Post-operative instructions following full or mini abdominoplasty
First 72 Hours
• Rest in a flexed hip position (reclined or pillow under knees) to reduce tension on the incision.
• Do not stand fully upright for the first 5–7 days. Walk slightly hunched forward.
• Your drains and abdominal binder will be in place — do not remove without instruction.
• Constipation is common from anesthesia and pain medications. Use stool softeners proactively.
Drain Management
• Empty drains at least twice daily (morning and night). Record output in your log.
• Strip drains before emptying to keep them patent.
• Drains are removed when each side produces less than 30mL per 24-hour period.
• Most drains are out by day 7–14.
Compression Garment
• Wear your abdominal binder or compression garment 24 hours a day for 6 weeks (remove only to shower).
• Compression reduces swelling, supports the repair, and improves your result.
• After 6 weeks, you may transition to Spanx-style shapewear during the day.
Activity Restrictions
• No lifting over 10 lbs for 6 weeks.
• No core exercises, crunches, or sit-ups for 8–12 weeks.
• Short walks: begin day 1. Gradually increase distance each day.
• Return to desk work: 2–3 weeks.
• Full exercise clearance: 8–12 weeks depending on procedure.
Swelling
• Swelling after abdominoplasty is significant and can last 3–6 months.
• Your abdomen will feel tight and numb — sensation gradually returns over months.
• Lymphatic massage is strongly recommended starting 2–3 weeks post-op to reduce swelling.
Your belly button is an incision site as well. Keep it clean and dry. Report any unusual discharge, odor, or darkening of the surrounding skin.
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