When Will I Feel Normal After Full Tummy Tuck?

Different people heal differently, and there are different type of Tummy Tuck procedures. But usually, most of my patients go back to their routine work activities in two weeks, and do light exericising in 4 weeks, with no sit ups. Most people feel their normal self in about 8-12 weeks, but will still have some bad days, here and there, for up to 6-8 months more.

Hello mariaall. It sounds like you’ve had a challenging recovery period following your comprehensive surgery, which included a full tummy tuck, liposuction, breast lift, and implants. Your experience with needing blood transfusions and dealing with a chest infection has undoubtedly made your recovery more difficult. Here’s what you might expect going forward:

Normal Recovery Process: Typically, recovery from a full tummy tuck and other combined procedures can vary significantly among individuals. Commonly, patients start to feel more like themselves after about 4-6 weeks post-surgery, but given your complications and the extent of your procedures, it might take longer.

Fatigue and Emotional Response: Feeling tired, weepy, and overwhelmed after major surgery can also be influenced by the physical stress of surgery, the impact of anesthesia, pain medications, and your body's natural healing process. Emotional fluctuations are common due to the temporary drop in physical activity and the body's response to surgical trauma.

Swelling and Discomfort: Swelling can be significant and persist for several months. The tightness and inability to stand up straight are normal at this stage, especially considering the scope of the surgeries you’ve undergone. This should gradually improve over the next few weeks to months.

Post-Operative Care: It’s crucial to follow your surgeon's post-operative instructions closely. This includes wearing compression garments, managing pain and antibiotics as prescribed, attending all follow-up appointments, and taking it easy to allow your body to heal.

Nutrition and Hydration: Ensure you are eating a balanced diet rich in proteins, vitamins, and minerals which are crucial for healing. Staying hydrated is equally important.

Activity and Rest: Balance rest with mild activities, such as gentle walking, to help reduce swelling and prevent complications like blood clots. However, avoid strenuous activities or lifting heavy objects until your surgeon advises that it’s safe.

Emotional Support: Consider speaking with a counselor or a support group if you find your emotional health is affected during this recovery period. It’s important to address not just the physical but also the emotional aspects of recovery.

Follow-up with Your Plastic Surgeon: Given your complications, frequent follow-ups with your surgeon are essential. They need to monitor your recovery, especially because of the transfusions and infection you experienced.

Patience is Key: The journey to feeling "normal" again can be long and requires patience and proper care. Each week you should notice improvements, but full recovery and settling of implants and body contours can take up to a year.

If your condition doesn't start to improve in the coming weeks, or if you notice any signs of infection or other complications, contact your healthcare provider immediately.

Remember, recovery from such extensive procedures is a marathon, not a sprint. Give yourself grace and time to heal both physically and emotionally.

Sincerely,

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

Thanks for the question. Generally, abdominoplasty involves a recovery period of longer than most plastic surgical procedures. It generally takes 3 weeks to get over the first phase of recovery. However, downtime for abdominoplasty can vary from patient to patient, depends on the size of the operated area of your body.The exact downtime will be determined by your surgeon according to your surgery results. I wish you all the best.

When I see patients after a tummy tuck, I typically hear them complain that they are “exhausted”, they say “I feel like I was hit by a truck”, and “I feel tight”, but they don’t typically complain about pain after a tummy tuck. Don’t get me wrong, they all take some kind of pain medication, but the main complain is not typically the pain level. The worst part seems to be the first three days, after that they truly get better much faster. Most patients are back at work in about 2 weeks. Discomfort might last as much as three weeks, but that is not typical for a standard tummy tuck. I also ask patients not to exercise for six weeks and then to begin aerobic activity only. They can start aggressive weight training by 12 weeks (this is a little conservative, but I don’t like to take any chances).
 

Abdominoplasty removes excess abdominal skin while
simultaneously tightening the abdominal muscles. Patients can anticipate
limited physical activity for ten to fourteen days following surgery. I
typically tell my patients bathroom and kitchen privileges initially with slow
resumption of normal activity over the next two weeks. Patients can usually
return to work in two weeks if no strenuous activity or heavy lifting is
involved. After seven to eight weeks, patients can resume all their normal
activities including heavy lifting.The
vast majority of abdominoplasty patients have resumed their normal activities
within three months of surgery, but the wound healing process continues for up
to a year following this procedure. During this period of time, patients
occasionally note swelling, pulling, numbness and tightness. These symptoms
usually disappear with the passage of time.When
complications such as bleeding and infection occur, the healing process may be
delayed and recovery slowed. When this situation arises, it’s important to
maintain close contact with your surgeon. Your surgeon should be able to
address your concerns and alleviate your anxiety.

You appear to have had a more complicated course than is typical. It is quite common to experience almost a post-partum depression like syndrom 3 weeks after a tummy tuck. This may take an additional 3 weeks to improve. Difficulty sleeping is also quite common.

Typically, I tell my tummy tuck patients to plan on missing two weeks of work, no heavy lifting for at least four weeks, and that it will take a minimum of 6-8 weeks until they feel back to normal.  When a tummy tuck is combined with other procedures the recovery period is not only more strenuous, but also longer in some cases.  In addition, I think patients who undergo multiple procedures at once have a higher likelihood of experiencing a complication.  Lastly, it's important to remember that it takes a minimum of one year for a patient's body to be completely recovered from any surgery.

Sorry to hear about your difficult recovery.  This process  varies with age, nutritional status, and underlying health issues.  Most of my patients return to work within 2 weeks following abdominoplasty.  When this procedure is combined with others, recovery time is often slightly longer.  Anemia (low blood count) may contribute to a prolonged recovery.  When a complication is involved (hematoma, infection, wound dehisence), it may take several weeks to return to normal daily activities.  Frequent follow up visits with your doctor may be necessary.  A balanced diet, plenty of rest, and a positive attitude will all contribute to your recovery.

The recovery from a tummy tuck (abdominoplasty) generally takes about 2-3 weeks to begin returning to normal activity. Some patients heal faster, and some take longer. In your case it seems like you had a rougher time than average. The chest infection definitely will weaken you making your recovery longer. Also, it is a bit unusual to need any transfusions with this surgery. In my experience the amount of bleeding is very little. In any case, you had a more difficult time than average. But don't worry, once you are fully healed the results will be great.

If you would like more information about abominoplasty I would recommend checking out the attached link. You will find lots of good information and even be able to see how the operation is done using animation.

I hope this info helps...

It is normal to still feel tired and not quite yourself 3 weeks after a tummy tuck , liposuction, and breast implantation with a lift. You have had quite a rough recovery, but I would expect that you to start to feel better soon. I advise my patients having this combination of procedures to take 10 to 14 days off of work. They typically stat to feel better 2 to 3 weeks after the procedure and report feeling "normal" 6 weeks post-operatively. Your recovery may be delayed by a week or two due to the unforeseen circumstances of your recovery, but I would anticipate that you will be back on track in no time.

It is especially important when there are complications during the recovery period to see your Plastic Surgeon frequently. Although this is extra effort on your part, it will ensure the best results. With my own patients, I do my best to keep the lines of communication open and do everything possible to speed their recovery.

Best of luck,

Andrew Lyos, MD, FACS

Normally I advise my patients to take 2 weeks off work. Once your drains are removed you will feel alot better. You will be swollen and sore for up to six weeks after surgery. The recovery does take some time but the results are worth it.