Does a Tummy Tuck Help Pelvic Floor
Does a Tummy Tuck Help Pelvic Floor

Does a Tummy Tuck Help Pelvic Floor

Natalie Berry


Natalie Berry

How Abdominoplasty Can Aid Pelvic Floor Health

The short answer is: Yes! a tummy tuck does help your pelvic floor, albeit indirectly. Allow me to explain more.
The abdominal muscles and the pelvic floor have an intimate relationship which makes abdominoplasty or “tummy tuck” surgery a backdoor way to potentially support pelvic floor dysfunction. By repairing diastasis recti and tightening the abdominal muscles, a tummy tuck may strengthen core stability and reduce prolapse risk.

Anatomy of the Core and Pelvic Floor

The pelvic floor refers to the muscular sling located at the base of the pelvic cavity, supporting organs like the bladder, uterus, and rectum. Weakness in these muscles can contribute to issues like urinary incontinence or pelvic organ prolapse.

The abdominal muscles, including the rectus abdominis, internal and external obliques, and transverse abdominis, work synergistically with the pelvic floor to provide stability and continence control. Connective tissue fascias also link the core and pelvic region.

During pregnancy, vaginal delivery, and aging, the abdominal wall and pelvic floor muscles are often stretched and strained, leading to diastasis recti or muscle separation. A tummy tuck repairs this separation and tightens the abdominal fascia and muscles.

Potential Pelvic Floor Benefits

By strengthening the core complex, a tummy tuck may indirectly improve pelvic floor functioning and reduce prolapse risk in several ways:

  • Strengthened abdominal muscles provide better counterforce support for the pelvic organs.
  • Repair of muscle separation reduces bulge and heaviness that can strain the pelvic floor.
  • Improved core stability assists with continence control and pelvic coordination.
  • Posture improvements take pressure off the pelvic muscles.
  • Loss of abdominal fat reduces downward forces on the pelvic region.

However, benefits are dependent on surgical technique, the severity of pelvic floor dysfunction, and an individual’s unique anatomy.

Important Considerations

While a tummy tuck offers aesthetic enhancement, individuals specifically hoping to improve pelvic floor functioning should have an in-depth discussion with their plastic surgeon to set proper expectations, including:

  • Realistic goals for pelvic floor changes based on exam findings.
  • Surgical plan customized to maximize core integrity.
  • Appropriate use of physical therapy before and after surgery.
  • Potential need for a multidisciplinary approach if pelvic floor dysfunction is severe.
  • Ongoing core and pelvic floor strengthening as part of a comprehensive plan.
Natalie Berry


Natalie Berry
Passionate about transforming lives through physical therapy.

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