Abdominoplasty (Tummy Tuck)
A tummy tuck, also known as abdominoplasty, is a surgical procedure designed to remove excess skin and fat from the abdomen while tightening the underlying muscles and connective tissue. This helps create a flatter, firmer abdominal profile and a more defined waistline.
Abdominoplasty is one of the most frequently requested procedures at our clinic and is commonly performed after pregnancy, weight loss, or ageing-related changes. Liposuction may also be used to contour the abdomen, flanks, and hips, providing enhanced body shape.
Why Consider Abdominoplasty?
You may be a candidate for abdominoplasty if you have:
- Loose or sagging abdominal skin
- Stretched or separated abdominal muscles (diastasis recti)
- Excess fat around the abdomen and waist that is resistant to exercise
- A bulging or weakened lower abdomen due to pregnancy or significant weight loss
In addition to aesthetic benefits, abdominoplasty can help improve posture, core strength, and physical comfort in everyday movement.
What to Expect
Initial Consultation
Your consultation with Dr Barnouti will include:
- A complete medical history review, including pregnancy, weight changes, or prior abdominal surgeries
- Physical examination and assessment of skin laxity, fat distribution, and abdominal wall condition
- Discussion of your goals and expectations
- Determining the most suitable procedure (mini, full, or extended abdominoplasty)
- Optional inclusion of liposuction for contouring
- Computer imaging to visualise your likely outcomes and guide planning
You’re welcome to bring a support person to your consultation.
The Procedure
Abdominoplasty is performed under general anaesthetic and may involve a day procedure or overnight hospital stay, depending on the extent of surgery.
Types of abdominoplasty include:
- Full Abdominoplasty – Removes loose skin, tightens abdominal muscles, and includes liposuction of the flanks. The belly button is usually repositioned.
- Mini Abdominoplasty – Focuses on the lower abdomen below the navel. Suitable for minor skin or fat excess with no muscle separation.
- Extended Abdominoplasty – A more comprehensive approach that includes removal of excess skin from the flanks and mons pubis, often combined with pubic lift and liposuction.
Incisions are placed low on the abdomen and are usually concealed below underwear or swimwear lines.
Recovery and Aftercare
Following your surgery, proper aftercare is crucial for optimal healing and achieving the best results. Below are the recommended guidelines:
Compression Garment
- Wear the provided abdominal binder or compression garment continuously for the first 6 weeks, removing it only for showering.
- This helps reduce swelling and supports the healing tissues.
Wound Care
- Keep incisions clean and dry.
- Gently cleanse with mild soap and water daily, pat dry, and apply fresh dressings as directed.
Pain Management
- Take prescribed pain medication as needed during the initial recovery.
- Transition to paracetamol once discomfort becomes manageable.
- Avoid NSAIDs (e.g. ibuprofen, naproxen) in the first week to minimise bleeding risk.
Mobility and Activity
- Begin gentle walking the day after surgery to reduce the risk of blood clots and support circulation.
- Avoid heavy lifting, strenuous exercise, and core-focused movements for at least 6 weeks.
Sleeping Position
- Sleep with your upper body elevated (30–40°) and knees bent for the first 12 weeks to reduce tension on incisions.
- A recliner chair or propped-up pillow arrangement can be helpful.
Bruising, Swelling, and Sensation
- Expect some bruising, swelling, and numbness, which will improve gradually over several weeks.
- Mild asymmetry or persistent swelling may take 6 to 12 months to resolve fully.
Scar Care
- Once incisions are fully healed (around 6 weeks), begin scar massage and silicone therapy.
- Continue for at least 6 months to support good scar maturation.
Sun Protection
- Avoid direct sun exposure to incision areas for 3–6 months.
- Use SPF 30+ and cover the area with clothing when outdoors.
Driving and Work
- Do not drive while on prescription pain medication or if movement causes discomfort.
- Plan for 2 weeks off work, with more time if your job involves physical labour.
Sexual Activity
Avoid sexual activity for 6 weeks, or until cleared by your surgeon.
When to Contact Us
Call us immediately if you experience:
- Redness, discharge, or increased swelling at the incision site
- Fever or chills
- Leg pain or swelling
- Shortness of breath
- Persistent or worsening pain
Our after-hours line is available for urgent concerns.