What is a Tummy Tuck?

A tummy tuck is an outpatient procedure designed to improve abdominal contours by removing excess skin and fat from the front of the torso while also tightening the underlying muscles. Since surgical approaches vary, plastic surgeons tailor the technique to each patients needs rather than relying on a one-size-fits-all method.

In a traditional tummy tuck or, abdominoplasty, the surgeon removes sagging skin and fat from the lower abdomen, tightens the remaining tissue to create a flatter stomach, and also repositions the belly button. This procedure is especially popular among women who experience muscle laxity and excess skin following significant weight loss or multiple pregnancies. It often involves repairing diastasis recti, which brings separated abdominal muscles back together, and may include a panniculectomy which is a more involved version of the abdominoplasty which is done to remove excessive amounts of loose skin after pregnancy or dramatic weight loss.

Many patients also undergo liposuction to refine the waist and flanks, though there is debate over the optimal timing—whether before, during, or after a tummy tuck. Some surgeons are able to safely perform liposuction at the same time as a tummy tuck by ensuring proper blood supply to the remaining abdominal skin to support healing. Excess fat removed in the process is sometimes transferred to the hips and buttocks, creating what is known as an hourglass tummy tuck.

Additional procedures can be incorporated, such as a mons pubis lift, a surgical procedure that removes excess skin and fatty tissue from the mons pubis, the mound of tissue in front of the pubic bones, or breast augmentation as part of a mommy makeover. While tummy tucks have traditionally been more common among women, an increasing number of men who have lost substantial weight are choosing this surgery to achieve a more toned appearance.

How much does a Tummy Tuck cost?

The average cost of a tummy tuck, or abdominoplasty, can vary significantly based on the country the procedure is being performed as well as several other factors, but generally ranges from $6,000USD to $18,000USD globally. In some countries, like Mexico, the cost can be significantly lower than they are in the USA.

The average cost of a tummy tuck in Australia typically ranges from $10,000AUD to $30,000AUD.

Factors influencing the cost of a tummy tuck procedure

Surgeon's experience and location:

Surgeons with more experience and expertise in this area of surgery will usually command a higher price. This is especially true for surgeons who operate in affluent areas with higher living costs or surgery tourism hot spots.

Type of tummy tuck:

A full tummy tuck, which removes excess skin and fat from the entire abdomen, typically costs more than a mini tummy tuck, which only focuses on the lower abdomen. A tummy tuck may need to be combined with liposuction, breast reduction, breast augmentation or other body contouring procedures to achieve the desired result which in turn will affect the final price.

Anesthesia and facility fees:

These costs are always in addition to the surgeon's fee and can vary depending on the location and type of medical facility the procedure is being performed in.

How is a Tummy Tuck preformed?

The process on the day of surgery typically begins with general anesthesia being administered to ensure the patient is comfortable. As this is a very involved procedure it isn't recommended to have local anesthesia with light sedation as it may not be sufficient. The surgeon will make a horizontal incision along the lower abdomen near the pubic area, extending from one hip to the other. The skin and fatty tissue are separated from the abdominal wall, and any excess of both is removed at this stage. To create a firmer, more contoured appearance, the abdominal muscles are tightened using sutures. The belly button is repositioned to align with the newly shaped abdomen, and the incision is closed with stitches, tape, or clips. In some cases, drainage tubes are inserted to prevent fluid buildup. Recovery requires several weeks, during which patients must follow post-operative care instructions to promote healing.

How to prepare for a tummy tuck procedure?

Getting ready for tummy tuck surgery requires careful planning to ensure both a smooth procedure and a successful recovery. Key preparations include quitting smoking, maintaining a stable weight, adjusting medications as advised by your surgeon, and making arrangements for post-operative support. Since mobility will be limited in the first few days, it's essential to have someone available to drive you home and assist you with your daily tasks. A well selected board certified and reputable surgeon will help prepare you for your surgery as well with your recovery.

What are the risks and possible side effects of getting tummy tuck surgery?

