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Running a Marathon After Tummy Tuck?

I will begin training for my third marathon on the first week of February. However, I am scheduled to have a tummy tuck on January 12. Is that range of time (3 weeks) sufficient enough for to recover and begin running again? I run an average of 4 to 7 miles at 3 to 5 times a week.

Doctor Answers (15)

Long term outcome will be better with patience

+6

Hi there,

There are many different variations on the tummy tuck, but if your planned procedure will involve tightening of your abdominal muscles, I would personally not want you running (not even lightly) until the 6 week point. Human scars do not gain in strength in a linear fashion after surgery, but rather exponentially for the first 6 weeks, and it is only at that point that your muscle repair will be at 90% of it's eventual strength.

Running is obviously very taxing to the body core (the very muscles repaired in surgery) and may cause a separation of the recently repaired muscles. This would lead to a less than ideal outcome, and the need for a revision in order to achieve your desired appearance. Talk to your surgeon about their comfort level with this activity, and follow their advice carefully. You're making a significant investment in your appearance and you'll want to protect it.


Orlando Plastic Surgeon
5.0 out of 5 stars 110 reviews

Running after tummy tuck

+5

Every patient and every surgeon is different, but we do not recommend light running after TT until 4 weeks postop.

The dangers in exercising too early are swelling or fluid formation. Often the lower abdomen gets very firm if the patient "overdoes it", and then subsides as they take it easy.

Exercise right after surgery is especially bad since the "flaps" (surgical areas) cannot stick to their new homes if they are moved too much.

Many of our patients are eager to resume their normal exercise routines. I usually advise patients that the day of full activity is near, and not to overdo it. Often your surgeon will allow you to walk long distances on a flat surface. This preserves your fitness level without straining the surgery. We typically allow our patients to walk long distances by 2 weeks after surgery.

After any surgery, patients should have an amazing diet with minimal carbohydrates and saturated fats and high in fruits, vegetables and antioxidants. Since the patient is generally sedentary after surgery, there is a risk of weight gain.

Also a soft risk factor for problems after surgery is stress. Where ever possible, patients should maximize their support systems and minimize stress, easier said than done I know.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 99 reviews

Absolutely not!

+4

Running 7,

I appreciate your enthusiasm for running. You also probably have a high tolerance for pain, but there is no way that you will be able to achieve that level of exercise 3 1/2 weeks after a tummy tuck. It will simply be too painful, aside from the fact that you will likely tear the stitches that are used to tighten your abdominal musculature. Put the endorphin rush on hold for at least 6 weeks and even then, be careful and listen to your body. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 32 reviews

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Vigorous exercise after tummy tuck - No way!

+4

Wound healing strength increases significantly from the 14th day after surgery up to two years after surgery, when the optimal strength will have been achieved. At 6-8 weeks after surgery, your wound healing strength should be at 60-70%. At 3 weeks, you are too weak to start running. Be patient!

Robert M. Freund, MD
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

You should be able to start with brisk walking at 3 weeks

+3

In general most patients wouldn't feel like agressive running until about 6 weeks after a "full" abdominoplasty. After checking with your surgeon you should be able to start with brisk walking or perhpas an elliptical trainer at about 3 weeks. The bouncing and pounding from running will likley be too uncomfortable until aobut 6 weeks.

Each patient is unique so please confirm with your surgeon.

John E. Gross, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Ask your surgeon

+3

It may be pushing it a bit to begin that type of training after 3 weeks, but do what your plastic surgeon advises. I tell my patients that within 3 weeks they can begin some light cardio such as fast walking on a treadmill and work up gradually from there.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 28 reviews

At that level - I'd give yourself at least 5 weeks

+2

All patients are different, and some do heal more quickly than others, but 3 weeks is not enough time. With that level of training and the amount of running you are planning on doing, you need at least 5 weeks.

I recommend to all my tummy tuck patients to wait at least 6 weeks to resume full activity, but 5 weeks is acceptable. Any quicker than that and you are risking your results, and your health. The body needs time to recover.

Joseph Thomas Cruise, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 26 reviews

Running a Marathon After Tummy Tuck?

+1

It is commendable that you wish to return to exercise as soon as possible after surgery. Your plastic surgeon will be your best resource when it comes to determining the return to specific activities after the specific procedures performed. He/she will know exactly how you are progressing and whether or not you have experienced any complications. Remember, that he/she is ultimately responsible for your care.


  Having said that, I ask my tummy tuck patients to start walking ASAP after surgery but refrain from any heavy-lifting or strenuous exercise for 6-8 weeks to prevent complications and ensure proper healing. It may be 4-6 months before you reach your full energy and strength levels. Best to “go slow” and listen to your body as you gradually increase or activity level. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

Probably not enough time after tummy tuck

+1
Three weeks is probably not enough time to recover properly enough, particularly for a marathon. I usually recommend waiting for at least 6 weeks until beginning strenuous physical exercise.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

Running after an abdominoplasty

+1

Your plastic surgeon is the best source for answering your questions.  For my patients I allow light activity at one week, building up to some light physical activity, walking on treadmill, elliptical between the third and fourth weeks.  I advise patients to avoid vigorous activities such as training for a road race for eight weeks.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 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.