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Have I Compromised My Muscle Repair?

Abdominoplasty involves "plicating" the rectus muscles with suture and is a regular part of the procedure as performed in my San Francisco area practice. This repair is typically most vulnerable at week 2 after your surgery.

This is because the normal healing process can actually make the tissues the suture passes through more weak for a period as scar tissue deposits. People are also generally feeling better and becoming more active at this point.

Most surgeons would not choose a suture that would dissolve as quickly as 5 weeks so the sensations you felt were probably not that. If you haven't noticed a difference in profile you probably have not compromised the repair. (Though it is possible a suture has ruptured).

As always - because the surgeon that performed your surgery understands better than any of us what was done - it is important to follow-up with your doctor if you have post-op questions.

Clinical Context

Abdominoplasty (tummy tuck) removes excess skin and fat from the abdomen and repairs separated abdominal muscles (diastasis recti), which commonly occurs after pregnancy or significant weight loss. The procedure involves an incision from hip to hip, typically placed low enough to be hidden by underwear or a bikini.

The American Society of Plastic Surgeons recommends choosing a board-certified plastic surgeon for any cosmetic procedure.

Dr. Wasicek in the OR

Answered By

Dr. Philip Wasicek

Double Board-Certified Plastic Surgeon

Dr. Philip Wasicek is a double board-certified plastic surgeon specializing in deep plane facelift surgery and rhinoplasty, with a practice focused on achieving natural, refined, and long-lasting aesthetic results. He is widely sought after for his expertise in facial rejuvenation, particularly deep plane facelift techniques, as well as primary and complex revision rhinoplasty.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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