Abdominoplasty: making your tummy smaller and tighter


Sharp changes of weight result in sagging abdominal skin. The abdomen might become loose due to significant weight loss, following the end of pregnancy, etc. Abdminoplasty will help you to regain attractive body.

When the surgery is adviseable

  1. Sagging or excess abdominal skin.
  2. Unproportionally big tummy.
  3. Weakened or post-natal stretching of the abdominal muscles.
  4. Overweight.

Consultation of a plastic surgeon

During the initial consultation, the doctor will tell you about the expected results of abdominoplasty. The surgeon will have to examine your abdomen when you lie and seat to assess the condition of your skin and muscle, the degree of their looseness and the quantity of fat.

Discussing patient’s medical records over the course of the consultation is compulsory. The patient has to provide the doctor with the information on the medications they’ve been taking, allergy, pregnancy, labour, tolerance to medications, etc. If you plan pregnancy, dramatic weight loss or weight gain it should also be discussed with your physician. Basically, you have to provide the most complete information on your health status. You should be ready for additional examinations.

The course of the surgery

The selection of the method depends on the patient’s initial parameters, the desirable effect, health status, and anatomic features.


A horizontal incision is made in the pubis area or slightly higher. The length of the incision depends on the total volume of the excess skin which has to be removed. If possible, the surgeon makes the incision within the “underwear area”. However, in some cases there can be exceptions from this rule. If the area above your belly button contains too much of the excess fat, the surgeon can make an additional incision around the belly button to remove it. This does not change the position of the belly button. The excess skin can also be removed from the lower abdomen area should you have too many stretches.

Other kinds of abdominoplasty

Sometimes the incision of the belly button can be avoided. For example, when the volume of sagging skin is minimal or when excess fat is located in the lower abdomen only. A short horizontal incision is performed in cases like these. This procedure is called partial or mini abdominoplasty. In some cases abdominoplasty can be combined with liposuction. Light degree of muscle weakness and minimal quantity of excess fat allow for endoscopic abdominoplasty, which requires minimal invasion.

Risks and postoperative complications

Abdominoplasty carries almost zero risk of postoperative complications. Thousands of people remain happy with the results of this type of surgery every year. However, a doctor should tell the patient not only about the benefits of the surgery but also discuss with them possible complications and risks prior to the operation.

Here are some possible postoperative complications.

1. Infection.

2. Bleeding.

3. Poor reaction of the body to anaesthesia.

4. Unusually long healing of the incision.

5. Collection of fluid under the skin. This might require an additional treatment.

To reduce the risk of complications, the patient should follow the directions given by the physician prior to the surgery and during the entire postoperative period.

Abdominoplasty contraindications

1. Diabetes.

2. Pregnancy.

3. Frequent changes of body mass.

4. Heart and lungs diseases.


Abdominoplasty is done under general anaesthesia. The patient remains in deep sleep all the time during the surgery. However, the treatment of mild cases might involve topical anaesthesia. After the surgery the patient is admitted to the recovery area where they are supervised by relevant medical professionals. The patient can return home only upon permission of their doctor.


Patient can leave bed on the second day following the surgery. Short walks might be allowed to restore blood circulation. It’s recommended not to spend lots of time seated during the first days after the surgery. Intense physical activities are not allowed.

A moderate feeling of discomfort and swelling after surgery are deemed to be normal. However, in the event of severe pain you should tell your physician about it.

Sexual intercourse is banned for 2 weeks after the surgery. The doctor might extend this period depending on the condition of the patient.

A light physical labour can be done 1-3 weeks after the abdominoplasty. The patient can return to the previous level of physical activity 1-1.5 months following the operation.

A comprehensive list of recommendations is prepared by the plastic surgeon based on the patient’s needs.

The results

Abdominoplasty improves the shape of your body. It makes your tummy firmer and more flat. The marks left by the incision are subject to significant reduction over time. However, they will not vanish completely. Fine lines will remain visible.

The results of the surgery will last for many years. However, it will happen only if the patient maintains healthy lifestyle, diet and remains active. Future pregnancy has an adverse effect on the surgery result. Therefore, abdominoplasty is not recommended for females who plan to have a baby.

In order to keep the result of the surgery in check, the patient should be periodically visiting their surgeon. Should you have any questions, you can contact your surgeon after the end of the recovery period.

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