Thanks for posting. I continue to be amazed at the stories I hear regarding pain after tummy tuck. While I can not speak for other doctors, my patients RARELY take a single narcotic pain pill after tuck. At the end of your procedure, long acting numbing medicine is injected, and you are give a dose of non narcotic pain medicine--all before you wake up. The MAJORITY of patients wake up with little or no pain, which I think is key to not ever having significant pain. If patients comment on any discomfort, they will mention their waist/back being sore from supplemental lipo of the waist--NOT the tuck!! We have many,many patient references to provide. Please see attached web reference. Good luck!
What is painful about Tummy Tuck? And what is the recovery time for a Tummy Tuck?
Doctor Answers 7
Tummy Tuck Pain and Recovery Time
General Post-Op Healing information provided to my patients:
Most patients will be placed in an abdominal binder, which they will wear the first week. There is usually a fair amount of swelling and the binder should be opened several times a day so that there are no pressure points. After the first 7 to 10 days the patient is placed in an elastic garment for compression over the next six weeks. You can return to full activity without restrictions at 6 weeks.
Swelling can persist for several months and will gradually improve and will look better at three months, six months, and even one year. Frequently the pubic area and the scrotal and penis area for men can become very swollen and discolored during the first two weeks due to gravity as this is the lowest area for swelling to accumulate.
It may take several months for a tummy tuck patient’s scars to soften, for sensation to return, and for relaxing of the tight sensation in the abdomen. In the case of extensive surgery, abdominoplasty recovery can be uncomfortable and may take longer. Scars may stay red, become thick or widen. It can take 12-18 months for the scars to settle.
These can be improved with topical treatments such as BioCorneum, Scar Guard, Scar Fade and Mederma. Redness can be improved with laser treatments and the scars can be kept narrow with products such as Embrace. On occasion, keloids or hypertrophic scars can develop and will need treatment including Kenalog, 5FU and laser.
Tummy tuck post op, some advices:
Thank you very much for sharing your concerns with us.
At the beginning the swelling is normal.
To reduce it, I recommend you perform daily lymphatic drainage massage therapy over the abdomen and wear a postoperative girdle from thigh to the breasts.
Dr. Emmanuel Mallol Cotes.-
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Healing after a tummy tuck
Thank you for your question.With tummy tuck most of the pain after surgery comes from the abdominal wall tightening but is also well controlled with medication. Healing is usually pretty straight forward. There is a process of swelling and bruising that peaks at 3 days after surgery and then undergoes the first stage of major resolution in the first 2 weeks after surgery. The lateer phase of healing takes place over the 2-3 months after surgery where everything really settles and softens. It is after this time that we are getting close to the final result, though this varies patient to patient.
The pain associated with a TT us typically related to plication of the rectus muscles. If you do not need this maneuver performed during the surgery the pain will be far less. If you do require this, your surgeon can infiltrate long acting local anesthetics to assist with the pain. Typical recovery time is 4-6 weeks until you will be back to full speed again.
Tummy tucks that involve plication of the rectus muscle fascia due to diastasis can be more painful. You typically would need 2 weeks recovery before returning to clerical work duties. Best wishes, Dr T.