What are some potential negatives that can happen with "muscle repair" during a tummy tuck?

The type sutures, number of layers of stitches, and technique to reestablish the muscular layer may all contribute to the tightness of your TT.  Suggest you consult with a board certified PS in your geographical area and carry your records from the surgeon who performed your surgery with you.  Files should be available for seven years after a surgeon retires.

In most cases, the muscle has stretched out and needs to be sutured tight during a tummy tuck. In most cases a tight tummy is desirable and doesn’t cause any issues. But on occasion I have seen women become very uncomfortable from the tightness on one side or the other, especially after 55 years old in patients that experience late afternoon bloating. It is common in women and can become very uncomfortable in some patients after a tummy tuck. I have also had some patients experience continued discomfort for years. So yes, it is possible to feel tightness and discomfort in one area or another after tummy tuck but does not mean anything is wrong. 

Dear Umsmith,
When done properly, you shouldn't feel your sutures. 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 thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and welcome to our forum!Your description does not provide us with enough information to formulate a gameplan of treatment. Problems such as an overtight rectus abdominis muscle repair or nerve injury within the muscle itself may be responsible.I recommend an in-person evaluation from a board certified plastic surgeon to determine its cause.Best wishes...

If you've read some of my previous answers this is not uncommon.  In the front of the muscle where we typically will sew the gristle tissue together over the outer surface of the muscle are layers of nerves and vessles that we call perforators.  One row of nerves is about a inch from midline. We divide the nerve and vessel as we elevate the skin going up the abdomen to just under the rib cage.  Then we sew the external fascia (gristle)  over the rectus abdominis muscle together tightly down the midline. This results in flattening and shaping if your muscles have become lax but sometimes a nerve can be grabbed in a suture causing neuroma  pain. I have had several patients come to me to have sutures removed.  It is helpful to know whether there is a single-point of pain or whether it is the entire area of tightening which hurts.  At this point the sutures are not necessary to remain in you. Your tummy will stay tight if you remove them. You might have relief of your pain by simply having somebody remove them.  It all is determined by how much discomfort you are in, and although there is no guarantee that it will all go away, it has worked in my practice. 

Every once in a while patients will have a certain sensation, pulling, pain or other discomfort that goes on long-term or indefinitely after this procedure.This is a pretty big change in someone’s body and the force is used are very real to get good results. Often patients have some permanent numbness etc.It’s unlikely your surgeon did anything wrong or unusual. Each person simply heals differently and has a different unique perception of how they heal from the procedure.I don’t think there’s anything to be done about your sensation other than to learn to manage it.I suppose you could get radiological a valuations like an MRI but I don’t think they’ll find anything and if they do I don’t think it will be easily treated.It’s one of those things that happens sometimes from having big procedures.There are not a whole lot of significant drawbacks to having muscle tightening. Sometimes the belly button can be pulled to one side. Just gonna happen despite even muscle tightening.Best, Mats Hagstrom MD

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. everything depends on your BMI, if it is within the normal range, above 35 it can generate risks.

It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you

My best wishes for you...