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Muscle Repair During Tummy Tuck for Core Strength

Woman has defined abdominal muscles after having tummy tuck surgery

Tummy tuck surgery (abdominoplasty) is often sought for cosmetic reasons, such as flattening the abdomen, removing excess skin, and refining body contours. But for many patients, the procedure offers more than just aesthetic improvement. When performed with muscle repair, a tummy tuck can also restore core strength and stability, especially after pregnancy or significant weight changes.

Dr. Marco Ellis, a board-certified plastic surgeon in Chicago, specializes in advanced tummy tuck techniques that include muscle plication. This approach not only enhances abdominal appearance but also addresses functional weaknesses in the core.

What Is Diastasis Recti? 

During pregnancy or significant weight gain, the abdominal muscles (specifically the rectus abdominis, or “six-pack” muscles) can become stretched and separated down the midline. This condition, known as diastasis recti, does not always resolve on its own, even with dedicated exercise.

When these muscles are no longer tightly aligned, the abdominal wall loses structural support. This can result in a protruding abdomen, poor posture, back pain, and even core instability that affects daily movement and exercise.

How Muscle Repair Works

During a tummy tuck with muscle repair, Dr. Ellis carefully identifies and tightens the separated abdominal muscles using internal sutures. This process brings the muscles back together along the midline, creating a firm and supportive core foundation.

The repair is performed through the same incision used for removing excess skin and fat. No additional cuts are required. Once the muscle is repaired, Dr. Ellis re-drapes the skin over the newly restored contour for a smooth, natural appearance.

Benefits Beyond Appearance

Repairing diastasis recti offers multiple benefits that go beyond flattening the belly. Patients often report:

  • Improved posture and core strength

  • Less strain on the lower back

  • Better support during physical activity

  • Reduced abdominal discomfort or bloating

For mothers who experienced significant muscle separation during pregnancy, muscle repair can help them regain physical function and confidence that no amount of exercise could fully restore.

Is Muscle Repair Right for You?

Not every tummy tuck requires muscle repair, but many patients, especially those who have had children or experienced major weight shifts, can benefit from it. During your consultation, Dr. Ellis will examine your abdominal wall and determine whether muscle plication is necessary to meet your goals.

Schedule Your Consultation with Dr. Ellis

If you’re considering a tummy tuck and want to restore both your shape and core strength, muscle repair may be a key part of your treatment. Dr. Marco Ellis will guide you through your options and help create a surgical plan tailored to your needs. Contact his team in Chicago at (312) 695-6022 to schedule a consultation.