I have never had strong stomach muscles, but my PS doesn't think I'll need muscle repair when I have my TT. I have degenerative disc disease and can use all the help I can get with core strength. Would that actually help, if it's possible? I see the surgeon again, in a few weeks and was wondering whether I should bring it up. Thank you!
Answer: Possible to have muscle repair just to help strengthen muscles, even if no repair is required? Thank you for the question. Generally speaking, the vast majority of patients who present for tummy tuck surgery benefit from muscle plication; as you know, this part of the tummy tuck procedure serves to re-approximate the muscles that have spread during pregnancy or weight gain/loss. Omitting this part of the procedure will potentially leave patients with continued abdominal wall laxity and, in my opinion, a less than optimal result. If you remain in doubt, seek additional consultations with well experienced board certified plastic surgeons who can demonstrate significant experience helping patients achieve the types of outcomes you would be pleased with.
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Answer: Possible to have muscle repair just to help strengthen muscles, even if no repair is required? Thank you for the question. Generally speaking, the vast majority of patients who present for tummy tuck surgery benefit from muscle plication; as you know, this part of the tummy tuck procedure serves to re-approximate the muscles that have spread during pregnancy or weight gain/loss. Omitting this part of the procedure will potentially leave patients with continued abdominal wall laxity and, in my opinion, a less than optimal result. If you remain in doubt, seek additional consultations with well experienced board certified plastic surgeons who can demonstrate significant experience helping patients achieve the types of outcomes you would be pleased with.
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Answer: Muscle Repair
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Answer: Muscle Repair
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August 9, 2016
Answer: Tightening Muscles Does Not Improve Strength Simply tightening the stomach muscles will not increase their strength. It does flatten the stomach. In a few cases if there has been a significant stretch of the linea alba (the strip of tissue down the middle of the stomach wall between the two rectus abdominus muscles), tightening of the linea alba can re-orient the pull of these muscles back to their original and proper direction and improve their efficiency.
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August 9, 2016
Answer: Tightening Muscles Does Not Improve Strength Simply tightening the stomach muscles will not increase their strength. It does flatten the stomach. In a few cases if there has been a significant stretch of the linea alba (the strip of tissue down the middle of the stomach wall between the two rectus abdominus muscles), tightening of the linea alba can re-orient the pull of these muscles back to their original and proper direction and improve their efficiency.
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August 6, 2016
Answer: Tightening muscles does not make them stronger Muscle tightening only improves appearance of stomach. It does not impact muscle strength or muscle function
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August 6, 2016
Answer: Tightening muscles does not make them stronger Muscle tightening only improves appearance of stomach. It does not impact muscle strength or muscle function
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August 8, 2016
Answer: Hard To Say A muscle plication is usually a good thing to do at the time of an abdominoplasty in a patient who has had pregnancies (you did not say if you did). Pregnancy stretches the muscles and it is rare to have them come back to the mid-line as they were before the pregnancy. It is true that the muscle repair will relax some over the next year, but at least the surgeon and the patient know that they did everything they could to make the patient's abdomen as flat as possible.I would never recommend a muscle plication to try to "strengthen" the muscles. It will not result in more strength, if anything the rectus muscle plication weakens the muscle by putting the big stitches in them and creating more scar. It is not the same as having good core strength.The relationship between muscle plication and helping with back pain is too hard to sort out. Back pain has so many factors. I never tell my patients that muscle plication will be good for back pain, I tell them it may help, but I never promote that as a reason to do the muscle.Thanks,Gordon Telepun, MDDecatur, Alabama
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August 8, 2016
Answer: Hard To Say A muscle plication is usually a good thing to do at the time of an abdominoplasty in a patient who has had pregnancies (you did not say if you did). Pregnancy stretches the muscles and it is rare to have them come back to the mid-line as they were before the pregnancy. It is true that the muscle repair will relax some over the next year, but at least the surgeon and the patient know that they did everything they could to make the patient's abdomen as flat as possible.I would never recommend a muscle plication to try to "strengthen" the muscles. It will not result in more strength, if anything the rectus muscle plication weakens the muscle by putting the big stitches in them and creating more scar. It is not the same as having good core strength.The relationship between muscle plication and helping with back pain is too hard to sort out. Back pain has so many factors. I never tell my patients that muscle plication will be good for back pain, I tell them it may help, but I never promote that as a reason to do the muscle.Thanks,Gordon Telepun, MDDecatur, Alabama
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