Abdomen Questions and Answers Archive

Jul
2001

Q&A: Who should I meet with and when to remove excess skin after losing the weight from gastric bypass surgery?

Question:

I had Lap RNY gastric bypass surgery 6/24/01. I am loosing weight at a steady gradual pace. I already have redundant skin from past dieting. I have hanging skin on my breasts,abdomen,upper arms and upper legs. When I attain my weight loss goal, I wish to speak with and meet a board certified plastic surgeon who will evaluate me and remove the redundant skin on my ever shrinking body. I am a registered nurse and I fully understand the risks involved. I desire a surgeon who will work with me to achieve a "normal" physical appearance. Thank you, Susan M. Stitt RN

Answer 1:

 Jonathan Ross Berman, MD - LocateADoc.com

I appreciate your concern. Any sort of body lifting procedure that you are considering should not be attempted until you have reached a "steady state". It may take you up to 6 months to a year for that to occur.

-- Jonathan Ross Berman, MD
Boca Raton, Florida

Answer 2:

Josh Korman, M.D., F.A.C.S. - LocateADoc.com

Dear Susan, It is important that you see a plastic surgeon who has quite a bit of experience with body lifts, as it is not the same as a tummy tuck, for example. Please let me know if you need further assistance Josh Korman, M.D. wwwkormanmd.com

--Josh Korman, M.D., F.A.C.S.
Mountain View, California



Jul
2001

Q&A: What do you think the issue is if I started bleeding eleven days after my normal period?

Question:

I am 21 and have always had normal cycles. on6/14/00 I had my normal cycle. On 6/25/00 I started to bleed again. The bleeding started light brown then bright red. It lasted 5 days. Could this have been a period? I am on no meds. Strong pains located in lower right abdomen through all bleeding. TTC for 5 months. m/c 12/01

- Kristy

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

TTC? m/c? I don't know what you mean by this. You need to have a pregnancy test ASAP. If you are not pregnant, it is likely a hormonal issue.

--Daniel Potter, MD, FACOG
Fullerton, California



Jul
2001

Q&A: What do I do to have my stomach reduced in size?

Question:

i would like to know about reducing the size of your stomach. not removing fat.but cutting away part of the stomach.

- ann

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Ann, I take it that you mean stomach "stapling" for weight reduction in which case the above answer is correct. If you mean removing extra skin and fat from your abdomen, you need to visit with a plastic surgeon and obtain information on a tummy tuck or abdominoplasty.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jun
2001

Q&A: Can I find doctors in training, at a lower cost, for plastic surgery to remove skin from my arms, thighs and abdomen after my weight loss?

Question:

I am a 30 year old women who has had two children. I used to weigh 252 pounds and I am now down to 170. The problem is all the SKIN. My abdomen, inner thigh, under arms just hang and jiggle. I went to a gym and my out thighs, calves, and arms(except for my "bat wings") are solid muscle. I have tried to loose more weight but I think I am at my low point, I cannot seem to loose anymore no matter what I do. My question to you is to know if there is anywhere like Medical schools where MD are training in PS to get the procedures I want done at a lower cost. I live in the Boston area, but I cannot afford to have all of my problems "fixed". Someone said that the schools with Dr's in training are cheaper, but I cannot seem to find anywhere....Could you help me. Let me know, thanks in advance for any help.

- AnnMarie

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear AnnMarie, Most major univerisities have plastic surgery training programs. There is a large one at Harvard (Brigham and Women's). The problem is that even in training hospitals, these type of procedures are not covered by insurance and the costs are high in the operating rooms in major hospitals. It may be less expensive for you to find a private plastic surgeon who has his own operating room and can help with your various procedures. Congratulations on the weight loss by the way.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jun
2001

Q&A: Could my extremely protruding belly be the result of a hernia and could a deep tummy tuck repair it?

Question:

I am a 31 year old woman in good health, but have had lifetime struggles with my weight(except after a Gall Bladder Laporoscopic surgery/ The gall bladder problem was not a weight issue but was born with abnormal shape/ No changes in diet were made/After pregnancy, gained all weight back.) My eating habits and activity levels are good. The biggest problem with my body is an extremely protruding belly(I look 5 months pregnant). I have been considering a Deep Tummy Tuck. Recently, I had a minor physical for work. The Dr. asked if I had ever been diagnosed with a hernia. I have not, but, about twice a month, I do get a sharp pain in my lower abdomen, lasting about 20 seconds. Could this be a hernia and, if so, would a deep tummy tuck help or even take with this problem? What, exactly, is a hernia? Any help with these questions would be greatly appreciated. Thank You.

- C.C.

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear C.C., A hernia is a loss of the ability of the abdominal wall to hold back the contents of the abdomen through an actual hole in a structure. They commonly occur at the weakest areas but, in your case, can occur on the front of the abdomen. Hernias and weak areas that have spread with time (diastasis) can be readily repaired at the time of tummy tuck procedures, especially those planned to involve the deep muscle work that you mention. It is important for your surgeon to appreciate an actual hernia before the procedure so that, if necessary, he/she has the correct type of material present to fix it if it is very large.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



May
2001

Q&A: What is the difference between plastic surgery and liposuction?

