Understanding Abdominoplasty: What to Expect During Recovery and Rehabilitation

Abdominoplasty, commonly known as a tummy tuck, is a popular surgical procedure designed to remove excess skin and fat from the abdominal area while tightening the underlying muscles. Many people choose this operation to improve their body contour after significant weight loss, pregnancy, or aging. While the surgery can produce dramatic improvements in appearance and confidence, understanding the recovery and rehabilitation process is essential for a smooth and successful outcome.

This post will guide you through what to expect after an abdominoplasty, including the stages of healing, common challenges, and practical tips to support your rehabilitation.

What Happens Immediately After Surgery

Once the abdominoplasty is complete, patients typically spend a few hours in a recovery room where medical staff monitor vital signs and manage pain. I may have placed drains to remove excess fluid and we will have applied compression garments to reduce swelling and support the abdomen.

Key points during this phase:

• Pain and discomfort: Expect moderate pain, which your doctor will can be managed with regular Acetaminophe, some Ibuprofen and some Hydromorphone taken regularly.

• Swelling and bruising: These are normal and usually peak within the first 48 to 72 hours.

• Drain care: Drains help prevent fluid buildup (but not a haematoma) and are usually removed within one to two weeks, is used.

• Limited mobility: Movement will be slow and cautious to avoid strain on the surgical site.

  
  

You are advised to sleep in a slightly bent position (pillow under the knees) to reduce tension on the incision and to avoid standing fully upright during the first 5 days.

The First Two Weeks: Critical Healing Phase

The initial two weeks after surgery are crucial for wound healing and minimizing complications. During this period, you should focus on rest and gentle movement.

What to Expect

• Incision care: Keep the surgical area clean and dry. Follow your surgeon’s instructions on dressing changes.

• Swelling and numbness: Swelling may persist for up to 6 month, and numbness around the incision is common due to nerve disruption.

• Activity restrictions: Avoid heavy lifting, strenuous exercise, and bending over for the first 6 weeks.

• Diet and hydration: Maintain a balanced diet rich in protein and vitamins to support tissue repair. Drink plenty of water. Keep your TED stockings on.

  
  

Tips for Comfort and Safety

• Wear compression garments as directed to reduce swelling and support healing tissues.

• Take short, frequent walks to promote circulation and reduce the risk of blood clots.

• Use pillows to support your body when sitting or lying down.

• Absolutely no smoking and moderate alcohol, as they will impair healing.

  
  

Weeks Three to Six: Gradual Return to Normal Activity

By the third week, many patients notice a reduction in swelling and discomfort. The body continues to heal, and the risk of complications decreases.

Rehabilitation Focus

• Increasing mobility: You can slowly increase walking distance and light activities.

• Physical therapy: Usually not necessary

• Scar care: Begin gentle massage and use silicone sheets or gels to improve scar appearance.

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What to Avoid

• High-impact activities such as running or heavy lifting should still be avoided for 6 weeks.

• Avoid exposing scars to direct sunlight to prevent darkening for first year.

  
  

Long-Term Recovery and Results

Full recovery from abdominoplasty can take several months. The final results become more apparent as swelling subsides and tissues settle.

What to Expect

• Scar maturation: Scars will gradually fade but may take up to a year to fully mature.

• Muscle strength: Core strength improves with ongoing exercise and physical therapy.

• Body contour: The abdomen will appear flatter and more toned.

  
  

Maintaining Results

• Maintain a stable weight through a healthy diet and regular exercise.

• Follow up with me for routine check-ups.

• Consider professional scar treatments if necessary.