Our Summary

This research paper reviews the potential effects on both mother and baby of becoming pregnant after having an abdominoplasty (commonly known as a “tummy tuck”). The researchers analyzed 17 studies involving 237 patients and found that around a third of these women had also undergone bariatric surgery. The average time between abdominoplasty and pregnancy was almost four years. The majority of these women gave birth at full term, and most babies were of a normal weight. Out of the 136 patients for whom data was available, some experienced complications related to the fetus, the mother, or the abdominal wall, but there were no deaths among mothers or babies. The researchers concluded that pregnancy after abdominoplasty should not be considered a contraindication (a reason not to proceed), and this data can help doctors in discussing the potential risks and benefits with their patients.

FAQs

  1. What is the potential impact on the mother and baby if the mother becomes pregnant after having an abdominoplasty?
  2. What were the findings from the research on pregnancy after abdominoplasty?
  3. Based on the research, should pregnancy be considered a contraindication after abdominoplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about abdominoplasty is to wait until they are done having children before undergoing the surgery. This is because pregnancy can affect the results of the procedure and potentially necessitate additional surgeries in the future. By waiting until after completing their family, the patient can ensure longer-lasting results and avoid potential complications.

Suitable For

Patients who are typically recommended abdominoplasty are those who have excess skin and fat in the abdominal area that cannot be improved through diet and exercise alone. This includes individuals who have undergone significant weight loss, women who have had multiple pregnancies and are left with stretched abdominal muscles and skin, and individuals with loose skin and excess fat due to aging. Abdominoplasty is also recommended for patients who have a weakened abdominal wall (such as diastasis recti) that causes discomfort or affects their quality of life. It is important for patients to be in good overall health, have realistic expectations, and be committed to maintaining a healthy lifestyle after the procedure.

Timeline

Before abdominoplasty:

  1. Patient consults with a plastic surgeon to discuss the procedure and determine if they are a good candidate for surgery.
  2. Patient undergoes pre-operative evaluations and tests to ensure they are healthy enough for surgery.
  3. Patient receives instructions on how to prepare for surgery, including quitting smoking and avoiding certain medications.
  4. Patient undergoes abdominoplasty surgery, which involves removing excess skin and fat from the abdominal area and tightening the muscles.

After abdominoplasty:

  1. Patient experiences pain and discomfort in the days following surgery and is prescribed pain medication to manage this.
  2. Patient is advised to wear a compression garment to reduce swelling and support the abdomen during the healing process.
  3. Patient follows post-operative care instructions, including avoiding strenuous activities and lifting heavy objects.
  4. Patient attends follow-up appointments with their plastic surgeon to monitor healing and address any concerns.
  5. Patient gradually resumes normal activities and begins to see the full results of the abdominoplasty over the following weeks and months.

What to Ask Your Doctor

  1. Is it safe for me to become pregnant after undergoing abdominoplasty?

  2. How long should I wait after abdominoplasty before trying to conceive?

  3. Are there any specific risks or complications I should be aware of if I become pregnant after abdominoplasty?

  4. Will my abdominal muscles and skin be able to stretch properly during pregnancy after abdominoplasty?

  5. How will pregnancy affect the results of my abdominoplasty surgery?

  6. Are there any specific precautions or recommendations I should follow during pregnancy after abdominoplasty?

  7. Will I need any additional monitoring or care during pregnancy after abdominoplasty?

  8. What should I do if I experience any concerns or complications during pregnancy after abdominoplasty?

  9. Are there any lifestyle changes or activities I should avoid during pregnancy after abdominoplasty?

  10. Can you provide me with any additional resources or information about pregnancy after abdominoplasty?

Reference

Authors: Karunaratne YG, Romeo PB, Willis M, Sanki A. Journal: Aesthetic Plast Surg. 2023 Aug;47(4):1472-1479. doi: 10.1007/s00266-023-03423-x. Epub 2023 Jun 2. PMID: 37266593