Abdominal crunches ever again after abdominoplasty??

Question

I am nearly 18 months post op from my abdominoplasty, and I would like to know if abdominal crunches should never be done once you have had this surgery. Is it possible to have a reoccurrence of diastasis recti due to exercise?

John J. Corey, MD · Answer

I hope this isn’t confusing but I have a little different take on this. I agree that patients can return back to core exercise and full physical activity however… I do discourage my patients from doing a ton of crunches. I have seen some patients develop a hernia afterwards around their belly button or stretch their fascia back out. It certainly is not very often but it has happened so  that’s my take on it!

Sacha Obaid, MD · Answer

Thank you for your question! For my patients having a tummy tuck, I advise against doing any core abdominal workouts for 6 weeks post op, then they may resume all exercise activities. I always recommend listening to your body and easing your way back into your work outs. I also recommend discussing specific post op instructions with your plastic surgeon. Bet of luck!

Kenneth Hughes, MD · Answer

In the case of uneventful healing, after four months, stomach exercises such as crunches should be okay. Abdominal exercises that bulge the abdominal muscles forward (crunches, sit-ups, double leg lifts and some Pilates-based exercises) can induce or exacerbate diastasis recti because they exert forward, forceful pressure on the abdominal wall. 
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Austin Hayes, MD · Answer

Thank you for your question. My patients are allowed to perform core exercises eight weeks after surgery (crunches, planks, burpees, etc). The muscle repair is typically performed using sutures. After eight weeks the repair has healed completely and is strong. If you have concerns, you can always reach out to your surgeon for guidance.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  After 18 months you should certainly be able to do crunches without risk of a diastasic recurrence as the tissues should have fully healed.  Hope this helps.

Daniel Barrett, MD · Answer

Dear DeNovoMe,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Alex Campbell, MD · Answer

Thanks for your question. Patients can return to light activities almost immediately after surgery, normal activities 2 weeks after surgery, and vigorous exercise 4 weeks after surgery.  We usually experience a slow steady improvement for 3 months or so after surgery. At this point you can do abdominal exercises with no problem.

Camille Cash, MD · Answer

You absolutely can return to normal exercise after a tummy tuck including abdominal crunches.  At 18 months post op you should be fully healed and ready to resume a fitness regimen.  See your surgeon if you have specific questions on this.

Connie Hiers, MD, FACS · Answer

Great question, after 18 months you may resume normal exercise as tolerated. Further concerns may  need a one on one attention with your surgeon.

Tamy M. Faierman, MD · Answer

Great question! At 18 months your muscle repair is fully healed, though unlikely, it is possible to develop a hernia in the fascia from overexertion. There are so many ways to work out the abdominal muscles that don't require actual cruntches. I suggest working with a personal trainer who can guide you to proper and safe training. Good luck! Dr. Tamy

Abdominal crunches ever again after abdominoplasty??

Answers (12)

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