Abdominoplasty, commonly known as a tummy tuck, is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscle of the abdominal wall.

A generous incision within the bikini line is made. A second incision around the navel is made so it can be preserved and brought out at the end of the procedure. The abdominal skin is elevated to the lower ribs. The underlying muscles are tightened by pulling them close together and stitching them into their new position. This creates a firmer, flatter abdomen and narrows the waistline. The excess skin is then removed. A new navel is sutured and a temporary tube may be inserted to drain fluids for about three to seven days.

Possible side effects include fluid collections, leg vein clots, infection, numbness or changes in sensation, delayed wound healing or skin loss. Though complications can occur, the vast majority of patients complete their recovery with minimal difficulties.

Abdominoplasty does require significant time to recover. While some patients return to normal activities within seven to fourteen days, most patients do not feel completely recovered for about six weeks. Depending on the surgical technique and skin tension, you may not be able to stand completely straight for one to three weeks. Walking is encouraged early on to help increase recovery time, decrease blood clots, reduce swelling and tone muscle. Heavy lifting and strenuous exercise should be delayed for several weeks.

Abdominoplasty dramatically improves the contour of the abdomen. It can also improve strength and alleviate lower back problems due to weakness of the abdomen.

After surgery most patients feel pain, swelling and discomfort. This is common after a major surgery and can be treated with medication prescribed by your doctor. Many Abdominoplasties are performed as outpatient surgery, but your surgeon may keep you overnight.

The surgery generally lasts two to four hours.

Some patients may be candidates for less invasive abdominoplasties, such as a mini-abdmoninoplasty or modified abdominoplasty. These procedures can sometimes limit the length of incisions and amount of skin elevated. Liposuction is another alternative for some patients who have limited problems with skin and muscle. It is also a surgical procedure, but if skin and muscle tone are good, liposuction can remove unwanted fat and improve contour without significant scars and with minimal downtime.

Candidates for Abdominoplasty are patients bothered by large abdomens, loose abdominal skin and loss of a flat contour. Many candidates are women who have undergone several pregnancies and whose skin has become stretched. Patients who react best to the treatment are those who are close to their ideal body weight, want to remove a specific area of loose skin, have realistic expectations and understand the risks associated with Abdominoplasty.

Additional treatment is generally not necessary. Some patients may benefit from liposuction performed along with Abdominoplasty to help sculpt the new abdominal area.

Do not take aspirin or anti-inflammatory medications two weeks before surgery. Check with your physician about any vitamins or supplements you are using. Patients are advised to stop smoking for at least two weeks prior to surgery. A history of tobacco use is associated with a substantial increase in risk. Arrange for a ride home and assistance for twenty-four to seventy-two hours. Set up an in-home recovery system area with pillows, books, etc. Wear loose fitting clothes to the surgery.

Rest in a comfortable position with legs and back elevated. Eat easily digestible food such as shakes, soup, pudding, apple sauce and yogurt. Drink plenty of fluids. A stool softener is recommended to aid with constipation. By the second day, you should be out of bed and should begin walking around the house. Follow instructions regarding care of your would and drains. If you are a smoker, you must remain tobacco free until your physician instructs you that it is safe. Apply icepacks to reduce swelling. Exercise to prevent blood clots, but avoid exercise that may be too vigorous. You may use moisturizer with scar minimizing ingredients.