Yes, and that is why Dr. Margoles recommends that women wait until the final pregnancy before doing the procedure. Pregnancy puts a great deal of strain on the abdomen, and muscles that have been repaired in an abdominoplasty may once again separate. Similarly, women or men who gain substantial weight in the future may see a recurrence of the issues that led them to choose a tummy tuck. Barring future pregnancies and dramatic weight gain, your tummy tuck should not need to be repeated to maintain your smooth and fit profile.