Pregnancy after tummy tuck upper abdominal bloating - is this normal?

Thanks for the question. During pregnancy, the body undergoes significant changes, and it is not uncommon to experience bloating, swelling, and other physical symptoms. However, if you have had a tummy tuck procedure prior to your pregnancy, it is important to be aware that your body may respond differently to these changes, and you may experience some upper abdominal bloating or discomfort as your pregnancy progresses.One possible reason for upper abdominal bloating after a tummy tuck is that the surgery can alter the normal anatomy of the abdominal muscles and tissues, which can affect the way the abdomen responds to changes in pressure and position during pregnancy.Additionally, pregnancy hormones can cause the body to retain more fluid, which can lead to bloating and swelling throughout the body, including in the upper abdomen.It is important to discuss any concerns or symptoms with your obstetrician or plastic surgeon, as they will be able to evaluate your individual situation and provide personalized recommendations. In some cases, additional monitoring or treatment may be necessary to ensure a safe and healthy pregnancy and postpartum recovery.It is also important to note that pregnancy can have an impact on the long-term results of a tummy tuck procedure, and it is possible that you may need additional surgery or touch-ups after your pregnancy in order to achieve your desired results. I wish you all the best.

Thank you for your question regarding abdominal changes during pregnancy following a tummy tuck and muscle repair. Based on your description, experiencing bloating in the upper abdomen during pregnancy, especially later in the day, is not uncommon.

When you have a tummy tuck with muscle repair, the rectus abdominis muscles are tightened to flatten the abdominal wall and restore core strength. During pregnancy, as the uterus grows, it begins to push against the abdominal wall, especially in the upper abdomen where there is more room for expansion since your lower abdomen is already tighter from the muscle repair. This can create the appearance of upper abdominal bloating. Additionally, hormonal changes in pregnancy can lead to fluid retention and slowed digestion, which can further contribute to bloating.

What you're experiencing is typically a normal physiological response to pregnancy after abdominal surgery. However, it’s important to monitor your symptoms. If the bloating becomes painful, you notice changes in your breathing, or you experience other unusual symptoms, it’s essential to consult your OB-GYN.

Make sure to communicate openly with your OB-GYN and your plastic surgeon about your pregnancy progress, as they can work together to ensure your abdominal muscles and surgical repair remain intact and healthy. Most women with a history of tummy tuck and muscle repair go on to have healthy pregnancies without complications.

Sincerely,
Dr. Katzen

Dear Peaceful1666,
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

Actual bloating is excess gas usually in your colon. Stop using ice for now. If you are swelling due to pregnancy, your upper muscles may not have been tightened and can separate more easily than the lower part.

The upper abdomen contour could be a result of a few things. If that portion of your abdomen wasn't repaired with your tummy tuck then you may be seeing the result of that. Another option could be that due to the expanding abdomen that the upper portion of the prior diastasis repair has failed but the bottom is still holding. It is advisable to discuss questions with your OB/Gyn about any changes or concerns.

Most plastic surgeons will recommend patient not have a timer until they’re fairly certain they’re done having children.
Life happens including pregnancies.
The fetus will take what it needs and it will not be compromised by you having had a previous tummy tuck.
The pregnancy will stretch your muscle fascia and create skin laxity.
I suggest at this time you focus on your health and that of your pregnancy. When you’re 12 months out after delivery you can consult with plastic surgeons and get and assessments.
The muscle tightening tends to be strong in the lower abdomen and for that reason it’s not uncommon for the upper abdomen to bulge more.
The shape of the abdomen during pregnancy after a tummy tuck depends on different variables.
From the plastic surgery perspective there is nothing to do at this time other than to encourage you to stay healthy and focus on your pregnancy.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!
During the procedure of abdominoplasty, the anterior rectus abdominis muscles are repaired as previous pregnancy will have caused a splaying out and thinning of the paired muscles as they stretch over the growing fetus. This causes a gap between the muscles at anterior midline, termed "diastasis recti".
Subsequent pregnancies will have the same effect, disrupting the previous muscular repair, and causing the bloating you are experiencing. The repair may fail, but can be repeated with secondary abdominoplasty after your family is complete.
Best wishes...