Our Summary

This research paper takes a look at potential complications after tummy tuck surgery (abdominoplasty), particularly among patients who have previously had weight loss surgery (bariatric surgery). The researchers looked at 144 patients who had tummy tuck surgery between 2009 and 2015, 49 of whom had previously had weight loss surgery.

They found that patients who had previously had weight loss surgery were more likely to have other health conditions (comorbidities), and were also more likely to have complications after the tummy tuck surgery. Some of these complications included infection, fluid buildup (seroma), slow healing, and large amounts of fluid draining from the surgery site.

The study also found that men and those who had previously had weight loss surgery were more likely to have complications after the tummy tuck.

In summary, the study suggests that having weight loss surgery before a tummy tuck can increase the risk of complications after the tummy tuck.

FAQs

  1. What kind of complications can occur after a tummy tuck surgery according to the research?
  2. Does having weight loss surgery before a tummy tuck increase the risk of complications?
  3. Are men and those who have previously undergone weight loss surgery more likely to have complications after a tummy tuck?

Doctor’s Tip

A doctor may advise a patient considering abdominoplasty to carefully consider their overall health and any previous surgeries, as these factors can increase the risk of complications. It is important to discuss any medical history and concerns with your surgeon before proceeding with the procedure. Additionally, following post-operative care instructions and attending follow-up appointments are crucial for a successful recovery.

Suitable For

Therefore, patients who are typically recommended for abdominoplasty are those who have excess skin and fat in the abdominal area, have maintained a stable weight for at least six months, are in good overall health, do not smoke, and do not have any underlying medical conditions that could increase the risk of complications. Patients who have previously had weight loss surgery may still be candidates for abdominoplasty, but they should be aware of the potential increased risk of complications and discuss this with their surgeon before undergoing the procedure.

Timeline

Timeline before and after abdominoplasty:

Before abdominoplasty:

  1. Patient consultation with a plastic surgeon to discuss goals and expectations of the surgery.
  2. Pre-operative assessments and tests to ensure the patient is healthy enough for surgery.
  3. Patient may be advised to quit smoking and avoid certain medications that can increase the risk of complications.
  4. Patient may be instructed to follow a specific diet or exercise regimen to prepare for surgery.
  5. Surgery date is scheduled and patient is given instructions on what to do the day before and day of surgery.

After abdominoplasty:

  1. Patient wakes up from surgery and is monitored in the recovery room before being discharged home.
  2. Patient may experience pain, swelling, and bruising in the abdominal area, which can be managed with pain medication.
  3. Patient is advised to wear a compression garment to help reduce swelling and support the healing process.
  4. Follow-up appointments with the surgeon to monitor healing progress and address any concerns.
  5. Patient is advised to avoid strenuous activities and heavy lifting for several weeks after surgery.
  6. Over time, swelling and bruising will decrease, and the final results of the surgery will become more apparent.
  7. Patient may need to make lifestyle changes, such as maintaining a healthy diet and exercise routine, to maintain the results of the abdominoplasty.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty, especially if they have previously had weight loss surgery, include:

  1. What specific risks or complications am I more susceptible to due to my previous weight loss surgery?
  2. How will my previous weight loss surgery impact the results of the abdominoplasty?
  3. Are there any additional precautions or measures that need to be taken during the surgery or recovery process because of my previous weight loss surgery?
  4. What steps can I take to reduce the risk of complications after the abdominoplasty, considering my medical history?
  5. Are there any alternative treatments or procedures that may be safer for me given my previous weight loss surgery?
  6. How experienced are you in performing abdominoplasty on patients who have had weight loss surgery before?
  7. Can you provide me with any references or testimonials from patients who have had similar experiences with abdominoplasty after weight loss surgery?
  8. What should I expect in terms of recovery time and potential limitations on physical activity following the surgery, given my medical history?
  9. Will I need any additional follow-up appointments or monitoring due to my previous weight loss surgery?
  10. Are there any specific post-operative care instructions I should be aware of to minimize the risk of complications?

Reference

Authors: Sirota M, Weiss A, Billig A, Hassidim A, Zaga J, Adler N. Journal: J Plast Reconstr Aesthet Surg. 2021 Dec;74(12):3415-3420. doi: 10.1016/j.bjps.2021.05.018. Epub 2021 Jun 6. PMID: 34226131