Question:

Hello, I am a 34years old female. I would like to do plastic surgery or liposuction. I do not know the difference of this. Kindly explain this. How much the cost take this surgery. I want to do hip & stomach portion. thanks.

- MEENA

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Meena, Liposuction is a type of plastic surgery. I think that what you are asking is if you need liposuction or a tummy tuck. The factors which enter into that decision are the amount of fat present, the condition of your skin and the condition of the muscle supporting the abdomen. You should visit with a plastic surgeon in order to determine if liposuction is a good procedure for you or if you need the more extensive surgery. Liposuction costs about $2000 per paired area of the body (like the outer thighs) and a tummy tuck can cost from $4000 to $8000 depending upon what is required to be performed.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



May
2001

Q&A: What can I do if I need a tummy tuck and liposuction as a result of birth and I cannot afford it as a student and no job?

Question:

I am a 36 year old mother of two and am currently attending college. The birth of my second child has distorted my lower abdomen with stretch marks and a huge excess of skin. I have no elasticity in that area. I have been told that my muscles were seperated and no amount of stomach exercises will help that lower area. I am an avid dancer and fanatical about exercise and it has made no difference! From what I understand I would be a good candidate for a tummy tuck and liposuction. There is however a problem of finances. My credit is bad and I am a full time student who gets by on financial aid and student loans. How can I get financing with no permanent job? I don't know where to turn. This has ruined my life, I don't let my partner see me unclothed and I can never show my stomach. Is there SOME type of system where plastic surgeons take on cases for free? I know doctors are affiliated with certain programs or teaching facilities do certain medical procedures at no cost. I don't know what to do. I will never have another child again and I dread living the rest of my life like this. Can tou please help me?

- suzanne

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Suzanne, Many of us perform a great many procedures for free or for minimal charge, however, your problem is cosmetic, no matter how severely it affects your everyday life. You will have to work through a financing company and try to get the funds in that way. There are no surgeons who will perform cosmetic procedures for free.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



May
2001

Q&A: What should I do if I have very long periods of minstrel bleeding and have a swollen lymph node in my abdomen?

Question:

I have always had prolonged menstual bleeding. Over the past year, I have had pap smears continually come back showing atypical cells. Finally, the last two came back normal. At the same time, my OB-GYN expressed concern about my periods lasting 8-12 days each month. This was nothing new to me since my teenage years. (I am now in my late 20's.) My OB-GYN did two vaginal ultrasounds in Oct. and Nov. of last year. He did not find anything abnormal except that it appeared that I only have one ovary (right side). But, since I carried my 2-year-old son to term, he did not feel this was a problem. In January, He went ahead and did a D&C and hysteroscopy just to be sure that there were no uterine problems causing the bleeding, and no problems showed up except that my uterus seems to have a mixture of cells (like a tree that has both buds and dead leaves at the same time). Since December, however, I have been having nausea, bloating, pelvic pressure, and gas almost all the time. Usually this is all worse the week before, during, and after my period. Also, I have a small knot in the lower right half of my abdomen that swells and becomes very sore the week of and after my period. My OB-GYN said it was a lymph node, but my internist does not believe this. My internist has scheduled another vaginal ultrasound for next month. I am worried that I may have some type of female or other disorder that may not be detectable through the tests I have undergone. What types of disorders/problems could this be? Thanks for your time. Callie

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

It sounds like all the right things have been done to this point. I would also recommend either a repeat pelvic sonogram of the pelvis to detect adnexal/ovarian masses and definitively locate the one ovary not seen. It would be difficult to come to a conclusion until this information is available. Good luck

--Daniel Potter, MD, FACOG
Fullerton, California



May
2001

Q&A: I had a hemorrhagic ovarian cyst. Will it return?

Question:

I recently underwent abdominal surgery, because I was having intense lower abdominal pain. It was first suspected to be appendicitis, but once the surgeon actually got in, he said it was a hemorrhagic ovarian cyst that had ruptured, leaving a pocket of blood in my abdomen. He suctioned that out, and also took out my appendix. I'm 15 years old, and this was my first problem of this sort. I'm wondering if I will be prone to these cysts. Will they be a recurring thing? What can be done to prevent them? Should I know anything else about them? Any answer would be appreciated.

- Emily

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

It probably won't occur again. If it does, they will be able to observe you as the appendix no longer is present.

--Daniel Potter, MD, FACOG
Fullerton, California



Apr
2001

Q&A: Could a yeast infection or follicle ovarian cysts cause my minstrel period to be late?

Question:

I found out that I don't have gardnerella anymore, but I now have a yeast infection. I am a week late for my period, and I was wondering if this yeast infection could cause me to miss my period. Also, a couple of months ago, I was diagnosed with normal follicle ovarian cysts, which were present during and 2 weeks after my periods. I have been having pain in my abdomen for about a week and a half now, and I'm scheduled to get a transvag done on the 23rd. I was also wondering if the presence of cysts could cause me to miss my period. Please respond as soon as you can. Thank-You, Jennifer Wilson

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

Certain types of cysts can cause missed periods. You need a blood pregnancy test and and examination by a gynecologist.

--Daniel Potter, MD, FACOG
Fullerton, California