Author Topic: Revision Tummy Tuck Forum - Discomfort and Hernia After Surgery  (Read 14120 times)

Offline DrBermant

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Dr. Bermant,

Congratuations on your upcoming retirement.  I am wondering if you might offer some insight to my ongoing problem.  I had a abdominoplasty five years ago. I was not and still am not obese.  Had a small apron hangover as the result of two 10 llb babies/C-sections.   Immediately after surgery I noticed a bulge in the upper portion of my stomach.  The plastic surgeon said, "That's fine it will settle down"  Indeed it did go flat so I didn't think of it again.    I have had chronic discomfort ever since the surgery with a feeling of tightness that hasn't improved and I also cannot stand any kind of cloth touching the skin in the upper area of the abdomen.   It was discovered three years ago that I had a ventral hernia in the exact area of where I had seen the bulging after surgery.   I have gone through two hernia repairs for this and I STILL have the hernia.   They did not use mesh either time because it is small and because of the greater risks associated with a mesh.   I have gone to top doctors at the University of Michigan and Beaumont Hospital in Royal Oak, Michigan.  I have also seen a pain specialist regarding all those unusual sensations and no medications have helped.   His next recommendation is an intercoastal nerve block.  I'm hesitant to do that until I get the hernia resolved.
 
Can you share with me any insights, thoughts, or recommendations you may have about this.   

Thank you,

Thank you for your well wishes.

Tummy Tuck surgery is much more than just the tightening of the skin. It involves Muscle Repair and sculpture of the fascia deeper structures of the wall of the abdomen. If a defect in this layer remains, there can be a deformity that can bulge and stick out. Sometimes a hernia could have been there and not repaired. At other times it is just a folding of these deeper tissues. There is an art form to more than just the surface repair.

Nerves can be injured and trapped in the sculpture. Injured nerves can result in diminished sensation and on recovery can have hypersensitivity or more than the normal sensation.

These are both possible Risks and Complications of Tummy Tuck that should be discussed before surgery. In some cases the two can be interrelated.

Options depend on the actual problem and are best explored during a hands on examination to see if the points of irritation can be correlated with the deformity. Covering up discomfort is not as good as finding the source and releasing the stress if that is the cause. That can be a very difficult task.

Sorry, with my retirement 8/31/11, I can not offer treatment options. However, I can offer you a forum where you can post questions, pictures, and seek support from others.

Perhaps other surgeons with a passion for abdominal wall sculpture will join to comment and or offer their services.

Hope this helps,

Michael Bermant, MD
Learn More About Tummy Tuck Abdominoplasty Surgery
Michael Bermant, MD
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Offline ronaldlawsons

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Re: Revision Tummy Tuck Forum - Discomfort and Hernia After Surgery
« Reply #1 on: December 05, 2011, 09:29:11 AM »
Tummy tuck surgery is more than just tighten the skin. It involves a deeper abdominal muscle fascia wall repair the structure and sculpture. If the defect remains at this level, can have deformities, can uplift and out. Sometimes the hernia may have been beyond repair. Login or just visit to link spam deleted to know more.
« Last Edit: December 05, 2011, 09:55:36 AM by DrBermant »

Offline DrBermant

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Re: Revision Tummy Tuck Forum - Discomfort and Hernia After Surgery
« Reply #2 on: December 05, 2011, 10:05:40 AM »
Tummy tuck surgery is more than just tighten the skin. It involves a deeper abdominal muscle fascia wall repair the structure and sculpture. If the defect remains at this level, can have deformities, can uplift and out. Sometimes the hernia may have been beyond repair. Login or just visit to link spam deleted to know more.

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

In all my many years of performing this surgery I never found anatomy that warranted performing only the Skin Component of Tummy Tuck. They always involved Separating Old Belly Button, Tummy Tuck Muscle Fascia Repair, Rebuilding New Belly Button, Liposuction Refinement, and other components.

Your link spam to a yellow page doctor pay to appear web page that had next to no content about Tummy Tucks was removed. We welcome links to actual content explaining points better explained with examples. This can be done by doctors and their staff. We do not welcome SEO spamming as you have done here.

Hope this helps,

Michael Bermant, MD
Learn More About Tummy Tuck Abdominoplasty Surgery
« Last Edit: January 17, 2012, 02:22:35 AM by DrBermant »
Michael Bermant, MD
Retired Plastic Surgeon
Surgical Sculptor, Artist, Creative Thinker, Problem Solver
Plastic Surgery
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