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