Abdominoplasty (Tummy Tuck)

What Is Abdominoplasty?

Abdominoplasty, often called a tummy tuck, is a surgical procedure that restores a firmer, smoother abdomen by removing excess skin and tightening weakened muscles. Many people choose this procedure after pregnancy, weight changes or as part of natural aging.

During surgery, excess skin from the lower abdomen is removed, the abdominal muscles are tightened and the belly button is repositioned to create a more natural appearance. In some cases, liposuction may also be used to contour the sides of the waist. 

The incision is placed low on the abdomen so it can be hidden beneath underwear or swimwear. A small scar around the belly button is also expected, as it is brought through the newly contoured skin.

Read more from the American Society of Plastic Surgery

Who May Be a Good Candidate?

Abdominoplasty may be an option for people who:

• Have loose or excess skin in the abdominal area
• Notice muscle separation or weakness after pregnancy
• Are at a stable weight
• Are nonsmokers or willing to stop nicotine use before and after surgery

A consultation with a plastic surgeon is the best way to determine whether abdominoplasty is right for you.

What to Expect During Surgery

The Procedure

Abdominoplasty is performed in the operating room under general anesthesia. It is typically an outpatient procedure, meaning you go home the same day. Surgery usually takes about three and a half hours. 

Incisions and Scarring

You will have a low, horizontal incision across the lower abdomen, as well as an incision around the belly button. Some patients may develop small areas of excess skin at the ends of the incision, sometimes called “dog ears.” These can often be corrected later with a minor in-office procedure once healing is complete. 

In cases where excess skin extends around the sides or back, a more extensive procedure such as a 360-degree abdominoplasty may be recommended. 

Recovery and Healing

Right After Surgery

• Two surgical drains are typically placed to reduce fluid buildup and are removed one to two weeks after surgery
• An abdominal binder is worn most of the day for six weeks
• Walking is encouraged as soon as possible to support healing and circulation 

Returning to Daily Life

• Avoid lifting more than 10 pounds for six weeks
• Plan for three to four weeks off work if your job involves minimal physical activity
• Jobs requiring heavy labor may require up to six weeks of recovery time 

Dr. Googe will provide personalized guidance based on your recovery progress.

Risks and Safety Considerations

All surgeries carry some risk. Dr. Googe will review these with you during your consultation. Risks specific to abdominoplasty may include:

• Fluid collection (seroma)
• Scarring or delayed wound healing
• Infection or bleeding
• Asymmetry
• Injury to the belly button
• Anesthesia-related risks, including blood clots 

Blood clots can be serious. To reduce this risk, patients are encouraged to walk soon after surgery and may be prescribed a blood thinner based on individual risk factors. 

Preparing for Surgery

Smoking and Nicotine Use

Nicotine reduces blood flow and can interfere with healing. Patients must stop smoking and using all nicotine products at least four weeks before surgery and continue to avoid them for four weeks after surgery. Being honest about nicotine use is critical to protecting your safety and surgical results. We have resources available to help you stop.

Your care team will review additional pre-surgical instructions to help you prepare.

Follow-Up and Ongoing Care

Follow-up visits with Dr. Googe are scheduled to monitor healing and address any concerns. You will receive detailed post-operative instructions, including how to care for your incisions, manage drains and recognize signs that require medical attention. 

If you experience fever, increasing redness, swelling, drainage or other concerns, contact the clinic promptly for guidance.