American Society of Plastic Surgeons
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PREGNOT
one year ago
Answered

I Still look Pregnant but I am not

Hi,

I had a full hysterectomy this past December for Fibroids. They removed all of it. I thought I would lose the pregnant appearance. Nothing on my body is big except my belly, even after the hysterectomy. In fact, I think either they have came back or something else because I am in fact bigger. I am 48. I have had 4 children. Everybody is still asking when my baby is due. What to do?

Procedure: Tummy Tuck
Type: Question

Replies 10

Rahul Vemula
ASPS Surgeon
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Thanks for your question. Without performing a physical exam on you it’s hard say what is going on. I would advise you to meet with a board certified plastic surgeon to ascertain exactly what the problem is and come up with a plan to fix it.

Rahul Vemula, MD - Plastic Surgery of the Face and Body

Diplomate of The American Board of Plastic Surgery

Diplomate of The American Board of Surgery

Active Member, ASPS

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Mario Carranza-Garcia
ASPS Int. Surgeon

without an exam in person is very dificult to say

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Paul Parker
ASPS Surgeon

It sounds as if you may be a candidate for a tummy tuck. Obtain a consultation with a board certified plastic surgeon near you. They will evaluate you and discuss potential options to address your concerns.

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Soumo Banerji
ASPS Surgeon

I’m sorry you’re feeling this way and you hoped the hysterectomy would change things. After 4 children it is very likely that your muscles have stretched out and are causing a bulge that makes you have a “bump”. I recommend that you see a plastic surgeon for a consult where they can examine you and inform you what you need to correct this. My guess is that you need a tummy tuck which would include tightening of the abdominal muscles, removal of the excess hanging / loose skin, as well as removal of any unwanted fat pockets.

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Gregory Sexton
ASPS Surgeon

You may have stretched your muscle so much during your pregnancies, that it now gives you the appearance you complain about. A physical examination will be able to tell, and if that is a problem, then an abdominoplasty with muscle plication should fix your problem

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Suresh Koneru
ASPS Surgeon
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Sorry to hear that you did not get the result you expected from the Hysterectomy. There are several things that could be giving you the full appearance. You could have widely separated rectus muscles (diastasis), extra skin, or a thick layer of fat.

Each one of these causes require different treatments and only an in-person exam can determine which is the culprit. I would recommend you use this site to find a few Board Certified Plastic Surgeons in your area and visit with 2 or 3 to get their opinions.

From your description, it sounds like a problem that can be fixed!

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Hossein Abdali
ASPS Int. Surgeon

Hi

you must be exam by certified plastic surgeon and also sent photography of your abdomen .

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Nelson Castillo

Thank you for sharing your question. Unfortunately this forum does not permit photo uploads so I would recommend speaking with a series of ASPS board certified surgeons in your area to discuss a diagnosis and treatment plan to help you achieve your goals. Best wishes!

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Wendell Perry
ASPS Surgeon

It sounds like you have to examine the strength of the abdominal wall. If the abdominal wall is strong then liposuction can help flatten the abdomen. If the abdominal wall is weak then you must have a tummy tuck to tighten those weak muscles.

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Adolfo Sesto
ASPS Int. Surgeon

Congratulations by having 4 children. After pregnancy the abdominal rectis muscles becomes separated, a condition called Diastasis, and excessive skin and fat remains in the area. These conditions can only be corrected by a Tummy Tuck combined with Lipo, and BBL if needed. So is normal to have a bulky abdomen.

But before any evaluation for a Tummy Tuck and Lipo, I recommend you to get an abdominal pelvic sonography (sonogram) to verify the pelvic condition after your histerectomy, since you said is bigger after it.

25 year experience plastic surgeon

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