Tummy tuck (abdominoplasty)

A tummy tuck (abdominoplasty) removes excess, hanging abdominal skin and can tighten a lax abdominal wall after pregnancy, weight loss or prior surgery. It restores a flatter abdomen and better waist proportions. With diastasis, the vertical muscles can be sutured. Liposuction is often combined to shape flanks and upper abdomen.

Who is it for?

Relevant for excess/hanging abdominal skin, a protruding abdomen, lax muscles, local fat deposits or stretch marks. People with significant overweight or planned further weight loss should wait until weight is stable. With concurrent breast concerns, a mommy makeover may be more suitable.

How it works

The incision is typically below the underwear line so the scar is hidden. With large skin excess, a Fleur-de-Lis (horizontal + vertical) may be used. Surgery typically takes 2–3 hours. Separated rectus muscles are sutured with permanent stitches. Drains and possibly a catheter are often used. Drains are typically removed before discharge or within a few days.

Risks

Risks may include infection, bleeding, temporary abdominal numbness (up to about 6 months), visible scars and – rarely – thickened scars. Smoking, overweight and diabetes raise risk. Sun protection of scars for the first year is advised.

Recovery and maintenance

The final result is often seen after up to about 3 months. Work typically resumes after 2–4 weeks depending on strain. Exercise only after the surgeon clears you. The result lasts with stable weight and without a new pregnancy.