummy tuck is certainly possible and I have done this before in the past.  The procedure would have to be done in combination with a colorectal surgeon for relocation/revision of the colostomy.  This is not a common procedure but it can be done.  You would need to be evaluated by a board certified plastic surgeon that feels comfortable performing this procedure for you.Good luck.

Thank you for the question. Consultation with a board certified plastic surgeon is very important. It is difficult to answer this question having not examined you. However, I would not recommend manipulation of colostomy during an Abdominoplasty or panniculectomy procedure. It is best to discuss with your colorectal surgeon if it is possible to reverse it. If so you can stage the tummy tuck procedure. If that is not possible than the plastic surgeon would have to discuss with the colorectal surgeon if it can be moved. Either way it is a complicated issue so it is best to set up a consult. Good luck.

The presence of a colostomy significantly increases the risk of post operative infection after tummy tuck. From your description, removal of the skin from the lower abdomen can be done but this is called a panniculectomy. This can improve the aesthetics of the abdomen but is not a tummy tuck. Even this procedure will have a higher risk of infection in the presence of a colostomy but is a more reasonable approach to contouring your abdomen.Seek out a board certified plastic surgeon for a formal consultation to provide a more in depth evaluation of your abdomen.Good luck and I hope this was helpful.