Meet & talk to fellow OstoMates Support | Friendship | Relationships

Tummy tuck with ileostomy

Wed Jun 09, 2021 11:14 am

Wondering if anyone has had a tummy tuck while they had an ileostomy. After a year of leaks and daily bag changed and skin breakdown,my surgeon with the assistance of a plastic surgeon is going to perform a tummy tuck in an effort to make the pouching surface flatter and hopefully fix my issues. Anyone had this experience? 

 

Wed Jun 09, 2021 11:56 am

My response is somewhat of an aside rather than a direct answer.  I could probably use a good tummy tuck, since mine has pooched out noticably over the last ten years or so.  Yet -- and here's the point I wish to convey -- even tho' I'm putting my skin barrier down onto a distinctly NOT flat tummy, I never have leaks.  This might suggest that your leakage issue relates to something other than the size of your tummy.  Surgeons love to do surgeries; that's how they make their living.  I would have a substantive meeting with a good ostomy nurse before agreeing to go under the knife, or vacuum, or whatever they use for those procedures.  Just sayin'....   Good luck to you.   HenryM

Wed Jun 09, 2021 12:17 pm

Hi

Henry is right .. get a second opinion. My stomach started flat as a young woman , 2 babies and now rounded tummy and this does not cause leaks usually. Take care

Wed Jun 09, 2021 1:32 pm

Hi ...I have an ileostomy and had many surgeries in my abdomen before this one . I asked my surgeon why I have this huger than loved tummy even on the other side of my ileostomy. I had one tummy tuck 25 yrs ago . He explained that all that is scar tissue and will be there ,outside of having a tummy tuck . My ileostomy surgeon and other surgeons have advised me NO . I met a man and he didn't mind my pouch next to my pouch . More to squish and hold ...so be content with your body . I have no muscles left to pull it in , so I just deal . 

Wed Jun 09, 2021 1:35 pm

 

  HenryM wrote:  

My response is somewhat of an aside rather than a direct answer.  I could probably use a good tummy tuck, since mine has pooched out noticably over the last ten years or so.  Yet -- and here's the point I wish to convey -- even tho' I'm putting my skin barrier down onto a distinctly NOT flat tummy, I never have leaks.  This might suggest that your leakage issue relates to something other than the size of your tummy.  Surgeons love to do surgeries; that's how they make their living.  I would have a substantive meeting with a good ostomy nurse before agreeing to go under the knife, or vacuum, or whatever they use for those procedures.  Just sayin'....   Good luck to you.   HenryM

 



I have worked with two local ostomy nurses for over a year. And have also worked with a nurse representative from convatec. That nurse actually suggested a particluar Procedure but it was determined this was the better route. I didn't go into a lot of detail about my specific situation..didn't want to bore anybody! But my surgeon would have never agreed to another surgery with me if he didn't truly believe it would help. 

Wed Jun 09, 2021 1:40 pm

I guess I should've clarified. This isn't a cosmetic procedure. I don't mind being "squishy" or even a little chubby. I'm perfectly comfortable with my body. The issue is that because of the way my skin folds and the location of my stoma combine to make a terrible surface for a pouch to stick. Picture a traffic cone (stoma) sitting in a deep ditch (the surrounding skin)....even with a convex appliance I can't get a good fit. I suggested the surgery as a fix for my issue. My surgeon reached out to a plastic surgeon and they came up with a plan. 

Wed Jun 09, 2021 2:21 pm

 

  Mggy34 wrote:  

I guess I should've clarified. This isn't a cosmetic procedure. I don't mind being "squishy" or even a little chubby. I'm perfectly comfortable with my body. The issue is that because of the way my skin folds and the location of my stoma combine to make a terrible surface for a pouch to stick. Picture a traffic cone (stoma) sitting in a deep ditch (the surrounding skin)....even with a convex appliance I can't get a good fit. I suggested the surgery as a fix for my issue. My surgeon reached out to a plastic surgeon and they came up with a plan. 

 



I understand better now ... you need to correct it , yes , to avoid a major issue. If your dr is good , the it should be good . Keep me posted and good luck

ritz

Wed Jun 09, 2021 2:24 pm

 

  Mggy34 wrote:  

 

I have worked with two local ostomy nurses for over a year. And have also worked with a nurse representative from convatec. That nurse actually suggested a particluar Procedure but it was determined this was the better route. I didn't go into a lot of detail about my specific situation..didn't want to bore anybody! But my surgeon would have never agreed to another surgery with me if he didn't truly believe it would help. 

 



Hi, it sounds by your comments about this that you have pretty much made your mind up to go with the surgery. You and you alone can make that decision to have the surgery. I do hope that you will let us know the outcome. I am sure you have discussed the pros and cons of this. Best of luck.

