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Old 11-11-2010, 05:50 PM
 
581 posts, read 757,087 times
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I had 3c-sections and I have the sagging skin over my incisions. I was thinking of getting the smart lipo where I don't need general anesthesia, just local anesth. Has anyone ever had this procedure done or know of anyone who has? If so what was the outcome?
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Old 11-12-2010, 09:17 AM
 
Location: in your dreams
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well I have the scar from a ruptured ectopic pregnancy, so no baby and no weight gain or stretching. I am fairly slim, but yes I have noticed that where the muscle was cut, it still looks weird! I was very fit a couple yrs ago from swimming, but even then it was still rather noticable, to me anyway.
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Old 11-12-2010, 09:29 AM
 
Location: Georgia, USA
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Quote:
Originally Posted by D217 View Post
well I have the scar from a ruptured ectopic pregnancy, so no baby and no weight gain or stretching. I am fairly slim, but yes I have noticed that where the muscle was cut, it still looks weird! I was very fit a couple yrs ago from swimming, but even then it was still rather noticable, to me anyway.
Although it is possible the muscle was cut, that is very unlikely to be done to remove an ectopic pregnancy. The two long abdominal strap muscles are usually just separated in the middle of the abdomen and spread apart, not cut.
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Old 11-12-2010, 12:26 PM
 
Location: in your dreams
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Quote:
Originally Posted by suzy_q2010 View Post
Although it is possible the muscle was cut, that is very unlikely to be done to remove an ectopic pregnancy. The two long abdominal strap muscles are usually just separated in the middle of the abdomen and spread apart, not cut.
Oh it was cut alright!
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Old 11-12-2010, 05:12 PM
 
Location: Georgia, USA
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Quote:
Originally Posted by D217 View Post
Oh it was cut alright!
If the incision was a "bikini" incision, it would be extremely unusual to cut the muscle, especially if there had been no previous surgery through a similar incision to create a lot of scar tissue.

The bikini incision is usually done with the Pfannenstiel technique. The skin and fat are cut crosswise. The fascia --- the tough layer surrounding the muscle --- is also opened crosswise. When the muscles are uncovered, they (there are two, not one) are separated in the midline and then the peritoneum --- the shining lining of the abdomen and pelvis is opened in an up and down direction.

See Pfannenstiel's incision - Medical Definition and More from Merriam-Webster

"a long horizontal abdominal incision made below the line of the pubic hair and above the mons veneris down to and through the sheath of the rectus abdominus muscles but not the muscles themselves which are separated in the direction of their fibers—called also bikini incision"




If the incision is up and down between the navel and pelvic bone, the skin, fat, and fascia are also cut in an up and down direction, but the muscles are still separated in the midline, not cut.

There is an incision which cuts the muscle, the Maylard incision, but it is seldom used for uncomplicated gyn surgery.

Unless the surgeon had specific reasons to cut the muscle, it probably wasn't.
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Old 11-13-2010, 05:01 PM
 
Location: In a state of denial
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Originally Posted by lisalan View Post
Thanks for your intelligent reply. So I guess I'm stuck with it and the only theing I can do is get a tummy tuck which I would do if I could be awake during the operation and if I had the extra money to pay for it.
I'm getting a tummy tuck next month. There is a financing option called Care Credit which is for cosmetic surgery.
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Old 11-13-2010, 06:22 PM
 
Location: Canada
3,432 posts, read 3,613,109 times
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Originally Posted by chuck_steak View Post
I'm getting a tummy tuck next month. There is a financing option called Care Credit which is for cosmetic surgery.


I'm so jealous I don't think we have care credit in Canada. You must be so excited. You will have a beautiful flat stomach again.
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Old 11-16-2010, 09:20 AM
 
Location: in your dreams
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Quote:
Originally Posted by suzy_q2010 View Post
The bikini incision is usually done with the Pfannenstiel technique. The skin and fat are cut crosswise. The fascia --- the tough layer surrounding the muscle --- is also opened crosswise. When the muscles are uncovered, they (there are two, not one) are separated in the midline and then the peritoneum --- the shining lining of the abdomen and pelvis is opened in an up and down direction.

hmmm well maybe that's what happened, I thought they just cut straight through! Thanks for the info!

Maybe it's the layer surrounding the muscle that makes it look weird?!
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Old 11-16-2010, 12:07 PM
 
Location: Georgia, USA
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Quote:
Originally Posted by D217 View Post
hmmm well maybe that's what happened, I thought they just cut straight through! Thanks for the info!

Maybe it's the layer surrounding the muscle that makes it look weird?!
The way an incision heals really depends on the individual patient. It is likely that most of the scarring is actually from the way the skin and underlying fatty tissue grew back together.
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Old 12-01-2010, 01:13 AM
 
Location: Meggett, SC
10,778 posts, read 9,400,973 times
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Had a emergency c-section with my just over 10 lb daughter (14 years ago). For a while I really exercised like crazy to tighten my belly to no avail - still have that pouch. When I started looking like a skeleton everywhere else, my husband finally said enough. To add insult to injury, I come from a long line of non-elastic skin people. So, basically, my stomach is a hot mess and no more bikinis for me! In clothes, it's okay but sometime I can see the little pouch in well fitted flat front pants. I hate it!

Last edited by southbel; 12-01-2010 at 01:13 AM.. Reason: spelling
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