Does every tummy tuck come with muscle repair?

Doctor Answers 26

Does every tummy tuck come with muscle repair?

Muscle repair is usually done at the same time as Tummy Tuck procedure. 

there are different types of tummy tucks which one is right for me and how are they different from the other? There is a mini tummy tuck, tummy tuck and a vertical abdominoplasty. The appropriate procedure depends the amount and location of the excess skin. That's what your plastic surgeon will have to determine after the actual physical exam.


  The recommended BMI is less than 30. This is the recommendation of the American society of plastic surgery. The reason simply, is increased chance of complications. These include but limited to, pulmonary embolus, deep venous thrombosis, delayed wound healing and increase infection rate.


Choose a board certified plastic surgeon who has done a ton of Tummy Tuck and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon and choose one wisely.

Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote possible. Please be mindful that the in person physical exam is the most important and could potentially alter your treatment plan.





Does every tummy tuck come with muscle repair

Muscle repair is usually done at the same time as Tummy Tuck surgery.  There are exceptions.  Your plastic surgeon will determine the need during an in person evaluation.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

Typical but not absolutely necessary in every case

Hi, thank you for your question. For women especially, tightening of the rectus abdominis muscles is commonly part of the tummy tuck procedure. Aging and pregnancy are two factors that easily lead to stretching and separation of these muscles overlying the abdomen. That being said, it wouldn't be unheard of for a plastic surgeon to recommend skipping the muscle tightening. This could be for various reasons, mainly if the tightening is simply unnecessary given the current condition of those muscles.

It's important to find an experienced, board-certified plastic surgeon you trust. During the treatment planning, you will discuss whether muscle tightening is recommended and why. Best wishes and good luck!

Adam L. Basner, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 36 reviews

Tummy tuck

No, there is such a thing as a mini-abdominoplasty, in which only skin and fat from the lower abdomen are removed and no muscle work is done. See a board certified plastic surgeon for an exam to determine what type of tummy tuck, if any, is right for you.

Salem Samra, MD
Middletown Plastic Surgeon
5.0 out of 5 stars 2 reviews

Muscle repair and tummy tuck

Most traditional tummy tuck surgeries include plication of the rectus abdominus muscles. The "muscle repair" tends to significantly improve the contouring results for most patients. There are a few exceptions in my practice. There are some men who do not seem to require the muscle plication and some women who have not have children that may not absolutely need to tighten the rectus muscles. But most patients will benefit from it and is typically assumed to be part of the procedure. Most mini-tummy tuck procedures do not have a complete muscle repair. 

Wm. Todd Stoeckel, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 79 reviews

Does every tummy tuck come with muscle repair?

Thank you for your question. 

The short answer is "no".  There are different variations of the traditional Tummy Tuck.  In some cases no muscle will need repair, just redundant skin will be removed. When you have a physical examination with your plastic surgeon, he or she will suggest what will be the best option to give you the optimal result.

All the best to you

James E. Murphy, MD, FACS
Reno Plastic Surgeon
5.0 out of 5 stars 31 reviews

Does every tummy tuck come with muscle repair?

Dear Kayden, Thank you for your interesting question. Every tummy tuck does not come with muscle repair, but most do. This is because most of the patients having a tummy tuck have had children and have some laxity of their underlying rectus abdominal muscles. If you have significant abdominal wall muscle laxity and it is not repaired at the time of your tummy tuck, you will not have a flat abdomen post op, which is regrettable. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with tummy tucks. At the time of your consultation, you will have an abdominal examination, review of your medical history, discuss your post operative tummy tuck goals, answer all of your questions and see dozens of the plastic surgeon's before and after tummy tuck results. Best wishes, Dr. Richard Swift

Muscle repair with tummy tuck

no, it all TT need muscle repair, though women with multiple pregnancy history may well need it. 

Robert V. Mandraccia, MD
Fort Myers Plastic Surgeon
4.6 out of 5 stars 6 reviews

Tummy tuck

The majority of tummy tucks are performed with a muscle repair. This does not mean it is required in all patients.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Tummy tuck and muscle repair

Most tummy tucks commonly include a muscle repair of what is call the diastasis recti or separation of the abdominal muscles which can occur from pregnancy or as a result of massive weight loss.  While this generally occurs in most tummy tucks there are some exceptions where is not performed.  There are many reasons why is not performed including lack of separation of the muscles, hernias, or if the patient has a lot of intra-abdominal fat also called visceral fat.  Be sure to see an experienced surgeon that is Board Certified by the American Board of Plastic Surgery to see what is right for you.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.