Distended stomach after tummy tuck without muscle repair. (photos)
Doctor Answers 2
Distended Belly after Skin only tummy tuck
It can take more than 3 months for the abdomen to become less swollen after abdominoplasty. The fact that the skin is still hard usually means its full of fluid; which means its significantly swollen. When you have your final result the skin should look and feel like it did before. Many times even though you did not have children, the muscles need to be tightened. They can become lose with weight gain and loss as well as age. This does add some disability and longer recovery, but it certainly makes your tummy flatter. Try sleeping flat with a couple of pillows under your bottom to try to mobilize the extra fluid. See if the skin is flatter in the morning. If it is, keep doing this until the swelling is resolved. Good luck.
Eric Weiss MD
Muscle Repair during tummy tuck
Procedure as described by your plastic surgeon is accurate. However, muscle tightening in my practice is almost a necessity for every patient. Child birth can loosen the abdominal wall, so can weight gain and loss and some women just have a loose abdominal wall genetically. Last the amount of tightening is limited by the fat internal (around your intestines,liver and stomach). This deep fat can only be reduced by diet and exercise. The best way to make these determinations is by an in person exam by a board certified plastic surgeon.