Can Tummy Tuck Change or Distort the Pelvic Area?

Hi there-
The short answer to your question is that yes, it is possible that your pubic area could be altered by tummy tuck surgery. The longer answer is that your individual anatomy and the precise technique used will affect the risk significantly, and even in patients with severe ptosis (sagging and distortion) of the area, the appropriate tummy tuck technique will actually aesthetically IMPROVE the area.
Poor attention to this point of anatomy and technique can result in a poor aesthetic outcome and even functional change. The best advice I can give you is the same advice I give everyone: find a Board Certified Plastic Surgeon you like and feel you can trust (there is no substitute for our years of training doing tummy tucks under supervision). Talk to them about your concerns and get all your questions answered. If you aren't comfortable, move on until you find someone you are comfortable with. I hope that helps.

By imbricating the muscle, you are in a way decreasing the volume intra-abdominal to an extent. But will the plication affect your pelvic anatomy in a way to prevent perhaps pregnancy or other issues? Unlikely.
During a tummy tuck, the work that is done is all extra pelvic or outside the pelvic and abdomen so there should not be any issues.
Hope that helps.