Combine cesarean section with abdominoplasty ?

This is an interesting idea that, to my knowledge, still enjoys certain pouplarity in the United States.

The idea sound appealing, because the concept is to use the cesarean incision to perform the abdominoplasty in one go. Nevertheless, our  experience with combining a ceasarean with abdominoplasty in the same session is slightly controversial. It may be done, but the  rates of certain complications are , although not uniformly confirmed in scientific literature, slightly raised.

Especially the incidence of seroma, which is a fluid collection and not an uncommon finding after abdominoplasty , is slightly raised. Nevertheless seroma is ususally not a grave issue after abdominoplasty and succesfully managed conservatively in most cases.

For certain patients with very large birth weightsthe combionation is still be an option, because their muscle distension seems to be quite extensive.

On the other hand, scientific literature clearly opines that there is no higher incidence of grave complication such as deep-vein thrombosis when perfoming an abdominoplasty together with a cesarean section.

Whether to the tummy tuck together with the cesarean section or not is something that I indivisually discuss with my cooperating gyneoclogist depending on each individual case. It is, and will remain a controversial topic in the future, and best restricted to patients who have finished their family planning. Classical abdominoplasty complications, especially seroma, are definitely raised in comparison to sole abdominoplasty.

Read more about abdominoplasty here.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surgeon
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Dr.Ramin  Pakzad, Consultant gynecologist , Director, Clinica Banus, Marbella, ,Spain, Clinica GynBanus Marbella

Can abdominoplasty and hernia repair be done in one operation ?

They can and they normally should.

A lot depends on the extent of the hernia, and BMI guidelines for repairing larger hernias together with a tummy tuck a normally somewhat stricter.

Case example patient after massive weight loss, abdominoplasty and hernia repair

The scar shown is the most frequently used extended cesarean type.

The postoperative picture shows the appearence 5 months post op and does normally face much further in the follwoing year.

The scar should ideally be located as low as possible.

Especially in patients seeking abdominoplasty  after bariatric surgery (gastric band) it is not uncommon to also find hernias of varying sizes, mostly umbilical hernias which can be repaired together with the abdominoplasty (tummy tuck) without problems.

In some cases, and larger hernias, I use the deepithelialised dermis of the resected skin as a kind of natural mesh (so called coriumplasty) to reinforce the abdominal wall.

If hernia repair and abdominoplasty is done together, this may lead to a slightly raised risk of serome (fluid collection). This is not a grave compliacation but nevertheless happens more often after beformentioned combination.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surgeon
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Before and after pictures abdominoplasty (tummy tuck)

Abdominoplasty, or “tummy tuck” continues to be a very sought after, but also very frequently misunderstood operation. In my practice I do still frequently see patients who seem to be of the opinion that abdominoplasty is a weight loss operation which it is absolutely not, but should rather be labelled as a body reshaping operation.

We do here case examples of abdominoplasty surgery out of our practice:

Patient after substantiative weight loss

Rectus muscle laxity

Lax skin with stretchmarks

Diet resistant fat deposits (love handles)

Result after abdominoplasty

Rectus muscle plication

Liposuction flanks (love handles)

6 months post surgery

We do also frequently combine abdominoplasty (tummy tuck) with breast surgery

Patient with weight loss

Sagginess of breasts

Rectus muscle diastasis

Lax stretched skin

Result

Abdominoplasty (Tummy tuck)

Together with reast uplift and augmentation

Inverted T-scar with subglandular implants

Liposuction flanks

For more information on abdominoplasty, please visit our homepage www.cirumed.es.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es