Hate my binder, will my muscle repair be alright if I don't wear it??? Any advice?

I do not use compression or binders after tummy tuck until the wounds and flaps are stable at one month.  If the binder is tight before then, it will collapse the veins. If the veins are collapsed, then there is no outflow. If there is no outflow, there can be no inflow. No inflow from the arteries means no oxygen. No oxygen means no healing. No healing means wound dehiscence (opening) and failure.

Good morning!Binders are not fun- but they are necessary in my opinion during the early healing phase of abdominoplasty surgery to protect any fascial repair that was performed.  Tension needs to be taken off the suture line while scar tissue forms that will lead to a nice flat abdomen.  If that suture line is disrupted, you will never be as flat as you would have been otherwise.My advice is to contact your surgeons nurse and be sure you are wearing it properly- many times patients are not wearing it as designed and can lead to discomfort and even abrasions on the skin.  Also ask your doctor if there is an alternative type of garment that he/she may allow you to wear soon.  I hope this helps

I appreciate your question.



I would recommend that you discuss this question with your surgeon as every surgeon has their own respective post op protocol for his/her patients.  Your surgeon is your best resource as he/she is most familiar with your medical history and how you are healing at this time.



The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.



Best of luck!



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon

Thank you for your question.  It is best to wear the binder or another type of compression garment till advised differently from your Board Certified Plastic Surgeon.  

if your skin is sensitive because of the binder, try a larger size. Too tight is definitely a no-no as it may affect skin circulation. If its sensitvity, and its ok with your surgeon, you might try Aleve twice daily for a few days and see if that helps.

There are other options for "binders" or garments that are more comfortable. Often those provided by surgicenters and hospitals are inexpensive but effective.  It sounds like you may be wearing it too tight.  It should support your abdomen with modest pressure to the point it actually provides some comfort from your muscle repair.  Often returning to your physician for advice or asking one of the nurses at the practice for suggestions is helpful.  Most surgeons advocate use though there is no high level scientific evidence to support use or disuse.  On a lighter note, you are at the 2 week mark which is usually a turning point after a tummy tuck, I hope you continue to progress.  Best of luck in your continued healing.