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Can a Muscle Repair Come Loose? And if Yes, How Does This Happened?

Can a Muscle Repair Come Loose? And if Yes, How Does This Happened?

Doctor Answers (6)

Tummy tuck muscle loosening

+2

The muscle can loosen a little over time, or the sutures can pull out.  Both are possible, although suture disruption is very rare.  Most surgeons place a lot of sutures, or several rows.


Miami Plastic Surgeon
5.0 out of 5 stars 4 reviews

Muscle repair loosening after tummy tuck is uncommon

+2

Thank you for your question. Yes, the muscle tightening suture can come loose after tummy tuck, but this is not common. When the muscle tightening is performed, it takes 6 weeks to heal and have 90% of its strength.  Some surgeons even use dissolvable sutures for the repair.

If someone lifts too much, coughs a lot, or otherwise strains their abdominal musculature during the critical time of healing in the first six weeks, it is possible for the suture to loosen or tear through.

If you think this has happened, please return to discuss with your plastic surgeon.

Best wishes.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 38 reviews

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Muscle repair has come loose after tuumy tuck

+2

The muscle repair is actually a repair of the muscle covering called the fascia which is tightened by a permanent suture. The tissue will heal setting the repair firmly by six weeks or so. It is possible to tear the tissue or suture before full healing by straining, coughing, lifting, but the discomfort would cause you to take notice.

Best of luck,

Peter Johnson, MD.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 30 reviews

Muscle loose after tummy tuck

+2

The muscle itself is not repaired, it is the layer on top which is much stronger than the muscle, the gristle layer, know as fascia, which is sutured. The suture is usually permanent, made of polypropylene which is like strong fish line. There are several possible ways for the muscle repair to "come loose". One is by exerting yourself too much in the healing period, generally considered to be about 6 weeks. Coughing fits, constipation causing straining, or repetitive exercise can also cause the repair to fail.

Because the suture is so strong, it is highly unlikely that the suture breaks, especially since more than 1 layer is usually put into the fascia. The fascia itself can be weak, and stretch out again, and lastly, the sutures can cut slowly through the fascia, like a wire through cheese, over time if the fascia is thin. Thankfully this is not common.

Victor Au, MD
Chapel Hill Plastic Surgeon
5.0 out of 5 stars 6 reviews

Yes it can

+1

Part of the tummy tuck operation involves tightening the abdominal muscles.  Technically the sutures

are in the fascia (the very strong tissue that surrounds the muscles) to flatten your tummy.  

The sutures can come undone if your surgeon does a poor job-not very likely.  If that happens,

it is usually because of to much strain on the sutures in the first few days after the surgery.

This may be caused by vomiting or by the patient trying to do too much too soon.

The other possibility is that your tissues may not be strong enough to hold the sutures.

Most of us place a lot of sutures to try to prevent any loosening or stretching.

E. Anthony Musarra II, MD
Atlanta Plastic Surgeon
4.0 out of 5 stars 9 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.