Although usually safe, especially when being performed by a skilled and reputable surgeon, there are some risks and potential side effects that you should be aware of prior to undergoing this surgery. These include but are not limited to; scarring, pain, swelling, infection, fluid buildup, and changes in skin sensation. Less common but more serious complications can include blood clots, deep vein thrombosis, and anesthesia-related issues. While most complications are minor and resolve with proper care, it's crucial to ensure your surgeon prepares you well in advance for potential issues that could arise and to try and mitigate them as much as possible.

Potential Risks and Side Effects:

Scarring: Tummy tuck surgery does in fact leave an inevitable scar on the abdomen, this can be minimized as much as possible but it is a part of having this procedure. This can't be ignored and can be a concern for some patients.

Pain and Swelling: While being a part of all surgeries, tummy tuck procedures can cause significant pain in the early stages of recovery. This is due to the complexity of the procedure and because we use the muscles of the our lower abdomen so much in our daily lives, which of course will be compromised significantly during the healing process. Your surgeon should prescribe you with pain killers and provide advise to mitigate this as much as possible.

Infection: As with any surgery, there's a risk of infection, which can lead to complications and require additional treatment. It's common practice to be prescribed antibiotics in advance to avoid this from occurring.

Fluid Buildup (Seroma): Fluid can sometimes collect under the skin after surgery, potentially requiring drainage. In some cases, your surgeon will provide drainage tubes at the time of surgery to wear during recovery if they believe this will be a problem.

Changes in Skin Sensation: Numbness or other changes in skin sensation can occur around the surgical area, which may be temporary or permanent. Some numbness is normal during the healing process but if nerves have been disrupted significantly, it could lead to permanent loss of sensation in the area.

Blood Clots (Deep Vein Thrombosis): Although rare, it's important to be aware of blood clots as they can form in the legs and in a worst case scenario, travel to the lungs, causing serious complications.

Other Complications: Even less common but more serious risks include bowel obstruction, nerve damage, and skin loss due to necrosis.

How long does a tummy tuck last?

A tummy tuck procedure typically lasts for many years, potentially into a lifetime, with proper maintenance of weight and lifestyle. The procedure addresses excess skin and fat, and tightens abdominal muscles, resulting in a flatter and more toned stomach which has the potential to be maintained so long as there is no significant weight gain or pregnancy which can impact the results. In some cases, particularly with extreme weight gain and pregnancy, the results could be reversed completely and secondary surgery may be required.

Factors Affecting Longevity:

Weight Management: Maintaining a stable weight is crucial for preserving the results of a tummy tuck. Any fluctuations in weight will affect the results of the surgery to come degree with extreme weight gain having the potential to reverse the procedure completely.

Pregnancy: Pregnancy can stretch the abdominal skin and muscles, potentially reversing the results as well.

Aging: As the body ages it's normal for skin elasticity to decrease, potentially affecting the long-term appearance of the tummy tuck results.

Lifestyle Choices: Lifestyle choices, such as smoking and sun exposure can also affect the longevity of results.

How long is recovery from a tummy tuck procedure?

Healing after a tummy tuck is a gradual process that can take anywhere from several weeks to a few months. As the swelling decreases and incisions fully close, the final results become more noticeable. Carefully adhering to post-operative care instructions is essential for proper healing and reducing the chances of complications. Long-term success also depends on maintaining a healthy lifestyle, with balanced nutrition and regular physical activity helping to preserve the effects and extend the benefits of the procedure.

Here's what you can expect throughout the healing process

First week: Expect significant pain and swelling, your movement will be greatly restricted during this time and you will need to take a lot of rest.

Weeks 1-4: You'll likely need to wear a compression garment, and you'll still be limited in the activities you can do, including avoiding strenuous exercise. 

Weeks 4-6: During this phase you can usually start to gradually resume your normal activities, including returning to work and exercising. 

Weeks 6-12: Swelling and bruising should subside significantly at this stage. You'll start to see the final results of the procedure, but full slimming of the waistline may take several more months.