When is it ok to have sex after a male tummy tuck?

Question

Hi, My husband had a tummy tuck with muscle repair of a 2cm diastasis 12 days ago. When is he able to resume sexual activities? His recovery has been great and complication free. Thanks

Steven L. Ringler, MD, FACS · Answer

It is typical for patients to wait about 2-3 weeks after a tummy tuck to resume sexual activity, but it mainly is based on comfort level. Most patients find that gentle sexual activity is comfortable after 3 weeks and sexual activity without restrictions after about 6 weeks. I hope this is helpful.

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding when it is safe to resume sexual activity following a male tummy tuck with muscle repair. I’m glad to hear your husband’s recovery has been smooth so far — that’s a great sign.

In general, sexual activity should be avoided for at least 3 to 4 weeks after a tummy tuck, especially when muscle plication is involved. The rectus abdominis muscles (the “six-pack” muscles) are stitched together during the procedure to correct diastasis, and any physical strain or core engagement too soon — including from sexual activity — can put unnecessary tension on the internal sutures, potentially delaying healing or even compromising the repair.

Even if he’s feeling well, it’s important to allow the deep layers of tissue to heal completely. Sexual activity involves movement of the abdominal wall, elevation of blood pressure, and use of surrounding muscle groups — all of which can stress the healing area.

After about 3–4 weeks, if there are no complications, the incision is healing well, and he’s no longer experiencing swelling or tightness, it’s usually safe to resume intimacy — starting gently, and avoiding positions that place strain on the abdomen.

If you’re unsure, the best course of action is to have your husband’s plastic surgeon evaluate him at the next follow-up and give personalized clearance based on his specific healing progress.

Thank you for your question regarding when it is safe to resume sex after a male tummy tuck with muscle repair.

Sincerely,
Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS
(Certified by the American Board of Plastic Surgery and President of the American Board of Bariatric Plastic Surgeons)

Constantino G. Mendieta, MD · Answer

I recommend that you touch base with your husband's surgeon to gain the most insightful answer. However, 2-4 weeks following the procedure offers a realistic window to resume regular activities, within reason. About 6-8 weeks out you and your husband should be able to engage without complication. But this is all in theory, we cannot speak in exactitudes without the insight that your surgeon provides.

When is it ok to have sex after a male tummy tuck?

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