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Best Sleeping Positions after Abdominoplasty Surgery

Abdominoplasty, commonly referred to as a tummy tuck, is a surgical procedure that aims to remove excess skin and fat from the abdomen and tighten the muscles of the abdominal wall. This procedure is often sought by individuals looking to achieve a flatter and more toned abdominal area, especially after significant weight loss, pregnancy, or when natural ageing has affected the skin’s elasticity. However, the journey to recovery post-surgery is essential and can impact the overall outcome of the procedure. Among the various aspects of post-operative care, ensuring proper rest and sleep after abdominoplasty stands out as a crucial element. Sleep not only facilitates healing but also helps manage pain and reduce swelling, making it an integral part of the recovery process.

In this blog, Sydney Specialist Plastic Surgeon Dr Bish Soliman discusses the importance of adopting the best sleeping positions after abdominoplasty to enhance recovery, minimise discomfort, and ensure the best possible outcomes from the surgery. He will explore the challenges of sleeping post-surgery, recommend the most beneficial sleeping positions, and provide tips to improve sleep quality during the recovery phase.


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Key Features – Abdominoplasty

The abdominoplasty procedure involves making a horizontal incision between the pubic hairline and belly button, through which Dr Soliman can remove excess fat and skin and tighten the muscles of the abdominal wall.  The surgery is tailored to the needs of the individual, with the goal of creating a smoother and firmer abdominal profile.

Individuals opt for abdominoplasty for various reasons, including excess skin following significant weight loss, changes to the abdomen after pregnancy, or the desire to remove stubborn fat deposits that do not respond to diet and exercise. The surgery can also repair diastasis recti, a condition where the abdominal muscles separate, common after multiple pregnancies.

The recovery from abdominoplasty can take several weeks, during which patients may experience swelling, bruising, and discomfort. The first few weeks are critical for ensuring the surgical site heals properly and that the results of the surgery are as desired. Following post-operative instructions, including how to sleep and rest, is essential for a smooth recovery and achieving optimal outcomes.

The Importance of Sleep in Post-Surgery Recovery

Sleep plays an important role in the body’s healing process, especially after undergoing major surgery like abdominoplasty. During sleep, the body undergoes various processes that promote healing, including the release of growth hormones that aid in tissue repair and regeneration. Sleep also helps regulate the body’s inflammatory responses, which is crucial in the initial stages of recovery to reduce swelling and prevent complications.

Pain management is another critical aspect of post-surgery recovery that is directly influenced by sleep. Adequate rest can enhance the effectiveness of pain relief measures, making discomfort more manageable. Conversely, a lack of sleep can lower the pain threshold, making post-operative pain feel more intense and potentially hindering the recovery process.

Moreover, the quality of sleep significantly impacts surgical outcomes. Good sleep quality can enhance mood, improve immune function, and reduce the risk of post-operative complications, such as infections or prolonged healing times. Therefore, ensuring a restful and healing sleep environment is paramount for anyone recovering from abdominoplasty.

However, finding comfortable and safe sleeping positions after the surgery can be challenging. The abdominal area is sensitive, and certain positions can strain the incisions or disrupt the healing process. It’s common for patients to experience difficulties sleeping due to discomfort, swelling, and the fear of harming the surgical site. Addressing these challenges by adopting recommended sleeping positions and making adjustments to improve sleep quality is essential for a smooth and successful recovery.

Challenges in Sleeping After Abdominoplasty

Sleeping after abdominoplasty surgery presents a unique set of challenges that can impact both the quality of sleep and the recovery process. The primary concern for most patients is finding a comfortable sleeping position that does not put undue pressure on the surgical site, exacerbate swelling, or strain the newly tightened abdominal muscles. Additionally, the psychological stress of potentially harming the surgical outcomes can lead to anxiety and restlessness, further complicating the ability to achieve restful sleep.

Discomfort and Pain

One of the most immediate challenges post-surgery is managing discomfort and pain. Abdominoplasty involves significant manipulation of the abdominal tissues, which can result in soreness, tightness, and pain. These sensations are most acute in the days following the procedure and can be exacerbated by certain movements or positions during sleep.


Swelling is a natural response to surgery and can be particularly pronounced in the abdominal area after abdominoplasty. While swelling is a part of the healing process, it can cause discomfort and make finding a comfortable sleeping position more difficult. Additionally, lying flat can sometimes worsen swelling, making elevation a key consideration in post-operative sleep positioning.

