A full abdominoplasty begins with an incision above the pubic area that extends between the hipbones. The surgeon then makes a second incision to separate the navel from the underlying tissue. The skin is separated and pulled up to the level of the ribs. The surgeon pulls the abdominal muscles together and stitches them into position. The navel is then relocated and stitched into place. The surgeon replaces the skin (excess skin is trimmed) and sutures the original incisions. A complete tummy tuck takes between two and five hours.

Immediately following surgery, the incisions are dressed with bandages to keep the skin in place. A tube is usually inserted to drain any excess fluids that will collect for about a day or so after. Patients may experience some swelling and discomfort, however your doctor can prescribe medication to alleviate these symptoms. Stitches are usually removed five to ten days following surgery, although deeper sutures may take up to three weeks. The specifics of each procedure, as well as duration of down time and type of anesthesia (general or local), will vary among individuals.

Abdominoplasty surgery is performed under general anaesthesia, and often on an out-patient basis. Sometimes, patients choose to spend one night in hospital. Most patients are back to normal daily activities within two weeks, but are asked to avoid heavy physical activity and heavy lifting for at least 6 weeks.

Although most patients undergo abdominoplasty with very few complications, it is important for you to be well informed of the risks and potential benefits. These issues should be discussed with you at your initial consultation. Patients will maximize their chances of a successful result by following their pre- and
post-operative instructions, eating well and avoiding smoking.

At a glance:

Procedure:	Flatten abdomen by removing excess fat and skin and tightening muscles of abdominal wall.
Length:	2 to 5 hours.
Anesthesia:	General, or local with sedation.
In/Outpatient:	Either depending on individual circumstances and extent of surgery.
Side Effects:	Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.
Risks:	Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss. Need for a second operation.
Recovery:	Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years.

Costs: