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I agree with Dr. Johnsons post; most of my patients take a week off from work, some may need a little more. I have my patients up and walking the day after surgery to prevent blood clots and doing isometric exercises that dont require use of the abdominal muscles 2-3 weeks after surgery. Close follow up with your doctor is always advisable! Good luck!
I recommend getting out of bed several times a day to walk in order to keep the blood flowing. When you are resting in bed make sure that you are moving your feet and legs frequently. No pushing, pulling, cleaning, bending over, or exercise.
Tummy Tuck RecoveryThe first 2-3 days aftersurgery there is a good amount of pressure and tightness from repairing thestretched rectus muscles. The feeling issimilar to a hard workout. We usuallyprescribe pain pills such as Norco (Vicodin) or Percocet and a muscle relaxantsuch as Soma or Flexeril. You will needhelp from someone the first 2-3 days. Adrain is placed which is removed at approximately 1 to 1.5 weeks. During that time, you should not be very active so the space underneath can close. Best of luck, Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is thebest way to assess your needs and provide true medical advice.
It is important not to be "bed-ridden" following a tummy tuck as this does increase the risk for blood clots in the leg and lung. Doing activities in moderation for the first few weeks is usually recommended which also means no heavy lifting, straining and sit-ups. You also may need to walk bent over for several days. Many patients do return to work by 1 week though this is for more sedentary jobs. Those jobs requiring a considerable amount of physical activity or lifting would be longer. Each physician has his/her own protocol so whomever does your surgery, make sure that you follow their recommendations.
In my practice, Tummy Tuck (Abdominoplasty) is an outpatient procedure. By providing anesthesia to the area of muscle separation repair (Diastasis), our patients do not have significant discomfort for 12 hours and their level of pain the day after is significantly decreased. Not only is it much more comfortable but it allows greater mobility and deeper breathing. The faster the patients walk and take deep breaths the quicker they recover and the less the risks of blood clots (DVT), blood clots to the lungs (emboli) and pneumonia. We therefore make sure our patients walk the night of surgery until they go to bed and encourage them to ambulate and or move their feet every 30 minutes in the days after surgery. Our patients are NOT hunched over ("Groucho Marx position") nor do they feel like they need to be. They do not compress their operated tummies with ill-fitting, tight and expensive corsets or binders which increase the rate of shallow breathing, fever and pneumonia and potentially of decreased blood flow to the tummy skin just above the incision. (Although I was trained to use binders, I stopped doing so years ago and my patients are much more comfortable without them). Our patients usually return to a desk job in 10-14 days but must refrain from exercising for 4 weeks. In summary, the more you move after your Tummy Tuck the better you will do. Good Luck. Peter A Aldea, MD