Why I publish pre and post-operative images
Because anyone deciding whether to have surgery wants to see, not just read. A photograph shows in an instant what changes and what does not, and it lets you come to your consultation with sharper questions. I publish these images under a rule that never changes: always with the person's written consent, always without recognizable faces, always stating the technique and the follow-up interval.
What a photograph can and cannot say
It can show the profile of the abdomen, the reduction in bulging, the position and appearance of the scars, and symmetry. It cannot show the strength of the repair, the restoration of the midline, core function, or pain. For those you need dynamic ultrasound, CT when indicated, and functional testing: these are the tools with which I actually verify the result, and they are the same ones I use to decide whether and how to operate.
Why two similar abdomens give different results
- The starting point: size of the defect, number of previous operations, skin quality;
- Weight and how stable it stays over time: significant weight gain after surgery changes the contour;
- Smoking, blood glucose and nutritional status, which affect wound healing;
- How closely the recovery program is followed, in particular abdominal wall rehabilitation;
- Time: the definitive result is judged at six to twelve months, not at three weeks.
Consent and privacy
Every published image is covered by specific written consent, separate from the consent to surgery and revocable at any time: if someone changes their mind, the image is removed. The photographs are stripped of file metadata, contain no recognizable faces, and identifying features such as tattoos or distinctive moles are masked.