Tummy tuck
Abdominoplasty (tummy tuck) removes excess skin and fatty tissue from the abdomen and often also tightens the stretched abdominal muscles.
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Important note
This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.
Definition of abdominoplasty
The Tummy tuck, also known as Tummy tuck, is a surgical procedure designed to remove excess skin and fatty tissue from the abdominal area. In addition, the weakened or stretched abdominal muscles are often tightened to achieve a flatter and firmer abdominal contour. The aim is to improve the body’s shape and give the abdomen an aesthetically pleasing appearance. Abdominoplasty is a form of plastic and cosmetic surgery and is performed for both cosmetic and functional reasons.
Objectives and areas of application
Abdominoplasty is primarily chosen for aesthetic reasons, for example when excess skin remains despite exercise and a healthy diet. Common reasons include significant weight loss or changes to the abdominal tissue following pregnancies, where the skin no longer retracts sufficiently. In such cases, the abdominal wall may become slack, leading to physical or psychological distress. Abdominoplasty may also be advisable in cases of medical problems such as chronic skin irritation in skin folds or limitations in movement and personal hygiene. The aim is to significantly improve the patient’s quality of life.
The procedure for an abdominoplasty
The operation is carried out under general anaesthesia and takes between two and five hours, depending on the extent of the procedure. To begin with, the surgeon makes an arched incision along the pubic hairline – ideally in such a way that the resulting scar will be concealed by underwear or swimwear. The excess skin, together with the underlying fatty tissue, is then removed. If necessary, the rectus abdominis muscles are tightened (rectus diastasis) to create a more stable abdominal wall. The remaining skin is then pulled downwards, the navel is repositioned to its natural location, and the skin is carefully sutured. Drains may be inserted to drain any wound fluid. The procedure usually requires a short hospital stay of a few days.
Risks and side effects of abdominoplasty
As with any operation, there are certain risks associated with abdominoplasty. The most common side effects include swelling, bruising and a temporary feeling of tightness in the abdominal area. Possible complications include infections, post-operative bleeding, poor wound healing, unsightly or thickened scars, and changes in sensation in the treated area. In rare cases, thrombosis, embolism or an asymmetrical result may occur. A thorough pre-operative examination and comprehensive advice from the treating specialist help to minimise these risks. Patients should also follow all post-operative instructions carefully to support the healing process.
Aftercare and the healing process following an abdominoplasty
Aftercare plays a key role in the success of the operation. Immediately after the procedure, it is essential to take it easy physically. Wearing special compression garments for several weeks helps to reduce swelling, promote healing and stabilise the outcome of the operation. Physically strenuous activities and sport should be avoided for at least six weeks. The scar also requires care to ensure it heals as inconspicuously as possible. The final aesthetic result of a tummy tuck is usually only visible after several months, once all the swelling has subsided and the tissue has stabilised. Regular follow-up appointments with the surgeon are important to monitor the healing process and detect any potential complications at an early stage.