Tummy Tuck and Weak Tummy Muscles?

Dear dreal,

    Sorry about your consultation. Was your doctor an experienced board certified plastic surgeon ? In my experience it is unusual not to be able to obtain a flat stomach after tummy tuck. It might happen if you are very  overweight with  significant intra abdominal fat.  As far as pregnancy after tummy tuck, I have a number of patients who had a healthy delivery after tummy tuck and the somach was still nice and flat. I would recommend a 2nd consultation with an experienced board certified plastic surgeon.

       Best of luck,

                             Dr Widder

Having a tummy tuck will not prevent you from having more children. However, pregnancy and its attendant stretching of the abdomen and weight gain, may require revision of the tummy tuck. You need to decide whether you will not have more children and if concerned about contraception, consider a tubal ligation (or vasectomy for your partner). Weak abdominal musculature can be tightened during the abdominoplasty but the female anatomy is not consistent with a total flat, washboard abdomen and this needs to be recognized.

It is highly recommended to be completely done with having children before considering a tummy tuck. If a patient were to get pregnant after a tummy tuck, the baby could be born prematurely because the abdomen may not stretch to hold the baby. I usually recommend patients to have a tubal ligation at the time of surgery if they have not yet had one already.