Tummy tuck 1 year post op - is this tightening sensation normal?

Hello Fantastic302320,

Thank you for your question regarding your concerns one year post-op from a tummy tuck.

Understanding Post-Tummy Tuck Sensations:

Experiencing a tightening sensation after a tummy tuck is not uncommon, even a year post-op. This sensation can occur for several reasons:

Healing Process:

Healing from a tummy tuck can take a long time. Even at one year post-op, your body is still adjusting, and internal tissues are continuing to heal and settle.
Scar Tissue Formation:

The tightening sensation could be due to scar tissue that forms as part of the healing process. Scar tissue can sometimes feel tight or restrictive, especially when you move or stretch.
Muscle Repair:

If your surgeon performed muscle repair (common in tummy tucks), the tightening could be from the repaired muscles. Muscle plication (stitching the muscles together) can create a feeling of tightness, particularly when engaging your core muscles.
Evaluating the Results:

Appearance:
It's concerning that you feel your abdominal area looks the same as it did pre-surgery. A tummy tuck should result in a noticeable difference, including a flatter and more contoured abdomen.
Follow-Up with Your Surgeon:
If you have not already done so, I strongly recommend following up with your surgeon. They can evaluate your results and determine if everything healed as expected or if there are any issues that need to be addressed.
What You Can Do:

Physical Examination:

A physical examination by your surgeon is essential. They can assess the tightness and determine if it's normal healing, scar tissue, or something else.
Imaging:

Your surgeon might recommend imaging (like an ultrasound or MRI) to get a better look at the internal structures and ensure everything is as it should be.
Massage and Physical Therapy:

Scar tissue massage or physical therapy can sometimes help reduce tightness and improve comfort. Your surgeon or a physical therapist can guide you on techniques.
Continued Monitoring:

Keep monitoring the area and note any changes. If the tightness worsens or if you experience pain, make sure to inform your surgeon.
Conclusion:

In summary, while a certain level of tightness can be normal even a year after a tummy tuck, the persistence of such sensations and your concerns about the results should be addressed by your surgeon. They can provide a thorough evaluation and recommend any necessary interventions.

Good luck, and I hope I’ve answered your question regarding the tightening sensation and concerns about your tummy tuck results one year post-op.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

You did not post photos, so I cannot discuss your results. However, your surgeon tightened your abdominal wall which you can still feel. If you loose weight, it may feel less tight.

Dear Fantastic302320,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery