3 years pos op abdominoplasty circumferential, experiencing abdominal tightness. Thoughts?

Thank you for your question. Experiencing persistent tightness and a pulling sensation three years post-circumferential abdominoplasty is not typical, so it’s understandable that you’re looking for answers.

The tightness could be due to scar tissue formation or adhesions, which can sometimes cause ongoing pulling sensations and restrict movement. Scar tissue may tether to surrounding structures and cause discomfort during activities like cycling. Additionally, it’s possible that the abdominal fascia or the connective tissue might still be affected from the initial surgery, especially if there was any significant muscle tightening (plication) performed.

I recommend scheduling a consultation with your plastic surgeon or a specialist familiar with post-operative rehabilitation. They may suggest imaging to rule out any internal adhesions or scar tissue issues. In some cases, physical therapy, specifically working with a therapist who specializes in post-surgical recovery, can help to release tight areas and improve mobility.

If the tightness persists or worsens, some patients benefit from minimally invasive scar release techniques or targeted physical therapy exercises designed to reduce tightness in the abdominal area. Please feel free to discuss these options with your provider for a more tailored approach.

Sincerely,
Dr. Katzen

Your deep fascial sutures are still pulling fairly tight, probably. I would suggest physical therapy with professional massages.

It's difficult to tell what may be occurring without an in person evaluation. It may be beneficial to consider focused stretching exercises to help relax the muscles. I encourage you to return to your surgeon to discuss your concerns.