Ask a doctor

Can I have sex after tummy tuck?

I just started with this site and I love it. But my question is how long after having a tummy tuck with muscle repair and lipo can u have sex? I ask because after seeing the ladies stomachs the stitches the swelling and drains it's just like damn don't do anything for a year. How long does it take for your insides to heal? And what positions would be okay to do after having the work done? I hope these aren't stupid questions but I just had to ask.

Doctor Answers (8)

Can I have sex after tummy tuck?

+1
Absolutely you can have sex after a tummy tuck.  Most patients in my practice are advised to wait about 3-4 weeks before resuming sexual activities.  Most incisions are well healed by this time.  Post operative pain should be significantly diminished by then.  It really depends on when the patient feels physically and emotionally ready.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon


Sugar Land Plastic Surgeon
5.0 out of 5 stars 23 reviews

Sex after tummy tuck. Yes!

+1
I read all the answers that preceded mine, and I like Dr. Stratis' answer a lot. I agree with most of what my colleagues have said, but I tend not to put a time limitation on sexual activity. Particularly as there is "sex" and there is "SEX!!!"

The practical answer relates to allowing healing to occur so that any activity (including sex) does not damage the healing up to that point, or cause bleeding or tearing of the muscle repair, for example.

I tell my patients that I don't want them to raise their blood pressure or pulse for two weeks after surgery (so that certainly leaves many kinds of sexual activity out of the question). Between week 2 and 4 more aerobic activities and mild toning type activities are allowed to gradually increase, and (for tummy tucks) no sit-ups or crunches for 6 weeks. All this assumes normal healing without any complication or wound delays.

Thus, trapeze sex would be out for 6 weeks, but gentle passive intercourse would be allowed when it is comfortable. That is different for each patient (and each partner). Another way I put it to patients is that they determine the WHEN of sexual activity, but I determine the WHAT or the HOW. If a patient cannot lay on her belly at a certain point after tummy tuck (or breast surgery, or liposuction, etc.), then her partner cannot lay on her belly, especially if he is larger than her. And the like.

Certainly, if sex involves major body contortions, mind-blowing and blood-pressure-elevating orgasms, or uncontrollable muscle contractions (right along with the skyrockets in flight), then restraint and delay is in order. But I feel really bad for the couples who come in for her 3-month recheck and he's gently nudging her "Ask him, ask him!" It's obvious someone has been telling a bit of a white lie, since I would not ask any patient to refrain from sex for 3 months!

Ask your surgeon. This is important. We've all been asked about it many times. Most of us have a tension-defusing way of answering, so don't be embarrassed. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 126 reviews

Recovery

+1
Than you for the question.


The total healing time is between 4-12 weeks and you should follow your PS's written post op instructions.


Dr. Campos

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 165 reviews

You might also like...

Can I have sex after tummy tuck?

+1
Most patients are comfortable resuming sexual activity after 3 - 6 weeks, it varies with the individual. Early on it is more comfortable for the patient if her knees ar bent and her hips are flexed to take the stretch off the abdomen.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 13 reviews

Sex and Surgery

+1
This is not a "stupid" question.  Sex is an important part of the majority of people's lives.  Surgery does affect your intimate relationships.  Every surgeon has his/her guidelines.  I typically advise abstaining for 4 weeks after tummy tuck but this can vary with the specific patient situation.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Sex after a tummy tuck

+1
it varies from patient to patient and doctor to doctor. When comfortable for you, then usually you may start. I would say at least a month, possibly longer, possibly shorter, all dependent on the repair and your tissues. I would discuss this with the surgeon you pick

Rick Rosen, MD
Norwalk Plastic Surgeon
5.0 out of 5 stars 9 reviews

Sex After A Tummy Tuck

+1
This is a very good and very practical question but not very often discussed.
The answer depends on an understanding of what happens during healing and what happens during "sex". 
First, there is the discomfort from the surgery that needs to be addressed. There is pain with this procedure which slowly and eventually gets better and goes away. So you will need to consider how much pain you are experiencing with certain activities.
Second is the healing. When you have a tummy tuck and if the muscles are repaired it takes time before the muscles can withstand certain stresses. Even though there are stitches holding the muscles together they can break or tear through and cause the muscles to partially or completely separate, ruining the muscle repair. It take at least 6 weeks for the scar tissue and the stitches, working together, to be strong enough to withstand reasonable stresses.
Finally, what is "sex". Assuming that we are talking about traditional vaginal intercourse there are a variety of positions that can be considered. You would first need to try to determine which position(s) are the most comfortable and the least stressful on the abdominal muscles. That is probably a very individualized determination. You also need to consider the intensity of the sex. I explain to my patients that sexual intercourse is like riding a bike. The intensity could vary anywhere from the level of a stationary bike all the way up to downhill mountain biking. The point is sexual intercourse can quickly become a very uncontrolled activity. 
So, if you want to be absolutely safe, wait 6 weeks. If you think you can control the situation I tell my patients that they can have sex when they feel comfortable enough.
I hope this explanation helps.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 17 reviews

Sex after tummy tuck -How soon?

+1
Thanks for the question.It all depends how is the healing going on with you.If the healing of the suture line is good and you are out of the discomforts I normally allow all normal physical actives in life, including sex in 3 to 4 weeks after surgery with or without muscle repair.However each PS has own views just talk to him.

Ashok Govila, FRCS, MCh, MS
Dubai Plastic Surgeon
5.0 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.