A tummy tuck, or abdominoplasty, is a surgical procedure that improves abdominal contours by removing excess skin and fat while tightening the muscles. An abdominoplasty or ‘tummy tuck’ is an operation designed to reshape the entire abdomen. The modern tummy tuck removes excess skin, fat and tightens any loose musculature to create a flat tummy and well-defined waistline. Liposuction is required in nearly all cases to add the finishing touches to your contour.

A full tummy tuck targets both the lower and upper abdomen. The entire abdominal skin is re-draped and the abdominal wall musculature is tightened. The umbilicus (belly-button) is also moved into a more appropriate location. A mini tummy tuck is a smaller procedure which principally concentrates on tightening and reshaping the lower abdomen.

The procedure is very popular among women, particularly those who’ve had significant weight loss or have had children, especially those delivered via C-section. It’s often combined with diastasis recti repair, to bring the rectus abdominis muscles back together, or with a panniculectomy to remove an “apron” of hanging skin from the lower abdomen after massive weight loss. It can also be combined with a mons pubis lift or with breast augmentation or breast lift, as part of a full mommy makeover.

Abdominoplasty surgery, an out-patient procedure takes 1 ½ to 3 hours. The most common technique involves A horizontal incision is placed in the pubic region, along the ‘bikini line’ (or utilizing your caesarean scar should you have one). The final scar is designed to fall discreetly within your undergarments, lingerie and/or swimsuit lines. If your abdominal muscles are separated (for example after pregnancy) then these are bound back together. The excess skin and fat are then removed, and your belly button is re-created. Liposuction is often combined with an abdominoplasty to contour the abdomen and can be extended to include the hips, flanks and thigh regions. If you've previously had a C-section, your plastic surgeon might be able to incorporate your existing C-section scar into your tummy tuck scar.

When the amount of loose skin is minimal and the excess fat deposits are located below the navel, a less extensive procedure called a “mini abdominoplasty” may be recommended. Unfortunately, not many patients are candidates for this. This involves a short horizontal incision and can sometimes avoid the incision around the navel. Once the incisions are closed, a firm elastic bandage is placed over the area. Any discomfort can be relieved with medication prescribed by your surgeon. You may be up and around in a day or two, but heavy physical activity should be avoided for 6 weeks. Most patients return to work within one to three weeks depending on the extent of the abdominoplasty. Although every effort is made to minimize scarring, the scars will be permanent, gradually fading over time. Generally, it is good to have someone home to help for 1-2 weeks.