Tummy Tuck: Prices, Photos, Reviews, Info, Q&A

Assuming the hysterectomy is not for cancer, then an abdominoplasty is often performed at the time of the gynecological procedure. This should be coordinated between your two surgeons and provisions should be made to cancel the abdominoplasty in case any unforeseen problems occur with the hysterectomy such as significant bleeding.

There is an slight increase in the risk of deep vein thrombosis and pulmonary embolism when combining abdominoplasty and intrapelvic procedures so preventive measures to reduce this risk should be included by your plastic surgeon. This includes early ambulation and sequential compression devices.

Some surgeons will advice low dose heparin or other anticoagulative therapy. The relative risk of bleeding versus DVT must be assessed by your surgeons. Your plastic surgeon may advise against the use of binders normally placed after abdominoplasty and that might contribute to increased intra-abdominal pressure and increased risk DVT.

Hysterectomy and tummy tuck before

I have performed many such combination procedures without adverse effects as have many other plastic surgeons. However, both of your doctors need to be comfortable with the other’s requirements. (Robin T.W. Yuan, MD, Beverly Hills Plastic Surgeon)

You will need to thoroughly discuss with your gynecologist and plastic surgeon to determine if they feel you are a reasonable candidate for both operations to be performed at the same time. Your safety comes first!

Assuming that you are in good health and your surgeons agree to perform the hysterectomy and tummy tuck in tandem, you will need to do your homework to determine whether it is cost effective.

There are many variables involved such as insurance versus out of pocket expenses for the surgeon’s fee, facility fee, and anesthesia fee. (Stephen A. Goldstein, MD, Englewood Plastic Surgeon)

Hysterectomy and tummy tuck after

There is a higher risk of embolic events (potentially moving blood clots) shown in some studies. It also can be hard to determine how much of the laxity of the abdominal wall muscle will tighten on its own given a wait. I have always figured I could do them safer and tighter if the operations were separated by at least a few months. In my neck of the woods, the discrepancy between the insurance and cash rates available for operating room time has stuck some patients with a huge bill.

Hysterectomy and tummy tuck operation

Some hospitals have a hard time assigning a reasonable cash rate to the tummy tuck. As I do my tummy tucks in a Surgical Center, there are no billing irregularities. Hospitals are usually not so inexpensive on cash business. They make up for their losses in the emergency room on the backs of their cash clients. Just beware of the risks and proceed with caution. (John P. Di Saia, MD, Birmingham Plastic Surgeon)

If you are healthy and a good candidate for an abdominoplasty (tummy tuck), you can certainly have both procedures performed together. It makes sense and will keep costs down as well. (Michael S. Beckenstein, MD)

The hysterectomy and tummy tuck

As long as you are healthy and your surgeons work together, combined procedures (such as a mommy makeover) make sense from a financial standpoint as well as the recovery aspect. Longer times under anesthesia do increase risks, so be sure that you have all of these explained to you. I do not perform elective operations that are expected to last more than 6 hours, as I feel this is a safe time limit. A tummy tuck and hysterectomy for most patients and surgeons should be around 4 hours and is relatively safe.  (Michael A. Bogdan, MD, FACS, Dallas Plastic Surgeon)

Combining procedures should not be taken lightly. However, this is an ideal time to have a tummy tuck if you are a good candidate. You have to discuss with both your gynecologist and plastic surgeon about the risks involved and recovery expected. There is some cost savings with combining the two procedures. Make sure that you consider all your options before proceeding. It can be safe to do both at the same time. (Bahram Ghaderi, MD, Chicago Plastic Surgeon)

Tummy Tuck During a Partial Hysterectomy

Hysterectomy and tummy tuck surgery

These two procedures are frequently done in the same setting. A patient must be sure that the gynecologist and Plastic Surgeon are in agreement for this to be done. It is safe and effective. (Paul Vitenas, Jr., MD, Houston Plastic Surgeon)

Tummy tuck with hysterectomy

This is a question I am frequently asked. My feeling is that, even though patients like to have some gain for their pain, it is not a procedure that I commonly perform.

Hysterectomy and abdominoplasty

FIrst, I have concern about the risk of bleeding from the hysterectomy. The second reason is financial. Hospitals in my area do not permit what my office manager calls hybrid operations because the fees they quote for cosmetic cases differ radically from those charged to insurance companies for surgery like a hysterectomy. Rather than getting into trouble for this pricing with the state insurance department, they will not permit operations which are partially cosmetic and partially reconstructive. The surgicenters are more cooperative about this but I find that, when you run the numbers, it is at least, if not more expensive than undergoing separate procedures. Whenever surgery is extended, the risk of blood clots and other complications increases exponentially. (Robert L. Kraft, MD, New York Plastic Surgeon)

Tummy Tuck during a partial hysterectomy

Hysterectomy and tummy tuck abdominoplasty

Combination Hysterectomy (removal of the uterus) with a Tummy Tuck (Abdominoplasty) is a commonly done operation. The safety of a combined Hysterectomy followed by a Tummy Tuck is dependent on your general health, the purpose of the hysterectomy, the amount of blood loss and the duration of the operation. Your general health and American Society of Anesthesiologists (ASA) classification is extremely important. Most of us would approach a 38 year old woman with ASA III with much more reluctance than a 58 year old with ASA II risk classification.

No Plastic surgeons would perform a cosmetic procedure at the same time as the removal of a cancer. If the hysterectomy is done for a malignant disease, the tummy tuck should probably be postponed. The likelihood of complications of such combined procedure is proportionate to the LENGTH / DURATION of the procedure and to the amount of blood loss.

Unlike other surgical specialties, The vast majority of Plastic surgeons are obsessive about stopping all bleeding during surgery. This may not be possible during the hysterectomy part. If a lot of blood was lost (compared to your age and metabolic needs) – your post operative recovery may be longer. If all of these requirements are satisfied – you will do well. (Peter A. Aldea, MD, Memphis Plastic Surgeon)

Tummy tuck and hysterectomy

If the hysterectomy is for benign disease, than it is probably OK to both together. Just remember, there is definitely an increased risk of complications from combining these procedures as it has been reported in the medical literature. (Steven Wallach, MD, Manhattan Plastic Surgeon)