Thank you for your question regarding the persistent abdominal tightness and discomfort you’re experiencing following your lower body lift. While it’s great to hear that you’re happy with the aesthetic results, it’s concerning that this discomfort is still affecting your daily life years after the procedure. The abdominal tightness you're feeling could be due to a few factors. One possibility is nerve involvement or nerve damage from the surgery. During a lower body lift, nerves can sometimes be stretched or injured, leading to a sensation of tightness, pulling, or even discomfort that can persist long after the initial healing period. Another potential cause could be internal scar tissue or adhesions. Scar tissue can form beneath the skin, sometimes attaching to deeper tissues and causing a pulling or tight feeling, especially during movement. These adhesions can also contribute to discomfort and restrict mobility in the abdominal area. Additionally, muscle repair during a lower body lift can sometimes lead to prolonged tightness. If your abdominal muscles were tightened as part of the procedure, you might feel ongoing tightness, especially if the muscles are healing or adapting slowly. It’s important to consult your surgeon about these symptoms. They may recommend imaging, like an ultrasound or MRI, to check for scar tissue, adhesions, or other internal issues. Physical therapy, scar massage, or nerve treatments might also be helpful in alleviating your discomfort. I hope this provides some clarity and guides you toward finding relief from the tightness and discomfort. Sincerely, Dr. Katzen