Abdominoplasty involves the removal of excess skin and fat from the abdomen, coupled with the tightening of lax abdominal wall muscles. The procedure results in a flatter abdominal wall, and the incision, carefully placed to be concealed by underwear, can extend from the hip, down the groin crease, and across the pubic area. The extent of the scar depends on the laxity of the skin, with Solution for Scars recommended for improved scar outcomes.

Tummy tuck surgery is performed under general anaesthesia, , usually requiring an overnight hospital stay. Drains may be used to assist in closing the space behind the skin and fat layer. Dressings support the wounds, and an abdominal support corset is worn. Tapes are typically removed after 10-12 days, while the support garment should be worn for 4-6 weeks to minimize lower abdomen swelling. If muscles are repaired, patient mobility is restricted for 4 weeks post-surgery. Normal activities can resume at 4 weeks, with gradual reintroduction of impact exercise.

The tummy skin may remain numb for months, requiring caution with hot objects.

Complications are uncommon in tummy tuck surgery, with a small risk of wound breakdown due to tissue tension. Infections and hematomas are rare, and seromas (fluid collections) often settle on their own. Deep vein thrombosis and pulmonary embolus are rare but described. Secondary scar adjustments may be needed, especially if wound breakdown occurs or if there are prominent fold points at the scar’s end (dog ears). Liposuction, as a further procedure, may be required for contour improvement in certain cases.

Patients with previous abdominal surgery may require modifications to optimize wound healing, potentially impacting the final result. This will be thoroughly discussed pre-operatively.
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