Tightness sensation 1.5 years after tummy tuck. Should I be concerned?

Thank you for your question about experiencing abdominal tightness one and a half years after undergoing a tummy tuck (abdominoplasty). It's understandable to be concerned about long-term sensations post-surgery.
During a tummy tuck, one of the key procedures is the plication (tightening) of the rectus muscles, which are often brought together to flatten the abdomen and repair rectus diastasis (separation of the muscles). Typically, board-certified plastic surgeons use permanent sutures for this muscle repair, extending from the sternum to the pubic symphysis. As the name suggests, permanent sutures are designed to be long-lasting, and thus, the tightness you're feeling is a result of this intentional and enduring muscle repair.
Feeling tight in the abdominal area after a tummy tuck is quite common, primarily due to this muscle plication. While it can be a noticeable sensation, it's generally not something to be overly concerned about. Most patients adapt to this feeling over time.
However, in rare instances, if the tightness becomes unbearable or significantly affects your quality of life, there are options. One such option could be the surgical release of these permanent sutures. It's important to note that releasing these sutures might lead to some degree of abdominal bulging, as it would undo some of the muscle tightening achieved during the abdominoplasty.
In conclusion, while most patients adjust to the feeling of tightness following a tummy tuck, there are options available if the sensation is intolerable. I recommend discussing your concerns and symptoms with your plastic surgeon. They can provide tailored advice and potential solutions based on your specific situation and the details of your surgery.
Thank you for sharing your concerns, and I hope this information is helpful in addressing your questions about muscle tightness after abdominoplasty.
Good luck.

You had the tummy tuck to tighten your abdomen and it is doing what you wanted. If it feels too tight, try to lose weight to relax things up a bit more.

Even though it is 18 months following your tummy tuck, you should not be concerned. I would suggest heat and massage to help loosen the surgical area. You might also consider seeing a physical therapist and a massage therapist. Everyone heals differently.