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Loosening Abdominal Muscles After Tummy Tuck
It is typical for things to feel a bit tight after tummy tuck. Typically not only is the skin pulled tightly but the rectus muscles are also tightened to create a better abdominal contour. In the post-op period there can be swelling that contributes to this tight feeling. The tightness typically resolves over the first 2 to 3 weeks. It usually resolves without any intervention or treatment needed. For patients that have tightness causing discomfort after about a month physical therapy can assist in improving things. Be careful not to start exercises or stretching without discussing the options with your surgeon first as this can cause post-op bleeding or failure of the muscle repair.
Clinical Context
After a tummy tuck, the abdominal muscles are stitched together at the midline to tighten a stretched or separated area, while the skin is pulled snug over that repair. Both tissues need time to heal into their new position, which is why the area can feel tight or stiff at first. Post-surgical swelling adds to this sensation and usually settles within the first few weeks. As swelling fades and the muscle repair heals, the tightness gradually eases.
