Tummy tuck still sore 1 year post op. Should I be concerned?

Some patients do experience pain in their abdomen, especially when using their abdominal muscles, for long periods after their Tummy Tuck. This is also more likely if the muscle separation was sutured. This suturing creates a scar which can be uncomfortable when it is pulled on or stretched. Your ultrasound confirmed no other issue, so you may wish to consult with a Physical Therapist about different stretching exercises you could do. Best wishes.

Thank you for your question regarding a sore abdomen one year after a tummy tuck. It is not uncommon for muscle repair to hurt years after a tummy tuck or abdominoplasty. During the standard abdominoplasty, this abdominal muscle is plicated or sutured together. This is done from typhoid to the pubic region. This leads to a nice flat belly for years to come. The trade-off is that occasionally you will have abdominal pain. The abdominal pain can be exacerbated by specific movements, wildly twisting, or bending. In addition, coughing or vomiting can induce abdominal pain. Since your ultrasound did not find a hernia, I do not think further workup is needed. You will have to become accustomed to the periodic pain. If the pain becomes unbearable, you may consult your plastic surgeon. It is possible that the internal muscle sutures must be released or loosened. Thank you for your question regarding continued abdominal pain one year after a tummy tuck.
If you have any more questions regarding reconstructive surgery after massive weight loss, please contact my office. Reconstructive surgeries after massive weight loss include an abdominoplasty, tummy tuck, thigh lift, breast lift, mastopexy, arm lift, brachioplasty, torsoplasty, back lift, buttock augmentation, and buttock lift. Since these reconstructive surgeries after massive weight loss, are big procedures, please seek an experienced, board certified plastic surgeon with significant experience performing these types of lifts. Do your research. Make sure they have performed at least 100 of each procedure you are considering for reconstructive surgery after massive weight loss. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.

Some occasional soreness does not sound like a big concern. Some patients take longer than others to heal and it can be influenced by the degree of muscle repair that was done. I encourage you to visit with your surgeon for an evaluation as she/he is most familiar with the details of your surgery and how you've been progressing through recovery.