Abdominoplasty (tummy tucks)

Abdominoplasty involves the surgical removal of excess fat and loose skin on the abdomen. Weight gain and loss of muscle tone may result from an inactive lifestyle. Multiple pregnancies can stretch muscle and skin beyond the point where they can return to normal. Loss of skin elasticity caused by aging can make the stomach appear flabby and fat. Diet and exercise can help, but something more may be needed to achieve the desired look.

A tummy tuck (also called abdominoplasty) may be the answer. It removes excess skin and tightens stomach muscles to provide a flatter, firmer tummy and smaller waist.

A complete tummy tuck usually takes 2 to 5 hours. A long incision is made from hipbone to hipbone, just above the pubic area. Another incision is made around the navel to free it from surrounding skin. The large skin flap is then separated from the abdominal wall and lifted all the way up to the ribs to reveal the muscles. The muscles are pulled close and sewn together to tighten and narrow the waistline. The skin flap is then stretched down and the excess skin is trimmed away. A new hole for the navel is made since the old opening is now too low. Incisions are then closed and an elastic dressing is put in place.

If flabby skin is limited to below the navel, a partial tummy tuck is sometimes performed. This mini-tummy tuck takes only an hour or two. For this surgery, the skin is tightened from the pubic area to the navel.

Depending upon the extent of the surgery, a patient may be released within a few hours or remain hospitalized for 2 to 3 days. The outer stitches are usually removed in 5 to 7 days.

Light activity after surgery is encouraged. Vigorous exercise should be avoided until the surgeon approves it. Support garments may be worn for several months. Scarring is usually minimal, but permanent. Within nine months, the scars flatten and lighten in color. If the patient adheres to a reasonable diet and regular exercise, the results of a tummy tuck can be long lasting.

There are risks and complications that can occur with a tummy tuck. Before agreeing to the surgery, find out as much as possible about the procedure, the risks involved, and the plastic surgeon you may be considering. Always select a board certified plastic surgeon with training and experience in the procedure you want done.

The surgeon will explain the benefits and costs. Health insurance does not usually cover cosmetic surgery. Call your health plan to find out about your benefits.

Last Reviewed 2005

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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