Post-Operative Instructions and Timeline - Abdominoplasty

Week 0–1

  • Always BEND forward at the waist 24/7 — standing and lying down (keep pillows under knees). No twisting.
  • Start walking on post-op day 1 to reduce the risk of blood clots. Start at 15 minutes 2x/day and work your way up to 20–30 minutes 3x/day.
  • Wear compression stockings at all times the first week to reduce the risk of blood clots.
  • Deep breathing exercises: Inhale deeply, hold your breath a few seconds, exhale. Repeat hourly when awake.
  • Wear your garment for 48 hours before removing it to shower.
  • Keep the steri-strips (white/tan tape) on incisions for 2 weeks.
  • Remove all outer dressings just before your first shower at 48 hours.
  • Expect drainage from back lipo sites — you may wear Depends over your faja to help catch drainage.
  • JP drain care: use the LANYARD when showering or during massages.
  • Eat high-protein, small meals — low salt, low-inflammation foods.
  • No alcohol or nicotine, including secondhand smoke/vape, for at least 2 months.
  • You should be urinating the same or more than normal — stay hydrated.
  • Take your meds and finish your antibiotics. Take probiotics, and take a stool softener with narcotics.
  • Signs to call (Dr. Yang's cell (714) 723-2756, or office (425) 286-8078):
    • Severe or worsening pain
    • Persistent fever above 101°F
    • Signs of infection (redness, swelling, warmth, or drainage)
    • Sudden or worsening shortness of breath
    • Excessive bleeding or unusual discharge from incisions

Weeks 1–2

  • Continue frequent walking and movement to help with circulation and swelling.
  • Continue compression stockings as needed.
  • You may slowly start to straighten your body around 10 days — go slow! Stay bent if you feel tight.
  • No heavy lifting (over 10–15 lbs).
  • Record your JP drain output amount per 24 hours during the second week.
  • Continue wearing your faja compression garment with foam.
  • For extra swelling, you can begin using Diurex — start slow with 1 dose the first 2 days.
  • Do not drive until you are off pain medications (i.e., gabapentin, oxycodone) and can move comfortably.

Week 2

  • JP drains are normally removed if under 30cc/24hrs — yay! (Sometimes this can take 3 weeks — hang in there!)
  • You can stand and lie down straight if this feels right.
  • Steri-strips (white/tan tape) can be removed from incisions.
  • Moist wounds heal the best — apply manuka honey/shea butter/ointment to all incisions.

Week 3

  • If incisions are completely healed (no scabs or open areas), start using scar gel or silicone tape on your incisions to help them fade, for about 3 months.
  • You may start to incorporate a firm abdominal board around 3–4 weeks if needed.

Weeks 6–8

  • Graduation from wearing your faja compression garment! (If you’d like.)
  • This is not your final result, but you are starting to see your result as swelling continues to improve.

General Timeline for Resuming Ab Workouts

0–6 Weeks

  • Focus on light activities like gentle walking to improve circulation.
  • Avoid engaging the abdominal muscles or putting strain on the core.

6–8 Weeks

  • At your follow-up visit, your surgeon may clear you for light stretching or low-impact activities, depending on how you are healing.
  • Avoid direct abdominal exercises like crunches or leg lifts until you get specific clearance; planks are okay if it feels right.

8–12 Weeks

  • Most patients can start gentle core strengthening exercises at this stage, beginning with low-intensity movements.
  • Start slowly with exercises like pelvic tilts or modified planks.

3+ Months

  • A gradual return to full ab workouts may be possible, but progression should be slow and pain-free.
  • Avoid high-intensity or advanced core exercises until you feel fully comfortable and your surgeon approves.

Tips for Resuming Core Workouts

  • Always consult your surgeon before starting any ab exercises.
  • Start with light, low-impact exercises and listen to your body.
  • Stop immediately if you feel pain, pulling, or unusual discomfort in the abdominal area.

Have questions?
Call us at 425-286-8078 or contact us via email.