How can I best prepare physically for recovery after a full tummy tuck?

Question

I am a competitive body builder and am doing the tummy tuck because of excess skin. I am coming off of a 2 year break so I am still trying to drop some more weight. My biggest worry is weight gain post-op. Are there certain exercises I can do now (core work, lower back exercises, etc.) that may help with a faster and better recovery? I have a pretty strong core and overall physique so I am hoping that me being so physically built pre-surgery will allow me to heal a little better. Yes? No?

Frank Agullo, MD · Answer

Continuing your exercise regimen up to your surgery will definitely help during your recovery. I am a big proponent of using Exparel to block the abdominal nerves. Exparel is a local anesthetic that lasts for three days. It is injected into the abdominal muscles so that you have less pain. This allows you to start moving and recovering quicker. Using your surgical garment or a waist trainer preop will aslo help you to get used to the tighter abdominal feeling. #StayBeautiful @RealDrWorldWide

Eric Schaffer, MD, FACS · Answer

A tummy tuck procedure is a big operation with beautiful results for patients that have excessive skin. The key to recovering well is circulation and nutrition which you are an expert in with your competitions. Before surgery it is a good idea to stay active, hydrated, and taking vitamins ( C and Zinc). After surgery, imperative that you walk often for circulation, use compression leg devices for additional circulation, eat high protein meals, take your vitamins, and drink plenty of fluids.  I also prescribe a circulatory enhancer medication that assists patients in healing quickly.  Patients usually do not experience weight gain after surgery in my practice.  Good luck .

John LoMonaco, MD, FACS · Answer

Cardio conditioning is what aids in your surgery recovery. Your body naturally goes through a stress response during and after surgery, so cardio fitness helps with this for sure. Since your body fat percentage is so low, you'll need a bit of diet modification as well to emphasize more energy intake (carbs and fat) rather than simply upping your protein after surgery. Best Wishes

Michael E. Decherd, MD, FACS · Answer

If someone was deconditioned, then exercise would be beneficial.  You are in fantastic shape.  So I think your recovery is going to be more a function of the natural wound healing.  By analogy: Kawhi Leonard is in great shape, but his ankle is just going to take some time to heal.  Your tummy is just going to have to take some time to heal.Good Luck!

How can I best prepare physically for recovery after a full tummy tuck?

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