Rebecca

Wed Jun 09, 2021 4:46 pm

 

  Ritz wrote:  

Hi ...I have an ileostomy and had many surgeries in my abdomen before this one . I asked my surgeon why I have this huger than loved tummy even on the other side of my ileostomy. I had one tummy tuck 25 yrs ago . He explained that all that is scar tissue and will be there ,outside of having a tummy tuck . My ileostomy surgeon and other surgeons have advised me NO . I met a man and he didn't mind my pouch next to my pouch . More to squish and hold ...so be content with your body . I have no muscles left to pull it in , so I just deal . 

 



"My pouch next to my pouch".... You have a way with words, kid.  Perhaps Bill will metamorphose that into verse.  Stay well.  :)

Wed Jun 09, 2021 6:18 pm

I on the other hand had to see a kidney dr today . My levels are elevated...need to see my gastroenterologist to see films if my ileostomy is ok . Yuck.

the last thing I want is a second bag . 

Thu Jun 10, 2021 5:41 am

I was told no way to plastic surgery or a tummy tuck with my ileostomy,  and I live in plastic surgery Capital of the world! I got a second and third opinion due to the fact that my left side is bigger than my ostomy side and appears off! But they all said the same no. Heck I was also paying cash upfront on the table$$$$$$

Thu Jun 10, 2021 6:46 am

 

  Gordman wrote:  

I was told no way to plastic surgery or a tummy tuck with my ileostomy,  and I live in plastic surgery Capital of the world! I got a second and third opinion due to the fact that my left side is bigger than my ostomy side and appears off! But they all said the same no. Heck I was also paying cash upfront on the table$$$$$$

 



The plastic surgeon is getting paid upfront out of pocket! My surgeon just really wants to help me get back to some sort of normalcy and he will be reshaping my stoma during the process.

I would imagine most plastic surgeons wouldn't want to deal with the risks of infection that come with an ostomy. 

Like I told the plastic surgeon....I'm not trying to get fine so I can wear a bikini on the beach. I just don't want to be in constant fear of sh$&*ing on myself in public. 

Thu Jun 10, 2021 8:32 am

 

  Gordman wrote:  

I was told no way to plastic surgery or a tummy tuck with my ileostomy,  and I live in plastic surgery Capital of the world! I got a second and third opinion due to the fact that my left side is bigger than my ostomy side and appears off! But they all said the same no. Heck I was also paying cash upfront on the table$$$$$$

 



Goldman ....Heck , I thought Arizona here was plastic surgery central! Here , I was told the same thing ,no

Thu Jun 10, 2021 8:30 pm

Wow. It would seem that an operation to correct a stoma that is in a place that cannot support it and does not allow it to work properly, that your insurance would cover that! I had a plastic surgeon do my Barbie Butt and the incision goes from just below my Breast bone down to my bikini line. My stoma was placed in a really good spot but it would have been too close to my belly button so the surgeon just moved my belly button over. I teased him about it asking if he knew any plastic surgeon that could draw a straight line. Lol

This is not pretty but it made my ostomy life way better than it would have been. This has also caused one side to be  more puffy, The opposite side of my pouch. I am probably the only person that notices it. 
Do what you feel comfortable with. I could never imagine having to deal with leaks as long as you have. I did the first few months until I found the pouch system that worked for me. 
Pup

Sat Jul 24, 2021 1:03 pm

hey guys yes I had reconstructive abdominal surgery in order to get my ileostomy stoma to stay put. 

First huge bit of advice stop calling it a "tummy tuck" & start using the term abdominoplasty.  This is the medical term and keeps it from looking like you want it for cosmetic purposes.  Since I weighed a reported 340 pounds at the time not like I wouldn't of gone for something like that but the reality was after four revisions I still kept having what is called Mucocutaneous separation.  unfortunately although it was determined medically necessary so the insurance did in fact pay for it they would only pay for the abdominoplasty on the right side where the stoma was and so I was completely lopsided after the surgery.  Since no one warned me about this I did not have the opportunity to select paying to have the other side done at the same time.  (ridiculous because I could not have afforded it even had been given the choice)  anyway just a suggestion of something to discuss with your plastic surgeon  medical necessity must be well documented before you can attempt to have insurance or Medicare pay for the procedure  for those of you on straight Medicare with no secondary remember you are responsible for 20% unless they keep you for an inpatient stay  

Sat Jul 24, 2021 1:40 pm

Surgery is done and I'm back home. Pouching surface is definitely flatter! I still have drains and everything is very swollen but this procedure has definitely fixed the issue. I haven't seen what everything looks like because im not supposed to "stand up" straight yet. I'll keep you posted if you're interested. 

Sat Jul 24, 2021 10:16 pm

 

  Mggy34 wrote:  

Surgery is done and I'm back home. Pouching surface is definitely flatter! I still have drains and everything is very swollen but this procedure has definitely fixed the issue. I haven't seen what everything looks like because im not supposed to "stand up" straight yet. I'll keep you posted if you're interested. 

 



Great news. Thanks for sharing. Keep us updated.

Rebecca

* Please, do not post contact information, personal information or advertising.
All times are GMT - 5 Hours
Currently online: 21