Sensitivity and Burning After Tummy Tuck

Patients who
undergo abdominoplasty often complain of pain, swelling and skin
hypersensitivity. These are normal
findings immediately following surgery, and usually resolve with time.The hypersensitivity that you
describe is known as a dysesthesia.It’s
very similar to what happens when your leg falls asleep.The phenomena occurs when the nerves are
compressed or stretched.In many cases,
this is made worse by swelling.Patients typically describe a
tingling burning sensation that can be very uncomfortable.In many cases, clothing rubbing against the
area can elicit a pins and needles sensation.These symptoms usually resolve in
about 6 to 8 weeks without intervention.In some cases, aggressive massage can desensitize the area and minimize
the pain and discomfort associated with this condition.

Hello! Thank you for your question! Numbness after any surgical
procedure is expected for several weeks to months following. As the
nerves to the area are traumatized and will then experience a temporary
neuropraxia, a transient loss of nerve conduction. This usually
resolves over the next 6-12 weeks, but depending on the procedure
performed, sometimes much longer. Typically this should resolve by 1
year. As it goes past this date, the likelihood of the sensation
returning is small. However, it can take up to 2 years. If no return
from there, it is unlikely to return. It should be discussed that
persistent sensory changes may develop following any surgical
procedure. The usual signs of the nerves regenerating and neuropraxia
resolving is itching, followed by a burning sensation and then
occasional sharp, shock-like pains. These will be normal to experience,
and actually a promising sign. Usually, normal sensation returns, but
is is also possible to have decreased sensation or even increased
sensation to the areas affected. Re-educating nerves postoperatively is
often helpful and will allow proper instruction for the affected
sensory nerves - methods include using different textures to the
affected areas when showering, bathing, applying lotion, etc. If
bothersome, there are some medications that may be helpful, including
Neurontin for pain for hypersensitivity. You can try various textures
such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is
also beneficial for the incision to make the finest scar possible. The
last place to regain the sensation will be directly adjacent to the
incision/scar as the nerves will make its way from the periphery to this
location. If continual pain arises, evaluation is warranted. After
ruling out other causes, one rare explanation may be that a neuroma has
developed and may require surgical excision. This is very unlikely
unless a large sensory nerve has been transected inadvertently during
the procedure. Hope that this helps! Best wishes!

Sensitivity and pain as you describe is an uncommon long term problem with tummy tucks. However, it is not uncommon to experience these symptoms for brief periods of time during the healing process. The use of desensitization exericises to help decrease the hypersensitivity may help to improve the recovery.