Hello, and thank you for your question regarding muscle repair and post-surgical activity following your tummy tuck. Congratulations on your recovery and for seeking clarity about your experience. Having sexual activity, including orgasms, six weeks after your tummy tuck is generally considered safe as long as you’ve followed your surgeon’s instructions and were cleared for normal activities. By the six-week mark, the initial phase of healing, including the muscle repair, is usually well underway. While you may have felt pressure or contracting in the abdomen during those moments, this is a normal physiological response. It is highly unlikely that this would have affected your muscle repair or caused any damage, especially if you didn’t experience significant pain or noticeable changes afterward. The sutures used to repair your rectus muscles during a tummy tuck are typically permanent and designed to hold securely as the muscles heal together. Minor discomfort, tightness, or pulling sensations can occur during various activities, even months post-surgery, but this doesn’t necessarily indicate any harm to the repair. If you’ve had no ongoing issues like abdominal bulging, pain, or weakness since those events, your muscle repair was likely unaffected. However, if you ever develop concerns or symptoms related to your tummy tuck, such as persistent discomfort or changes in the contour of your abdomen, a follow-up with your plastic surgeon would be the best course of action. I hope this reassures you about your muscle repair and helps address your concerns. Wishing you continued confidence and satisfaction with your results! Sincerely, Dr. Katzen