Discomfort from Tummy Tuck 2+ years post op. Would this be scar tissue or nerve damage? (photos)

Without a muscle repair the most likely causes would be scar tissue or sensory nerve injury. Both occur to some degree in all abdominoplasties. Your description of tightness makes me lean toward scarring which should have gradually improved. As it is three years since your abdominoplasty, you may wish to form a relationship with a new plastic surgeon in Toronto and have them evaluate you. Best wishes.

Hello Jimmy365,

Thank you for your question regarding the discomfort you're experiencing more than two years after your tummy tuck.

It's not uncommon to feel tightness or tenderness in the lower abdomen after a tummy tuck, even a couple of years post-op. This could be due to scar tissue or nerve damage, both of which can cause the symptoms you're describing.

1. Scar Tissue:

Formation: Scar tissue forms as part of the natural healing process after surgery. It can sometimes create tightness or a pulling sensation, especially in areas where the skin was significantly tightened during the procedure.
Symptoms: The tightness and tenderness you feel, particularly in the mornings, could be related to the build-up of scar tissue.
Treatment:
Massage Therapy: Regularly massaging the area can help break down the scar tissue. Using silicone-based scar creams can also be beneficial.
Physical Therapy: A physical therapist can provide exercises and techniques to improve flexibility and reduce scar tissue.
Ultrasound Therapy: This can be used to break down the deeper scar tissue.
2. Nerve Damage:

Cause: During a tummy tuck, nerves can be stretched, cut, or damaged, leading to changes in sensation or discomfort.
Symptoms: Nerve damage might cause tingling, numbness, or a burning sensation in the affected area.
Treatment:
Medications: Over-the-counter pain relievers can help manage the discomfort. In some cases, prescription medications for nerve pain may be needed.
Nerve Blocks: These can be performed by a specialist to help manage chronic pain.
Physical Therapy: Specific exercises can help manage nerve pain and improve mobility.
Next Steps:

Consult a Specialist: Since you’ve moved to Toronto, it would be best to consult with a local plastic surgeon or a specialist in post-surgical care to get a proper assessment of your condition.
Diagnostic Tests: An ultrasound or MRI might be needed to assess the extent of scar tissue or nerve damage.
Avoiding another tummy tuck is understandable, and fortunately, there are non-surgical treatments that can help alleviate your symptoms. Consulting with a specialist will provide a tailored treatment plan to address your discomfort.

Good luck, and I hope this helps to answer your question regarding the discomfort you're experiencing after your tummy tuck.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Since the discomfort you are experiencing is more than two years after your surgery it's difficult to say that it is related to your tummy tuck, as it may be something else completely. As you are distant from your surgeon I encourage you to visit with another board certified plastic surgeon near you or your primary care physician for an evaluation.