Abdominoplasty is a cosmetic procedure. It’s performed to remove excess fat and skin from the lower belly. Muscles and supporting structures in the belly may be tightened. This will give you a slimmer look.
Abdominoplasty is meant to make your belly look better. It may fix sagging or overhanging skin. It can also help with weak or protruding muscles that persist after diet and exercise. This can happen with:
Losing large amounts of weight—can happen after bariatric surgery
Your doctor will talk to you about what you expect from the surgery.
Leading up to the procedure:
Talk to your doctor about your medicines.
Certain medicines may need to be stopped up to 1 week in advance.
Let your doctor know of any allergies you have.
Arrange for a ride home.
Arrange for help at home.
Don’t eat or drink after midnight, unless told otherwise.
This surgery is not for everybody. Talk to your doctor if your future plans are for:
One or more pregnancies
Continued weight loss
Smoking interferes with wound healing, making the chances of scars higher. If you smoke, you will need to stop smoking before and after the procedure. Most surgeons advise stopping smoking for at least 4 weeks before and after surgery.
Talk to your doctor about how you can quit for successfully.
General anesthesia is often used. Some doctors use sedation. Sedation will help you relax. It may also put you to sleep.
Description of the Procedure
The exact steps of the procedure will depend on your goals. Common steps:
A cut made in the lower belly. The length depends on the how much surgery is needed. The largest cut can go from hipbone to hipbone.
Sometimes the belly button is separated out. Once the skin is adjusted, a new hole for the belly button is made. The belly button is pulled through the new hole and stitched into place. In a mini abdominoplasty, the belly button’s not moved.
Stitches may be placed down the middle of the abdominal muscles. They will go from the breastbone to the pubic area. This helps bring the muscles back together. In some cases, they may be placed inside the body.
When underlying tissue work is completed, your body will be flexed, or bent, at the hips and the skin is pulled down and any excess skin is removed.
Liposuction may be done during this surgery to remove excess fat under the skin.
Once the work is complete, drainage tubes will be placed in the belly. These tubes will work to drain fluid from the site.
The incisions are closed with stitches, adhesive, tape, or clips and covered with a bandage.
You will be taken to the recovery room and monitored.
How Long Will It Take?
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Medicines will help with pain after.
Average Hospital Stay
In some cases, abdominoplasty is an outpatient procedure. You will be able to go home after you wake up from anesthesia. In other cases, an overnight stay is needed. You will need to stay longer if there are problems.
At the Hospital
You will be in a recovery room where your vital signs are watched. Recovery may also include:
Blood thinners to prevent clots
The healthcare staff may have you walk around as you are able. This will help keep blood moving in your body.
During your stay, the healthcare staff will take steps to lower your chances of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incision covered
There are also steps you can take to lower your chances of infection such as:
Washing your hands often and reminding visitors and healthcare staff to do the same
Reminding your healthcare staff to wear gloves or masks
Not allowing others to touch your incision
Recovery depends on the extent of your surgery. Arrange for help at home for the first few days. You may need to avoid activities that cause strain. Walking will help with healing.
What to expect:
Remain flexed at the hip for several days. Don’t straighten out. This prevents extra tension on the belly.
Don't lay flat at night to sleep for several days.
Drains may remain in the belly for up to 1 week.
You may have bruising, swelling, and pain for up to 6 weeks.
A binder may be needed. It’s a compression garment to support the belly during healing.
Abdominoplasty. Encyclopedia of Surgery website. Available at: http://www.surgeryencyclopedia.com/A-Ce/Abdominoplasty.html. Accessed June 27, 2018.
Abdominoplasty (tummy tuck). University of Pittsburgh Medical Center website. Available at: http://www.upmc.com/Services/aesthetic-plastic-surgery-center/our-services/body-contouring-and-reshaping/Pages/abdominoplasty.aspx. Accessed June 27, 2018.
Tummy tuck. American Society of Plastic Surgeons website. Available at: http://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck.htm. Accessed June 27, 2018.
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