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 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, MDLearn More About Tummy Tuck Abdominoplasty Surgery