Fear of Disrupting the Healing Process

Many patients experience anxiety about accidentally harming their surgical results during sleep. This fear can stem from concerns about putting too much pressure on the incisions, disrupting sutures, or stretching the newly tightened skin. Such worries can lead to restless nights and difficulty finding a sleep position that feels safe and comfortable.

Limited Mobility

In the initial weeks after surgery, patients may experience reduced mobility due to tightness in the abdominal area and the need to protect the surgical site. This limited mobility can make it challenging to adjust positions during the night, leading to discomfort and interrupted sleep.

Tips for Managing Pain and Discomfort at Night

  • Pain Medication: Following Dr Soliman’s advice on pain management is crucial. Proper use of prescribed pain medication can help manage discomfort and make it easier to find a comfortable sleeping position
  • Supportive Bedding: Using pillows to support and elevate parts of the body can alleviate pressure on the abdomen and improve comfort
  • Relaxation Techniques: Practices such as deep breathing, meditation, or listening to calming music before bed can reduce anxiety and promote a more restful sleep

Best Sleeping Positions after Abdominoplasty

Adopting the right sleeping positions is essential for minimising discomfort, supporting the healing process, and ensuring the best possible outcomes from abdominoplasty surgery. Here are the recommended sleeping positions and tips for post-operative care:

1. Sleeping on Your Back with Elevated Upper Body

This position is widely recommended as it helps to reduce swelling, decreases tension on the surgical incisions, and supports the abdominal area comfortably.

  • How to Achieve: Use a recliner or prop yourself up with several pillows or a wedge pillow to maintain a semi-upright position. Your head and shoulders should be elevated above the level of your heart, and your knees can be slightly bent with a pillow underneath for additional support
  • Benefits: Elevating the upper body helps to reduce swelling by improving circulation and lymphatic drainage. It also minimises the risk of putting direct pressure on the abdomen, which can be beneficial for incision healing

2. Sleeping on Your Side with Support

After the initial recovery period, some patients may find sleeping on their side more comfortable, especially if they are naturally side sleepers. This position should be approached with caution and proper support.

  • How to Achieve: Gently roll onto your side, using pillows to support your head and neck. Place a pillow between your knees to align your hips and reduce strain on your back. A small, soft pillow can also be placed under your waist to support the abdominal muscles
  • Benefits: Side sleeping can relieve pressure on the back and is a comfortable alternative for those who find it difficult to sleep on their backs. Proper support ensures that the body is aligned and the surgical site is protected

3. Avoiding Sleeping on Your Stomach

It is important to avoid sleeping on your stomach in the weeks following abdominoplasty surgery.

  • Risks: This position can place excessive pressure on the healing abdominal muscles and incisions, potentially leading to increased pain, disruption of the healing process, and negatively affecting the surgical results
  • Alternatives: Stick to back sleeping with elevation or side sleeping with proper support until Dr Soliman advises that it is safe to resume other sleeping positions

Dr Soliman’s Tips for Improving Sleep Quality after Tummy Tuck – Abdominoplasty Surgery

Enhancing sleep quality post-abdominoplasty involves creating a conducive sleep environment and adopting habits that promote restful sleep:

  • Create a Comfortable Environment: Ensure your sleeping area is quiet, dark, and at a comfortable temperature. Consider using a white noise machine or earplugs to block out disturbances
  • Follow a Consistent Sleep Schedule: Going to bed and waking up at the same time each day can help regulate your body’s internal clock and improve sleep quality
  • Limit Caffeine and Screen Time before Bed: Avoid stimulants and blue light exposure from screens in the evening to make falling asleep easier
  • Consult Your Plastic Surgeon: If sleep issues persist, discuss them with Dr Soliman or a sleep specialist. They may recommend additional strategies or adjustments to your pain management plan to improve your sleep

FAQs about Recovery after Abdominoplasty – Tummy Tuck

How do I transition to normal sleeping positions after abdominoplasty?

