Abdominoplasty
Tummy Tuck
What is an Abdominoplasty
(Tummy Tuck)?
Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. A tummy tuck is not a substitute for weight loss or an appropriate exercise program. The best candidate for this procedure are those near their ideal weight but have extra skin and fat of the lower abdomen that does not respond to diet and exercise. Also, a tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally those treated areas below the belly button.
In general, the scars of abdominoplasty will run across the lower abdomen from hip bone to hip bone with a small scar about the umbilicus. Sometimes variations of the procedure produce smaller or larger scars. The length and location of the scar is determined by the physician in collaboration with the patient.
Who is a good candidate?
You may be an ideal candidate for abdominoplasty if you:
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Have significant excess skin and/or stubborn fat in the abdominal region, often after pregnancy or major weight loss
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Experience weakened or separated abdominal muscles, leading to a persistent bulge
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Are in good general health, with no serious medical conditions that could impair healing
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Are at a stable weight and not planning significant weight changes or future pregnancies
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Do not smoke, or are willing to quit before and after surgery
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Have realistic expectations about the results
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A thorough consultation with a board-certified plastic surgeon is essential to determine if this procedure is right for you
How is the procedure performed?
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Anesthesia: The procedure is performed under general anesthesia to ensure comfort and safety.
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Incisions: A horizontal incision is made low on the abdomen, typically just above the pubic area and below the bikini line. The length depends on the amount of excess skin to be removed. In some cases, a second incision around the navel may be necessary.
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Muscle Repair: The surgeon tightens and sutures the underlying abdominal muscles if they are stretched or separated (a condition called diastasis recti).
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Excess Skin and Fat Removal: Excess skin is trimmed away, and stubborn fat deposits may be removed with direct excision or liposuction for improved contour.
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Repositioning the Navel: The belly button is often repositioned to a natural-looking location on the newly tightened abdomen.
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Closure: Incisions are closed with sutures, skin adhesives, or surgical tape. Surgical drains may be placed to prevent fluid buildup and are typically removed within a week.
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Dressings and Compression: The area is dressed, and a compression garment is worn to minimize swelling and support healing.
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There are variations, such as a mini tummy tuck (for patients with less excess skin and fat) and an extended tummy tuck (for those needing more extensive contouring), and your surgeon will recommend the best approach for your needs.
What does recovery look like?
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First Few Days: Expect soreness, swelling, and limited mobility. You’ll need help at home and should avoid strenuous activity. Surgical drains may be placed and are usually removed within the first week.
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Weeks 1–2: Swelling and bruising are common. Most people can return to light activities and work within 1–2 weeks, depending on the extent of the procedure and their job demands.
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Weeks 3–6: Gradual return to normal activities. Strenuous exercise and heavy lifting should be avoided for at least 4–6 weeks.
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Months 3–6: Most swelling subsides, and the final results become more visible. Scars will continue to mature and fade over time, often becoming less noticeable after a year.
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Long-Term: Results are long-lasting if you maintain a stable weight and healthy lifestyle. Scarring is inevitable but typically well-concealed below the bikini line.
Frequently asked questions
Will there be visible scars?
Yes, but incisions are usually placed low on the abdomen, making scars easy to conceal with clothing. Scars fade and flatten over time, often becoming much less noticeable after a year.
Can abdominoplasty improve muscle function or back pain?
Yes, tightening the abdominal muscles can improve core strength and may help alleviate some types of lower back pain, especially if muscle separation (diastasis recti) is present.
What are the risks?
Risks include bleeding, infection, poor wound healing, blood clots, numbness, and scarring. Serious complications are rare, especially when performed by an experienced, board-certified surgeon. Combining abdominoplasty with other procedures may increase risk.
Will insurance cover the procedure?
Abdominoplasty is usually considered cosmetic and not covered by insurance. However, if there are medical reasons—such as chronic rashes or hernias—some coverage may be possible with proper documentation.