Recommended Time Before Having Intercourse After Tummy Tuck?

How long must I wait to have intercourse after a Tummy Tuck?

Doctor Answers 20

#IntercourseAfterMommyMakeOver

Your plastic surgeon will give you the best answer in your specific case about this and sex. For most of my patients I allow sex to begin at 6 weeks with the woman on top to minimize the risk of trauma. Here are some fo the guidelines I give my patients: Following surgery, you will be walking in a bent-over position to keep tension off the newly tightened skin incision site. Although strenuous activity, and lifting more than ten pounds, must be avoided for 6 weeks, some people can return to work and daily activities as soon as 2 weeks after surgery. Softening of the surgical scars, return of sensation, and loosening of the tight sensation may take several months to a year or more.
Abdominoplasty involves a recovery period of 10 to 14 days longer than most plastic surgical procedures. Initial discomfort and decreased mobility is typical. To decrease this discomfort, we offer a long acting local anesthetic. This numbing injection solution (Exparel) which lasts for 3-4 days allows for an easier recovery and is preferable to older pain pump technology.
3-5 days or more of assistance at home is usually indicated. We can arrange for a nurse to stay with you if helpful.
You will be encouraged to move and walk regularly starting the day of surgery. Wearing your TED stockings at all times, except while washing, to prevent venous clots (deep vein thrombosis) is mandatory.
Light activity is comfortable in 10-20 days. No sports or heavy lifting for 6 weeks or more – please discuss with your doctor for specific questions.

2 months

It is advisable to avoid strenuous physical activity for 2 months after abdominoplasty. Activity before that time can result in hematoma, seroma, wound failure and other complications.

Sexual Intercourse After a Tummy Tuck

This a delicate question and the answer needs to be handled in a delicate fashion.  The reason for not having sexual intercourse (SI) early after any surgery is because you do not want to raise your blood pressure, and therefore increase your changes of bleeding and getting a hematoma.  No matter what position you and your partner use during SI, your abdominal muscles will come into play and you want to allow for reasonable repair of these muscles before engaging them in SI. 

 

Back and forth shearing movements on your newly repaired abdominal wall could increase the chances of fluid buildup on your abdomen (seroma) which would increase the time of your recovery and also temporarily interfere with further SI.  

 

A safe answer to your question is wait 3 to 4 weeks and let pain or discomfort be your guide.   

Wait At Least 1 Month Following Tummy Tuck Before Intercourse

                  Any type of strenuous activity including sexual intercourse should be avoided for at least one month following abdominoplasty.  Strenuous activities can elevate blood pressure and pulse rates and lead to hemo-dynamic changes.  These changes can result in post-operative complications such as bleeding and seroma formation.  In addition, physical exertion can cause stretching and pulling of the soft tissue which can traumatize fresh surgical wounds that are still healing.  Under these circumstances, the incidence of wound healing complications would be expected to increase.

Recommended Time Before Having Intercourse After Tummy Tuck?

Your plastic surgeon will be your best resource when it comes to specific information/advice. He/she knows exactly what was done and how you are progressing. Concerns would include an increase in heart rate and the potential for bleeding.  Muscle spasm may be painful. Obviously, significant pressure on the surgical site is not a good idea either. It is not uncommon for patients to report increased swelling that occurs after vigorous exercise (including sexual activity),  even several months after tummy tuck surgery.
I hope this helps. 

When can I have Sex after a Tummy Tuck?

The question about returning to sexual activity after surgery is very common. 

The level of physical activity one undertakes during sexual activity varies for each individual and often each time you are having sex. However, as a general rule I recommend my patients to abstain from any sexual activity at all for the first two weeks. You want to avoid doing anything that causes you to strain or activate your core muscles. Also, anything that increases your heart rate or blood pressure up too much is not ideal during this early post-operative stage as it could potentially compromise wound healing or cause some bleeding.

My general instructions for returning to normal physical activities is to wait until 6 weeks post-op. So given this, after the first 2 weeks and up until up until 6 weeks post op you should be taking on a very passive role during sex. After 6 weeks you can do what you like without any fear that you are going to compromise your results. You will of course still have some residual discomfort so simply be guided by your body and common sense.

Eddy Dona, MBBS, FRACS
Sydney Plastic Surgeon
4.9 out of 5 stars 64 reviews

Intercourse After Tummy Tuck

You should probably wait until about 3 or 4 weeks after your tummy tuck before having intercourse however please ask your surgeon for their advice.

Resuming Sexual Relations After Tummy Tuck (Abdominoplasty)

Before resuming relations, I would consult your Plastic surgeons. We all may have different opinions.

I do not think that you will be "in the mood" for at least 3-4 weeks after surgery. If after this period you wish to resume relations, I would advise you begin gently so as to not strain the transverse incision and the muscle repair. (I had a patient in her 50's who proudly told me she resumed relations after just two weeks - while I suspect others wait more than 4-6 weeks). Everyone is different and people heal at different rates.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 102 reviews

Intercourse after tummy tuck

Here is the reasoning behind guidelines for activity restrictions after tummy tucks. During the procedure the muscles are tightened and blood vessels are cut. Activities that cause stress on the muscle repair and pressure on the sealed or tied blood vessels can lead to breakdown of the repair or bleeding.

The thought is that if you slowly get back to activities you can do more and more. For example, you can lift 10 -25 pounds right away as long as you proceed slowly with no sudden straining. Uncontrolled activities that can lead to sudden increases in pressure or stress are not advised for 6 weeks.

Intercourse tends to be one of those activities that involved uncontrolled physical stress so there is a significant risk of breaking down the repair and bleeding. Although there are no hard and fast rules, you should listen to your doctor.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 31 reviews

Sex after tummy tuck

Hi, thanks for your question. 

I generally tell my patients they can resume around 4-6 weeks depending on how their recovery is going. Your surgeon will be the best person to guide you in this decision. 

Best wishes in your continued recovery,

Dr. Blagg

Austin, TX

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.