Recovery after Abdominoplasty – Timeline and Tips after Abdominoplasty

An abdominoplasty, commonly known as a tummy tuck, is a surgical procedure designed to contour the abdomen and remove excess skin and fat, often caused by weight fluctuations, pregnancy, or aging. While the surgery itself is a significant step, the recovery process is just as crucial in achieving the desired results.

In this article, Dr Turner, a Specialist Plastic Surgeon in Sydney provides a comprehensive week-by-week guide to ensure a smooth and effective recovery.

Week-by-Week Recovery After a Tummy Tuck

Week 1: Initial Healing Phase

The focus of the first week is rest and healing, as your body adjusts to the surgery.

• Pain and Swelling: Expect discomfort, swelling, bruising, and tightness around your abdomen. Dr Turner will prescribe pain medications to manage symptoms effectively.
• Dressings and Drains: Surgical dressings will protect the incision, and small drain tubes will be inserted to prevent fluid accumulation. These will be removed during a follow-up visit.
• Mobility: Movement will be limited, and walking slightly hunched over is recommended to avoid strain on your abdominoplasty incision.
• Compression Garment: This is to reduce swelling, prevent seroma formation and supporting your abdominal tissues.

• Sleeping: Sleep on your back in a bent and elevated position. You can use a recliner or extra pillows to support your upper body. This prevents any accidental tossing and turning and ensures a much-needed sleep.

Week 2: Gradual Improvement

Healing progresses significantly during the second week, with reduced pain and improved mobility.

• Pain and Swelling: While discomfort and swelling will persist, they will be noticeably less severe and should be manageable with simple over the counter analgesia.
• Dressings: Dr Turner recommends taping the abdominoplasty incision lines for the first 3 weeks and apply sorbolene around the umbilical incisions.
• Mobility: You may start gentle walking slightly more upright but avoid heavy lifting or engaging your core muscles.
• Compression Garment: Continue to wear your compression garment or binder day and night.
• Sleeping: You may start sleeping with less elevated position, it is still recommended to use two pillows for support of the upper body and under your knees.

Weeks 3 and 4: Transition to Normal Activities

During this phase, your recovery shifts from rest to resuming normal daily activities.

• Pain and Swelling: You should have minimal pain at this point. It is normal to still be swollen in the lower abdomen which will resolve over next few months.
• Scar Management: You can remove any dressings at this point and commence scar massage with sorbolene. The scar will still be red and slightly raised.
• Mobility: You may feel comfortable performing light household tasks and taking longer walks. However, avoid heavy lifting and strenuous exercise.
• Light Exercise: You should be able to begin low-impact activities such as stationary cycling or gentle stretching. Avoid exercises that engage your core muscles.
• Sleeping: You can sleep flat with one pillow or on your side as you feel more comfortable.

Weeks 5 and 6: Return to Routine

At this stage, many patients feel ready to return to work and resume low-impact exercise.

• Work Resumption: Depending on your job, you can return to administration roles. Physically demanding jobs may still require additional recovery time.
• Physical Activity: Gradually introduce low-impact exercises such as yoga or brisk walking. Strenuous activities and core exercises should still be avoided.
• Scar Management: At this point Dr Turner recommends starting silicone scar therapy for the following three months.
• Compression Garment: You can transition to lighter compression garments like Spanx under clothing for the next few months.

Weeks 8 and 12: Back to Exercise

This period marks a return to greater activity levels and an increased appreciation of your abdominoplasty results.

• Exercise: Begin incorporating more vigorous activities like light resistance training or swimming. Avoid heavy weights or core-intensive movements, especially if rectus diastasis was repaired until after three months.
• Final Stages of Healing: While minor swelling may persist, the majority of the healing is complete.
• Lifestyle Adjustments: Adopting a healthy diet and regular exercise routine helps maintain your results.

Long-Term Recovery

As you enter the final stages of recovery:

• Scar Management: With time, scars will fade and flatten. Protecting them from the sun with zinc sunscreen is recommend in the first year. At this stage, Dr Turner may recommend further treatments like dermal needling or CO2 laser to improve your scar quality.
• Exercise Routine: By this stage, most patients can resume their full fitness routines without any restrictions. It is normal in first year that some activities may still be uncomfortable to perform and will get better with time.
• Weight Management: Be mindful to maintain a healthy weight to preserve your surgical results. Further weight loss often leads to further improvements in your abdominoplasty results.

Essential Do’s and Don’ts for Recovery

Do’s

• Wear Your Compression Garment: Essential for reducing swelling and supporting healing tissues.
• Follow Post-Operative Instructions: Adhere to Dr Turner’s detailed guidelines for optimal recovery.
• Stay Hydrated: Drinking plenty of water promotes healing and reduces swelling.
• Eat a Nutrient-Rich Diet: Focus on foods high in protein, vitamins, and minerals to support tissue repair.
• Engage in Light Activity: Gentle walking encourages circulation and prevents complications such as blood clots.
• Sleep Properly: Rest on your back with knees bent or in an inclined position to minimize tension on your abdomen.

Don’ts

• Avoid Smoking and Alcohol: These impair healing and increase the risk of complications.
• Refrain from Strenuous Activities: Activities such as heavy lifting or intense exercise can strain your abdominal muscles and delay recovery.
• Don’t Skip Follow-Up Appointments: Regular check-ins with Dr. Turner are critical for tracking progress.
• Avoid Swimming or Hot Baths: Immersing the incision site can increase the risk of infection.
• Stay Clear of Tight Clothing: Avoid anything that may irritate the incision area or compromise healing.
• Limit Salt Intake: A high-sodium diet can exacerbate swelling and delay recovery.

Driving after a Tummy Tuck

Driving after a tummy tuck requires patience to ensure safety and proper healing. For a mini tummy tuck, most patients can resume driving after about two weeks, while a full tummy tuck typically requires at least four weeks or until you feel fully comfortable. Movements like turning to check blind spots, sharp turns, or even wearing a seatbelt can be challenging during recovery. Planning ahead is crucial—seek help from family, friends, and consider public transportation if needed. Always consult Dr. Turner for personalized guidance before getting back behind the wheel.

Next Steps

Recovery is a critical phase in your abdominoplasty journey, and Dr. Scott Turner is committed to guiding you through every step. With personalized care, expert advice, and ongoing support, Dr. Turner ensures you achieve the best possible results.

To Learn more about abdominoplasty with Dr Turner

1. Schedule a Consultation: Contact us at 1300 437758 or visit drturner.com.au to book your appointment.
2. Prepare for Surgery: Follow any preoperative guidelines provided, such as avoiding certain medications and arranging for post-surgery care.
3. Plan for Recovery: Set aside time for rest and healing and arrange for assistance during your initial recovery phase if needed.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Consult with a qualified healthcare professional to determine the best treatment options for your individual needs.