Adelaide surgeons/full apronectomy?

Hi there. First; just wondering if there are any south australian surgeons on here or perhaps if anyone can suggest one for me. Second; do surgeons offer a free (or at least low fee) consultation? Third; can you really never have kids again after a tummy tuck or apronectomy? Or just not recommended as it could "undo" all that work? What if you wait a long time, like 5 or more years? And lastly; do you think I need a full apronectomy? My 3 pregnancies and fluctuating weight have caused that awful pouch thing that goes from hip to hip almost. I have to lift it to go to the toilet and sex is completely out of the question as I feel way too embarrassed for him to see it or feel it (had our daughter 3 months ago and he has not seen me naked as I would just break down even when i see it) i even feel very overwhelmed just writing this. Sorry if thats all a bit long and all over the shop. Any help or advice is freatly appreciated.

RochelleEllen1989 April 19th, 2016 SA

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi Rochelleellen1989.
    Thank you for posting your questions and photos.
    It is generally recommended that an abdominoplasty be performed after family planning is complete, as been pregnant will once again stretch out the abdominal tissue and underlying rectus muscle, both of which would have been addressed (removed, tightened, respectively) in a standard abdominoplasty.
    When patients asks if they are a suitable candidate for an abdominoplasty, I will generally examine them and explain to them my analysis of their their body habitus. It is important for patients to be aware of what portion of their abdominal morphology and appearance is due to intra-abdominal fat (inside the abdomen), how much subcutaneous fat (under the skin) exists, and the degree of skin laxity. The ideal candidate for an abdominoplasty is one who has lost weight and has little fat and lots of loose skin. This does not mean that an apronectomy/abdominoplasty is ruled out for anyone who falls short of the ideal candidate's description. It does, however, indicate that the surgical outcome may not be as ideal and that the risks of complication may be greater. 
    In regard to finding a surgeon in SA and the costs associated, I would suggest that you look for a fully qualified and experienced plastic surgeon, and information on this can be sourced from our national society, the Australian Society of Plastic Surgeons (ASPS). 

    I hope this information is of help, and all the very best.
    Kind regards,
    Dr Ray Goh
  • Answer
     Robert Drielsma

    Robert Drielsma

    191 answers

    Plastic Surgeon
    New South Wales, Australia

    Thanks for posting your questions and photographs.  The Australian Society of Plastic Surgeons website will provide you with a list of plastic surgeons in South Australia.  Its ideal for patients to have completed having children before proceeding with tummy tuck surgery.  That said, tummy tuck surgery does not prevent you from having more children but its possible that you will again be left with excess skin, fat and muscle separation after the pregnancy which may require revision tummy tuck surgery if you wish to achieve a contoured tummy.  Its also ideal to be at your ideal goal weight prior to surgery as any fluctuations in weight after surgery can comprise the results of your tummy tuck.  You need to arrange a consultation with a fully qualified plastic surgeon to determine your suitability for surgery and your options.  Such consultations carry normal reasonable specialist fees.