Abdominoplasty is a surgical procedure that removes excess skin and fat from the abdomen. It is one of the most effective procedures for achieving a firm and toned abdomen, especially in people who have experienced pregnancy or significant weight loss. During surgery, the rectus abdominis muscles are reinforced with sutures to correct abdominal diastasis, providing a flatter and more streamlined appearance. But one of the most common questions is: can the muscles become loose again after a tummy tuck?.
The first thing to know is what the muscles that form part of the abdomen and are found in the front are. Their separation can occur for various reasons, the most common being pregnancy, although it can also occur naturally during growth.

What happens to the muscles after abdominoplasty?
During an abdominoplasty, the surgeon positions and sutures the rectus abdominis muscles, which have separated due to factors such as pregnancy or weight gain. These sutures help to keep the abdominal wall firm, but its stability will depend largely on postoperative care and the patient’s lifestyle.
Can the muscles separate again?
In some cases, the muscles can separate again after abdominoplasty. Some of the most common causes are:
Lack of adequate rest during recovery:
During the first few weeks it is important to take time to rest, the body needs to start healing properly and adapt to the changes. Avoid physical exertion or sudden movements that may put pressure on the newly sutured muscles.
Pregnancy after surgery
If a woman becomes pregnant after a tummy tuck, there is a risk that the expansion of the abdomen could separate the muscles again, which could require further surgery to correct. For this reason, we recommend this procedure for women who have already been mothers and are not planning to become pregnant again.
Significant weight gain:
Weight gain can stretch the muscles and skin, affecting surgery results and weakening muscle repair.Inadequate surgical technique:
An inexperienced surgeon may not perform a strong enough muscle repair, increasing the risk of the muscles separating again.
How can you prevent the muscles from loosening after a tummy tuck?
During the first few weeks it is important to take time to rest, the body needs to start healing properly and adapt to the changes. Avoid physical exertion or sudden movements that may put pressure on the newly sutured muscles.
• Avoid carrying weights, doing abdominal exercises, or any activity that may generate pressure in the operated area.
• Maintain a stable weight. Sudden weight gain can compromise the firmness of the abdomen.
• Avoid pregnancy if it is not in your plans. If you are considering having more children, it is best to postpone surgery until after motherhood.
• When the surgeon allows it, start doing certain strengthening exercises that help keep the muscles toned and firm.

Abdominoplasty provides great results, but maintaining a firm abdomen is as much a job for the surgeon with the surgery as it is a commitment of the patient with their recovery and aftercare.
If you follow all the medical recommendations and lead a healthy lifestyle, the results can last for years. If you have questions about the procedure or feel any unexpected changes after the surgery, consult your surgeon for the best advice.
Would you like more information about abdominoplasty? Schedule a consultation at Ideal Plastic Surgery with our expert surgeons and take the first step towards your ideal version.