Hello Rorschach54, Thank you for your question regarding the appropriate time to resume masturbation after undergoing a tummy tuck with muscle plication and subsequent seroma treatment. Recovery Timeline and Considerations: Healing of Muscle Stitches: Muscle Plication: After a tummy tuck with muscle plication, the sutures used to tighten the abdominal muscles need adequate time to heal and strengthen. Generally, it takes about 6-8 weeks for the muscle repair to gain substantial strength. Seroma Treatment: Seroma: The presence of a seroma can complicate recovery, as the fluid buildup needs to be managed to prevent infection or further complications. Ensuring the seroma has resolved and is under control is crucial. General Guidelines: Sexual Activity: Most surgeons recommend waiting at least 6-8 weeks before resuming any sexual activity, including masturbation. This timeline can be extended if complications such as a seroma are present. Specific Recommendations: Consult Your Surgeon: It's essential to get personalized advice from your plastic surgeon who is familiar with your case. They can provide guidance based on your healing progress and the current status of your seroma. Gentle Activity: When you do resume, start gently. Avoid putting any direct strain on your abdominal muscles. Listen to your body and stop immediately if you feel any discomfort or pain. Monitor for Symptoms: Pay attention to any signs of complications, such as increased swelling, pain, or fluid accumulation. If you notice any of these, contact your surgeon promptly. Conclusion: Given that you're approaching the 7th week post-op and are currently under treatment for a seroma, it's crucial to err on the side of caution. Waiting until your plastic surgeon confirms that your muscle stitches are secure and the seroma has been fully treated will help ensure a safe recovery. Following these precautions will help you avoid any setbacks in your healing process. Good luck, and I hope this helps to answer your question regarding the safe resumption of masturbation after your tummy tuck and seroma treatment. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon