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

Question

I had a tummy tuck and muscle repair in 2019. Im pregnant with my third child which is my first after my tummy tuck. I am currently 21 weeks pregnant and my lower abdomen is almost flat but my upper abdomen is bloating large towards the end of the day. Is this a normal thing to occur?

Ozge Ergun, MD · Answer

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.

J. Timothy Katzen, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

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.

Connie Hiers, MD, FACS · Answer

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.

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

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

Answers (7)

Answer: Upper abdomen bloating

Answer: Upper abdomen bloating

Answer: Bloating

Answer: Bloating

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Everything you need to know about Tummy Tuck

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