How long to return to work after tummy tuck with muscle repair?

I think it is best to prepare for a “recovery” of 3-4 weeks (longer if strenuous work) after tummy tuck surgery. Descriptions of recovery times shorter than this,  in my opinion, is over-promising.

I do have another word of advice for you. Patients who are about to undergo tummy tuck surgery spend a lot of time thinking about the physical preparation for the procedure (for example weight loss issues) but do not spend a lot of time thinking about the emotional aspects.

It is not uncommon for patients who undergo the procedure to experience severe “mood swings”. These emotions may range from depression ( “why did I do this to myself”) to elation  (which may lead to over activity). I think it is helpful to be aware that these emotional swings do occur postoperatively.  It is not unusual for some patients to require several months before they regain preoperative strength/stamina/energy levels.   What I have observed  is that many patients are about 70 to 80% of their energy level at the 4 to 6 weeks post op period and may require 3 to 4 months before they are 100%.   
Suggestions I have for patients undergoing this procedure: 1. Make sure you have a strong support system in place who have time/patience to take care of you. 2. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. 3. Be prepared to distract your mind with things of interest such as books, magazines, and movies. 4. Expect less of yourself; do not go back to work too early and let others take care of you (for a change). 5. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience. 6. Keep in mind the end result!

Best wishes.

Most patients will be
placed in an abdominal binder, which they will wear the first week. There is
usually a fair amount of swelling and the binder should be opened  several times a day so that there are no
pressure points. After the first 7 to 10 days the patient is placed in an
elastic garment for compression over the next six weeks.

Swelling can persist for
several months and will gradually improve and will look better at three months,
six months, and even one year. Frequently the pubic area and the scrotal and
penis area for men can become very swollen and discolored during the first two
weeks due to gravity as this is the lowest area for swelling to accumulate.

You can return to full
activity without restrictions at 6 weeks.

Really depends on what your job entails. I see women in my practice who work on road construction, landscaping and in the steel mills. They generally need 6-8 weeks off before they can return. Patients with more sedentary jobs like working in an office generally need 4-6 weeks. My realtors and others who work from home can go back to part time work once the drains come out - often in 2-3 weeks. Good luck