A tummy tuck is a cosmetic surgical procedure to improve the appearance of the abdomen.
During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look.
You might choose to have a tummy tuck if you have excess fat or skin around the area of your bellybutton or a weak lower abdominal wall. A tummy tuck can also boost your body image. There are a number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. These include:
- Significant changes in weight
- Abdominal surgery, such as a C-section
- Your natural body type
A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. A tummy tuck can also remove stretch marks and excess skin in the lower abdomen below the bellybutton. However, a tummy tuck won't correct stretch marks outside of this area.
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.
A tummy tuck can also be done in combination with other body contouring cosmetic procedures, such as breast surgery. If you've had fat removed from your abdomen (liposuction), you may decide to have a tummy tuck because liposuction removes tissue just under the skin and fat but not any excess skin.
A tummy tuck isn't for everyone. Your doctor might caution against a tummy tuck if you:
- Plan to lose a significant amount of weight
- Might consider future pregnancy
- Have a severe chronic condition, such as heart disease or diabetes
- Have a body mass index that's greater than 30
- Are a smoker
- Had a previous abdominal surgery that caused significant scar tissue
Before a tummy tuck you might need to:
- Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. In addition, smoking increases the risk of tissue damage. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
- Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
- Maintain a stable weight. Ideally, you'll maintain a stable weight for at least 12 months before having a tummy tuck. If you're severely overweight, your doctor will recommend that you lose weight before the procedure. Significant weight loss after the procedure can diminish your results.
- Take medication to prevent complications. Shortly before your tummy tuck, you'll need to begin taking an anticoagulant to prevent blood clotting.
- Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.
What you can expect
A tummy tuck is done in a hospital or an outpatient surgical facility. During a tummy tuck, you'll be under general anesthesia — which makes you completely unconscious and unable to feel pain. In some cases, you might be given a pain-relieving medication and be moderately sedated (partially asleep).
Before the procedure
There are a number of different procedures for a tummy tuck, depending on the extent of change you would like to see.
During the procedure you might be given an antibiotic to prevent infection.
The procedure typically takes about two to three hours.
After the procedure
After a tummy tuck, your abdominal incision and bellybutton will likely be covered with surgical dressing. Small tubes might be placed along the incision site to drain any excess blood or fluid.
Members of your health care team will help you walk as early as the first day after a tummy tuck to help prevent the formation of blood clots.
You'll likely feel moderate pain, which will be controlled by pain medication. It's normal to have swelling in the surgical area.
You might need to continue taking an antibiotic as long as the drains are in place.
Your surgeon might also prescribe a blood-thinning medication for a short time after your tummy tuck.
For the first six weeks after a tummy tuck, you'll need to be careful when moving around. You'll also need to avoid positions that strain your incision line — such as quickly bending at the waist — to prevent the reopening of the wound.
You'll need to schedule regular follow-up visits. Ask your doctor how often you need to be seen.
By removing excess skin and fat and strengthening your abdominal wall, a tummy tuck can give your abdomen a more toned and slimmer appearance. Tummy tuck results are usually long lasting if you maintain a stable weight