Can you have a tummy tuck and hysterectomy performed at the same time?

Q:

Can you have a tummy tuck and hysterectomy performed at the same time?

A:

With the cooperation of your gynecologist, an abdominoplasty can be performed at the same time as hysterectomy.  There is the obvious saving of an anesthesia and recovery period but the costs may not be shared.  The procedure must be planned well in advance with each surgeon understanding his area of responsibility.

A:

If you are of good health and the hysterectomy is being performed for non-cancerous indications, it might be appropriate to combine it with an abdominoplasty operation.  The best way to approach the situation is to discuss your goals with your gynecologist as well as an ASAPS member surgeon who performs abdominoplasty operations.  Combined operations do require coordination between both doctors, so they can discuss the plans and make certain the procedure can be performed safely.  In some cases, it is not appropriate to combine the operations, but it is still beneficial to coordinate the plan before proceeding the the hysterectomy.  In these cases, it is worth discussing the type of scar to be utilized such that your gynecologist will have full exposure for the hysterectomy, and can later be fully removed in a follow-up tummy tuck.  (Generally, an open hysterectomy scar can be fully removed with a tummy tuck, but some laparoscopic hysterectomy approaches will leave “tell tale” scars that will not be removed by the tummy tuck.)

A:

Yes, a tummy tuck can be done with a hysterectomy when there is no cancer nor infection issues. That link goes to an example of a minituck done just after the hysterectomy. Here are more Before and After Minituck done at same time as hysterectomy. This is elective surgery and safety comes first.

Hope this helps,

Michael Bermant, M.D. Board Certified American Board of Plastic Surgery

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