Why is not recommended?

Basically it is due to the physiological changes of pregnancy, weight gain, gain of total body fat and tissue water, modification of body proportions and architecture with respect to preferential sites for the accumulation of fat and water. The body changes a lot during pregnancy and the immediate puerperium, and the surgeries made in these periods are done on an artificial basis and quickly modified during the first 6 weeks after the birth of the baby. In addition, the risks of infection, thrombosis, anemia, prolonged hospitalization, expenses and maternal mortality with poor final esthetic results increase significantly.

Dermolipectomy During Caesarean: this surgery is extremely bloody and increases the surgical time considerably, increases the risk of pulmonary thromboembolism, postoperative pain, infections of the operative wound, sepsis and increased maternal mortality and always severely limits physical activity, making incompatible the breastfeeding and newborn care. My cesarean lasts 16-20 minutes and the dermolipoectomy between 45 to 150 minutes. If complications arise, who is the responsible surgeon, the obstetrician or the plastic? Here is a great medical and legal problem that I intend to avoid at all costs.

Being that the cesarean generates pain, even though my technique is quite painless, the pain of both surgeries is added and that opf the the tummy-tuck is particularly painful, I do not want to imagine what the first days after birth will be like. In a few words I think it’s crazy to submit to such a degree of torture to not get a reasonable aesthetic effect and also, expose your life for nothing and leave aside the care of the baby for intolerable pain, high doses of antibiotics, catheters, cures and Drains

In one study ( Int J Womens Health, 2012; 4: 115-121, Wael Naeem Thabet et al. ) With 50 procedures performed during the caesarean section, there were:

6% dehiscence (opening, separation) of the operative wound

12% skin flap necrosis

18% operative wound infection

18% insufficient resection of the abdominal flap (insufficient aesthetic repair)

24% prominent navel

32% rounded abdomen and lack of definition in the hips (poor aesthetic result)

I, particularly, do not do it or allow it in my cases. If the patient wishes and is irreducible in her decision, I simply withdraw from the case in an informed manner and suspend the patient obstetric relationship immediately.

Also, why risk so much if the aesthetic results are so poor?

Liposuction after delivery or caesarean section: it has been described that the risk of death by liposuction is approximately 20 / 100,000; risk identical to that of dying due to childbirth and puerperium pregnancy but in an acute and summative manner during the first 24 hours after the procedure. How much does the risk increase during labor or cesarean? It is not very clear but it is definitely much greater. It must not be done

Mammary surgery during cesarean section: rarely ask about this, it seems that breastfeeding makes it clear that it is a fatuous request. The breast at the end of pregnancy is very vascular (congestive) and with great alveolar development to engage in the production of milk immediately after the birth of the baby. The 24-48 hours will become very congested and will grow a lot due to the lowering of the milk, placing a prosthesis or doing a reduction procedure immediately after birth could be catastrophic because the congestion could open all the skin sutures, reject the prosthesis or disarm all internal suture lines generating, practically, a breast burst! Logically, you could not breastfeed under these conditions.