Abdominoplasty (Tummy Tuck)

Abdominoplasty, more commonly known as a “tummy tuck”, is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can produce a smoother and flatter stomach, resulting in a dramatic reduction in the appearance of a protruding abdomen. Keep in mind, this procedure will produce a permanent scar across the lower part of the abdomen.

The best candidates for abdominoplasty
The surgery is most appropriate for men or women who are bothered by a large fat deposit or loose abdominal skin that will not respond to appropriate diet and exercise. Women who have had multiple pregnancies and stretched their abdominal muscles and skin will particularly benefit from the procedure. For patients who plan to lose a lot of weight or for women who plan to have future pregnancies, we recommend postponing the procedure.

How the surgery is performed
The surgeon performs a complete, or full abdominoplasty by making an incision above the pubic area that extends between the hipbones. Then, a second incision is made to separate the navel from the underlying tissue. The abdominal muscles are pulled together (tightened) and sutured into place. The naval is then relocated and sutured into place. Excess skin is trimmed and the original incision is then closed.

If fat deposits are limited to the region below the navel the surgeon may perform a partial abdominoplasty (mini tummy tuck). In this procedure, the surgeon makes a smaller incision, leaving the navel in place. Excess fat and skin is then removed and the incision is closed.

Partial abdominoplasty usually takes about one to two hours for the procedure, whereas complete abdominoplasty takes two to five hours, depending on the extent of work required. The surgeon may recommend either general anesthesia or local with sedation. Depending on the extent of the procedure, the surgeon may release you after a few hours or have you remain hospitalized for one to two days.

What to expect after surgery
Immediately after your surgery, the incisions are dressed with bandages. A surgical drainage tube may be inserted under the skin to collect any excess fluid that has collected. Sutures will remain in place for at least five to seven days.

Following the procedure, for the first few days, you will probably experience swelling to the abdomen along with some pain and discomfort. The surgeon will prescribe pain medication for you to manage your discomfort. You may also be advised to wear an abdominal support for several weeks.

Resuming work and other activities
The average time to return to work is two to four weeks. You may resume more strenuous activity after four to six weeks or more.