Possibility of tearing internal sutures years after tummy tuck?

This sounds like you have developed an umbilical hernia. You might start by returning to your surgeon for an examination and diagnosis. If present, he or she can either offer to repair the hernia or suggest you seek referral for a surgeon through your primary care physician.

Thank you for your question regarding concerns after a tummy tuck with muscle repair. At 2.5 years post-op, it’s unlikely—but not impossible—that a suture could tear. Heavy weightlifting, especially core exercises, can increase intra-abdominal pressure, potentially straining the abdominal wall or even leading to hernia formation in some cases.

The symptoms you’re describing—pelvic floor pressure, a more "open" feeling, and a belly button that protrudes when lying down—could suggest several possibilities:

Suture Weakening or Tear: Over time, the sutures used for muscle repair can weaken, particularly if there is persistent strain on the abdominal wall. Heavy lifting can exacerbate this strain, potentially causing minor gaps between the muscles or a partial tear.

Hernia Development: The increased pressure from lifting weights might have contributed to a small hernia, especially near the belly button. This could explain the popping sensation you’re noticing when you lie down.

Rectus Diastasis: Although less likely if the muscles were previously repaired, rectus diastasis (a separation of the abdominal muscles) can sometimes redevelop, especially with repeated core strain.

It’s best to avoid heavy lifting and intense core exercises until you can be evaluated. Since your appointment is four months away, consider discussing the possibility of an earlier follow-up or referral for imaging, such as an ultrasound, to assess for hernia or muscle separation.

Thank you for your question, and I hope this helps guide you toward a resolution.

Sincerely,
Dr. Katzen

At this interval since your tummy tuck, it's unlikely to tear any sutures. If you are lifting heavy weights, it may cause hernia that needs to be evaluated. Pelvic floor pressure has nothing to do with tummy tuck.

Dear Forceful845647,
generally speaking, it is possible to tear stitches and cause muscle separation. I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The answer to your question is yes, you can develop a hernia and yes, you can tear sutures. Perhaps your medical doctor will order a CT scan to check for a hernia.

It would be unusual for your muscle repair to fail spontaneously two and half years after surgery. It may be that a hernia has developed. If you are unable to see your surgeon you can visit with your primary care physician to rule out a hernia.