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.

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