Abdominoplasty: Everything you need to know about a tummy tuck

An abdominoplasty, commonly known as a tummy tuck, is a surgical procedure designed to improve the appearance of the abdominal area by removing excess skin and fat while tightening the underlying muscles.

This article provides an expert insight into an abdominoplasty, including who qualifies as a suitable candidate, what the surgery entails, and what the recovery process involves.

Who is a suitable candidate for an abdominoplasty?

An abdominoplasty is best suited for patients with excess skin or fat in the abdominal area that doesn’t respond to diet or exercise. Additionally, the procedure is particularly effective for patients dealing with loose skin or muscle laxity caused by ageing or significant weight loss.

Importantly, it’s essential for patients to have realistic expectations about the outcomes of the surgery. While an abdominoplasty can significantly enhance abdominal appearance, it isn’t a substitute for weight loss or a healthy lifestyle.

How is an abdominoplasty performed?

An abdominoplasty is performed under general anaesthesia and typically takes between 2-5 hours, depending on the extent of the procedure. There are three main types of abdominoplasties: mini, standard, and extended.

In a standard abdominoplasty, your plastic surgeon will make a horizontal incision just above the pubic area. Through this incision, your surgeon will then remove excess skin and fat, tighten the abdominal muscles, and reposition the remaining skin for a firmer, more contoured abdominal area. The belly button will usually be repositioned through a new opening to maintain a natural look.

In a mini-abdominoplasty, your surgeon will focus on the area below the navel and make a smaller incision. Conversely, in an extended abdominoplasty, your surgeon will remove excess skin and fat from the flanks and lower back in addition to the abdomen.

Lastly, your surgeon will close the incisions with sutures or adhesives, followed by the application of dressings.

What can I expect during recovery after an abdominoplasty?

In the initial days after surgery, you may experience swelling, bruising, and discomfort, which can be managed with prescribed pain medication and by wearing a compression garment.

Most patients can resume light activities and return to work within 1-2 weeks, provided their job doesn’t involve strenuous physical tasks. However, heavy lifting and vigorous exercise should be avoided for at least 6 weeks.

The final outcome of the abdominoplasty will become evident within 6 months to a year, as the swelling subsides and scars begin to fade. These results are generally long-lasting, especially for patients who maintain a stable weight and healthy lifestyle.

Can I have an abdominoplasty after pregnancy?

Yes, women can safely undergo an abdominoplasty after pregnancy. In fact, many women choose this procedure to address changes caused by pregnancy, such as stretched skin, separated abdominal muscles, and stubborn fat deposits in the midsection.

However, it’s recommended to wait until you have completed your family before opting for the surgery. This is because additional pregnancies after an abdominoplasty can stretch the repaired muscles and skin, potentially reversing the results. Furthermore, it’s also advisable to wait until your body has fully recovered from childbirth and you have achieved a stable weight before considering surgery.

If you’re considering an abdominoplasty, a thorough consultation with your plastic surgeon will help determine the best aesthetic plan tailored to your individual needs and circumstances.