Could internal sutures from a TT be causing a pulling discomfort 2 yrs after surgery?

Due to being fairly "tight", the surgeon made a vertical external incision, which is exactly where the internal pulling sensation is. That area has remained very hard, and it feels like something sitting hard on my intestines there, and everything feels very tight. An abd. CAT scan, abd. & pelvic ultrasounds showed nothing except a lot of gas. This has caused significant discomfort every day since surgery, some days worse than others.

Doctor Answers 9


The pulling may be from the vertical scar tissue.   You would have to be seen infernos to be properly evaluated.

New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Painful Post Op Scar

I would advise you to go back to your original surgeon to be examined in person. Bring all of your test results. It is possible that what you are experiencing is due to scar tissue and may need further surgery to fix, but this is only a guess.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 33 reviews

Could internal sutures from a TT be causing a pulling discomfort 2 yrs after surgery?

The external skin being tight and requiring a vertical incision may create some external thickening of the skin scar, but won't have any effect that would cause a deep pulling sensation. The same goes for the muscle plication. All of these sutures are placed on the outside of the abdominal wall and the abdomen isn't entered. If you have had previous abdominal surgery or a C-section, you could have some internal scarring from these procedures causing adhesions. Your best bet may be to consult with a general surgeon.

Don W. Griffin, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 72 reviews

Discomfort 2 years after vertical tummy tuck

Thank you for asking about your tummy tuck.

  • I am sorry this has happened to you.
  • It sounds as though the problem may be the scar itself - either it is adhering to the muscle or it has shortened and causing you pain.
  • I suggest you see your plastic surgeon to discuss whether a scar revision, steroid injections or even placing fat or a protective layer of ADM might be helpful.
  • If however, you were sutured so tightly that it is actually causing the gas seen on the studies, then it is possible that a revision of the muscle repair might be needed.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Could internal sutures from a TT be causing a pulling discomfort 2 yrs after surgery?

It is always best to ask these questions of your chosen surgeon as recommendations may be different.  I would advise you to go back to your original surgeon to be examined.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Question about #tummytuck post operative scar

Hi Catspurrr, Thank you for sharing your excellent question about experiencing discomfort two years post tummy tuck surgery. Without the benefit of an in person exam it's impossible to say for sure. There is a possibility you could be experiencing issues with the scar, however we would recommend you speak directly with your operative plastic surgeon and allow he or she to be your guide. I hope this is helpful and wish you all the best.  -Brian S. Coan, MD, FACS

CARE Plastic Surgery

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 58 reviews

Could internal sutures from a TT be causing a pulling discomfort 2 yrs after surgery?

Thank you for sharing your question and I am sorry to hear of your pulling discomfort.  After two years I would be more concerned about the possibility of scar tethering causing your symptoms over a suture as many sutures used for muscle repair are absorbable.  A tethered scar can be treated and involves a surgery to release the tissue and reapproximate the underlying adipose layer to prevent recurrence.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 65 reviews

Internal sutures pulling at two years after tummy tuck?

     It is more likely that scar tissue is contributing to your tightness and discomfort than internal sutures.  Sometimes, a scar revision with release of this scar tissue will improve your symptoms.  At that time the internal suturing can also be assessed.  Good luck.

John Zavell, MD, FACS
Toledo Plastic Surgeon
4.9 out of 5 stars 38 reviews

Scar tissue?

Thanks for this important question. There certainly could be some scar tissue under the vertical part of your tummy tuck scar that could be contributing to these symptoms. Another possibility, which is less likely, is a neuroma or entrapped nerve. You should be examined by your plastic surgeon for a full assessment and consider some of the treatments already outlined by Dr. Morgan. Perhaps seeing a GI specialist might be a good idea if your discomfort is also associated with bowel symptoms. 

Best of luck, 


Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 201 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.