Cosmetic Surgery Tips

tummy tuck with a hysterectomy

A tummy tuck with hysterectomy is a surgical procedure that removes excess skin and fat from the abdomen, tightens the muscles of the abdomen, and strengthens the abdominal wall. This surgery can be performed as a stand-alone procedure or in combination with other surgeries such as breast lift, breast reduction, or vaginal repair.

The procedure is typically performed under general anesthesia in an outpatient setting and takes about two hours to complete. After surgery, patients are encouraged to walk around their hospital room and return home when they feel able to drive. Most patients are allowed to resume normal activities within two weeks after surgery.

When you’re a woman, one of the most important things you can do is take care of yourself. That’s why we’re so excited to share with you our newest blog post: a tummy tuck and hysterectomy package. These two procedures are often performed together because they both focus on the same area—your abdomen—and have similar goals: to give your body a more youthful shape and improve your overall health.

With this package, we’ll help you achieve the results you want by removing excess fat from your abdomen and tightening up your abdominal muscles! In addition, we’ll remove any scarring from previous surgeries or injuries. By removing all of these excess tissues, you’ll look slimmer and feel more confident than ever before!

What’s more? We’ll also perform a hysterectomy on you during your procedure so that you don’t have any future worries about getting pregnant or having children!

tummy tuck with a hysterectomy

It’s a common misconception that you must have a hysterectomy before you can have a tummy tuck. While it’s true that some women do choose to have their uterus removed before the procedure, this is not an absolute requirement. In fact, there are many reasons why you might not want to get rid of your uterus (which we’ll get into later).

The first step in deciding whether or not you should undergo a hysterectomy with your tummy tuck is considering what kind of surgery you’re looking for. If all you want is a smaller waist and flatter stomach, then it’s possible that your doctor might be able to perform the procedure without taking out your uterus. However, if you’re looking for a more dramatic change—one that will lift and tighten your entire midsection—then it’s likely that removing your uterus will be necessary.

Another factor to consider is whether or not having a hysterectomy would impact any other aspects of your life in an adverse way. For example: if having children is important to you, then giving up your ability to reproduce could be problematic; likewise, if having children isn’t important but having sex is, then losing sexual function could cause concern.

Hysterectomy Can Be Safely Combined With Cosmetic Surgery for ‘Hanging Abdomen’

For women undergoing hysterectomy, removal of “hanging” abdominal fat and skin—a cosmetic procedure called panniculectomy—can be performed at the same surgery without increasing the risk of complications, reports a study in the September issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

“This is among the best evidence to date regarding 30-day risk profiles, and the data suggests that the complication rates are comparable for patients undergoing combined hysterectomy and panniculectomy versus hysterectomy alone,” comments lead author Dr. Antonio Jorge Forte. “In other words, patients may elect to benefit from the convenience of multiple procedures in a single stage associated with the peace of mind of documented safety.” The research was performed at Yale School of Medicine; Dr. Forte is now at the Mayo Clinic, Jacksonville, Fla.

No Increase in Complications When Adding Panniculectomy to Hysterectomy

Hysterectomy, or removal of the uterus, is among the most common surgical procedures. With the US epidemic of obesity, many women scheduled for hysterectomy are also obese. Dr. Forte explains, “When the obesity is so pronounced that the patient develops a pannus, or ‘hanging abdomen,’ she may become interested in getting rid of the hanging abdominal skin/fat in addition to the original removal of uterus.”

A national surgical database was used to identify more than 25,000 women who underwent hysterectomy between 2005 and 2012. Of these, 174 underwent panniculectomy at the same operation. Thirty-day complication rates were compared for matched groups of women undergoing hysterectomy plus panniculectomy versus hysterectomy alone.

Patients undergoing hysterectomy plus panniculectomy were more likely to be obese, to have diabetes, and to have a history of heart or lung disease. Median surgical time was twice as long in the combined surgery group: about four hours, compared to two hours for hysterectomy alone.

Overall, women undergoing hysterectomy plus panniculectomy had a higher rate of blood clot-related complications called venous thromboembolism (VTE): three percent versus one percent. Women in the combined group were also more likely to stay in the hospital for three days or longer: 48 percent versus 29 percent.

But when comparing the matched groups of patients with similar characteristics, the researchers found no significant difference in VTE risk. There was also no difference in wound complications, surgical site infections, medical complications, or total complication rate.

“The significant differences in complications initially identified in our unadjusted analysis were not found after matching patients from both groups,” Dr. Forte emphasizes. “This highlights the critical importance of patient selection for avoiding complications in combined procedures.”

However, the difference in length of hospital stay remained significant. Women undergoing hysterectomy plus panniculectomy were twice as likely to spend at least three days in the hospital.

At some hospitals, plastic and gynecological surgical procedures are commonly performed together. But some surgeons may be concerned that performing panniculectomy and hysterectomy together might increase the risk of complications. Few previous studies have evaluated the safety of this combination of procedures.

The new study supports the safety of this combined approach. “Our study indicates that there is a similar complication rate between women who chose to undergo a combined panniculectomy and hysterectomy as compared to those who had hysterectomy alone,” says Dr. Forte.

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