Tummy Tuck (Abdominoplasty)

What is a Tummy Tuck (Abdominoplasty)?

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure designed to improve abdominal contour by removing excess skin and fat and tightening the underlying abdominal wall.

In addition to skin excision, the procedure typically involves repair of rectus diastasis through plication of the abdominal fascia, restoring core support and a flatter profile. The umbilicus is repositioned where required, and liposuction may be performed to refine surrounding contours.

Abdominoplasty is most commonly considered following pregnancy, significant weight loss or age-related skin laxity. It is tailored to the degree of skin excess, muscle separation and overall body proportion to achieve a balanced, natural result.

Suitability is carefully assessed during consultation, particularly in the context of future pregnancy or weight fluctuation.

How is Abdominoplasty Performed?

Abdominoplasty is performed under general anaesthesia. A low transverse incision is placed along the lower abdomen, positioned to sit within the natural bikini line where possible.

Excess skin and fat are removed, and the abdominal wall is tightened through plication of the rectus sheath to address muscle separation. The remaining skin is redraped to create a smoother contour, and the umbilicus is repositioned where required. Liposuction may be performed adjunctively to refine surrounding areas. The procedure typically takes between two and four hours, depending on complexity.

The extent of surgery varies according to anatomical findings:

Mini Tummy Tuck: Addresses skin laxity below the umbilicus using a shorter lower abdominal incision. Muscle tightening may be limited, and the umbilicus is usually not repositioned.

Full Tummy Tuck: Treats the entire abdominal wall, including rectus muscle repair and umbilical repositioning, for more comprehensive contour improvement.

Fleur-de-Lis Tummy Tuck: Used in cases of significant horizontal and vertical skin excess, typically following major weight loss. In addition to the lower abdominal scar, a vertical midline scar allows removal of excess skin in both dimensions.

Tummy Tuck Risks and Considerations

All surgical procedures carry potential risks. With abdominoplasty, swelling, bruising and abdominal tightness are expected in early recovery.

Fluid collection (seroma) is relatively common and may require drainage. Delayed wound healing can occur, particularly along incision junctions in more extensive procedures. Scars vary according to the technique performed and individual healing characteristics.

Temporary numbness of the lower abdominal skin is common and may take several months to improve. Less commonly, bleeding, infection, contour irregularity or asymmetry may occur, and revision surgery is occasionally required. As with all major surgery, there is a small risk of blood clots.These considerations will be discussed in detail during consultation to ensure informed decision-making and realistic expectations.

Abdominoplasty Aftercare & Recovery

Aftercare: A compression garment may be recommended to support the abdominal wall and help reduce swelling in the early recovery period, typically for several weeks as advised. Drains are not routinely required. Dressings should be kept clean and dry until your initial review, and appropriate analgesia and mobilisation guidance will be provided on discharge.

Recovery: Early mobilisation is encouraged, although abdominal tightness and a slightly flexed posture are common during the first 1–2 weeks. Light daily activities can resume gradually, but heavy lifting, strenuous exercise and core training should be avoided for approximately 6 weeks. Residual swelling may take several months to fully settle.

Wound Care: Incisions should be kept clean and supported. Scar therapy, such as micropore taping or silicone-based products, is commonly recommended for several months once wounds have healed. Scars are initially firm and pink and typically soften and mature over time.

What is a tummy tuck?

A tummy tuck, or abdominoplasty, is a surgical procedure that removes excess skin and fat from the abdomen while tightening abdominal muscles to create a smoother, firmer, and more contoured stomach.

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Who is a good candidate for a tummy tuck?

Ideal candidates have loose skin or stubborn fat in the abdominal area, separated abdominal muscles (rectus diastasis), and are in good general health. It is not recommended for those planning major weight loss or future pregnancies.

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What are the different types of tummy tuck procedures?

There are three main types: mini tummy tuck (lower abdomen only), standard tummy tuck (full abdomen with muscle repair), and Fleur de Lis tummy tuck (more extensive, horizontal and vertical incisions for significant excess skin).

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How is a tummy tuck performed?

The procedure is done under general anaesthetic. Excess skin and fat are removed, fascia is tightened, abdominal muscles are repaired, and the remaining skin is repositioned. The incision is typically low on the abdomen to sit along the bikini line.

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What is the recovery time after a tummy tuck?

Most patients return to light daily activities within 2–3 weeks. Normal activities resume after 3–6 weeks, while abdominal exercises should be avoided for up to 6 months. Full results can take several months to appear.

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What are the risks of a tummy tuck?

Risks include fluid build-up (seroma), poor wound healing, scarring, temporary changes in skin sensation, tissue damage, bleeding, infection, and reactions to anaesthetic. Smoking and certain health conditions can increase complications.

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Will a tummy tuck remove stretch marks or scars?

A tummy tuck can remove stretch marks and loose skin in the lower abdomen, often including existing C-section scars by repositioning them within the new incision line.

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How should I care for my abdomen after a tummy tuck?

Wear a compression garment for 2–3 months, keep dressings dry, follow scar care instructions like micropore tape for 3 months, and gradually return to activities as advised. Moisturising the skin and gentle scar stretching helps optimise healing.

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