  • Transitioning back to normal sleeping positions after abdominoplasty should be a gradual process, guided by your body’s healing progress and comfort levels. Initially, it’s crucial to follow the recommended sleeping positions to avoid putting strain on the surgical site and to support optimal healing. As your recovery progresses, you can start to introduce slight variations in your sleeping position, depending on your comfort and any specific instructions from Dr Soliman. For instance, if you’ve been sleeping on your back with elevation, you might begin by reducing the elevation slightly or incorporating short periods of side sleeping with adequate support. Listen to your body—if a particular position causes discomfort or pain, it’s a sign that you may need more time before adopting that position. Regular follow-up appointments with your surgeon are essential, as he can provide personalised advice based on how well your incisions are healing and any other factors specific to your recovery. Generally, a gradual return to pre-surgery sleeping positions can be expected within a few weeks to months post-surgery, but always prioritise comfort and the advice of your plastic surgeon.

What are the signs of complications after abdominoplasty?

  • Recognising the signs of complications after abdominoplasty is important for timely intervention and to prevent further issues. While some discomfort, swelling, and bruising are normal parts of the healing process, certain symptoms may indicate complications. These include excessive or increasing pain that isn’t relieved by prescribed medication, signs of infection such as fever, warmth, redness, or pus at the surgical site, unusual swelling that persists or worsens, and any foul-smelling discharge from the incisions. Additionally, significant bleeding or haematoma formation (a solid swelling of clotted blood within the tissues) can also occur. Shortness of breath, chest pain, or leg pain/swelling could suggest more serious complications like a blood clot and require immediate medical attention. If you experience any of these symptoms, it’s imperative to contact Dr Soliman or seek medical care promptly to ensure any complications are addressed quickly and effectively.

What should I do if I can’t sleep after my surgery?

  • Difficulty sleeping after abdominoplasty is not uncommon, but there are several strategies you can try to improve your sleep quality. First, ensure your sleeping environment is conducive to rest, with a comfortable mattress, minimal noise, and appropriate room temperature. Consider using extra pillows for support and to maintain the recommended sleeping positions. If pain is a significant factor in your sleep disturbances, discuss pain management options with your surgeon—Dr Soliman may adjust your pain medication or suggest additional remedies. Incorporating relaxation techniques such as deep breathing exercises, gentle stretching, or listening to soothing music before bed can also help. Limiting caffeine intake in the afternoon and evening and avoiding screen time right before bed can further improve sleep quality. If insomnia persists, consult your plastic surgeon.

How much sleep do I need after surgery?

  • The amount of sleep needed after surgery varies from person to person, but generally, patients may require more sleep than usual during the initial recovery period. Surgery places significant stress on the body, and sleep is a critical time for healing and restoration. Most adults typically need between 7 to 9 hours of sleep per night, but following surgery, you might find yourself needing upwards of 9 to 10 hours or more, including naps during the day. Listen to your body’s signals—if you feel tired, allow yourself to rest, even if it means sleeping outside your usual schedule. The quality of sleep is just as important as quantity, so focus on creating a restful environment and adopting habits that promote uninterrupted sleep. As you recover and become more active, your sleep needs may gradually return to your pre-surgery patterns.

Further Reading about Abdominoplasty Surgery with Dr Bish Soliman

Medical References about Tummy Tuck – Abdominoplasty

About Dr Bish Soliman

Dr Bish Soliman - Sydney Plastic and Reconstructive Surgeon, about us 01 2x
Specialist Plastic, Reconstructive and Cosmetic Surgeon
FRACS (Plas), MS (Plas), MBBS (Hons 1), BCom

AHPRA Registered Medical Practitioner MED 0001679053 Specialist Registration in Plastic Surgery

Dr Bish Soliman is a Sydney-based Specialist Plastic and Reconstructive Surgeon who performs aesthetic surgery of the face, breast, and body as well as skin cancer surgery.

He currently holds two consultant microsurgery positions in major Sydney hospitals performing complex microsurgical reconstruction including DIEP breast reconstruction.

After graduating from The King’s School, Dr Bish completed a Bachelor of Commerce degree at the University of Sydney. After working briefly at a major Sydney finance firm, he decided to pursue his passion and long-term goal of a career in medicine. He graduated from the University of Notre Dame at the top of his class, receiving First class honours and the prestigious Bower and Sherrard medal. He then went on to complete his junior medical training at Westmead Hospital during which time he was awarded Junior Medical Officer (JMO) of the Year, as well as a finalist for NSW Doctor of the Year.


Next Steps

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